Functional Capacity Assessment

Client Information: - John Doe - 12/05/1985 - NDIS123456789 Assessment Date: - 15/09/2025 Assessor Information: - Dr. Jess Spencer - Occupational Therapist - jess.spencer@healthcare.org Reason for Referral: - To assess the client's functional capacity for daily living activities and recommend appropriate support services. Background Information: - John has a history of traumatic brain injury sustained in a car accident five years ago. - He lives alone in a one-bedroom apartment and receives weekly visits from a caregiver. Functional Capacity Assessment: - John demonstrates limited physical capacity, with reduced strength and coordination in his right arm. - Cognitive capacity is affected, with difficulties in memory retention and problem-solving. - Communication capacity is adequate, though John occasionally struggles with word retrieval. - Social and emotional capacity is stable, but John reports feelings of isolation. - Daily living skills are compromised, requiring assistance with meal preparation and personal hygiene. Summary and Recommendations: - John exhibits significant challenges in physical and cognitive domains, impacting his daily living skills. - It is recommended that John receives occupational therapy twice a week, along with continued caregiver support for daily activities. Assessor's Signature: - Jess Spencer - 15/09/2024