Occupational Profile

1. Client name: Ayessa Escandar

2. Age: 25
3. Sex: Female
Briefly discuss each of the following:
4. Who is the client?
Ayessa is a 25 years old female who is currently a fulltime occupational therapy student at Touro
University Nevada.
5. Why is the client seeking services and/or what are the clients concerns relative to engaging in
occupations and in daily life activities?
Ayessa is seeking service because she is concerned about her scoliosis. Specifically, she wants to
correct her vertebrae alignment as much as possible in order to help with her trunk posture. Ayessa
states that due to her poor posture, it is causing her to develop back problems.
6. In what occupations does the client feel successful and what barriers are affecting his or her
success?
The client feels successful and stress free when she is running on the treadmill. However, Ayessas
scoliosis is a barrier that is occasionally causing her to have bad form when she is running, which
leads to her having back pains.
7. What aspects of his or her environments or contexts does the client see as supporting engagement
in desired occupations and what aspects are inhibiting engagement?
When the client engages in the occupation of running, some aspects in the environment that
supports her engagement in the activity are the space demands that take place within her
surroundings. When the client was running in the gym, she was able to perform her activity in an
optimal level due to the proper ventilation, lighting, and temperature in the gym. Also, each
workout equipment in the room was properly spaced out so that each gym member had the proper
space to exercise. However, some inhibiting factors that could cause the client to lose focus was the
noise level in the gym.
8. What is the clients occupational history?
The clients occupational history is that she has been a college student for 6 years, which means the
occupation of education participation plays an important role in her daily life. The client has also
been going to the gym for the past 7 years and considers the activity to be an occupation of health
management and maintenance, and a leisure participation.

9. What are the clients values and interests?

The clients interests are maintaining her health management by participating in outdoor activities,
preparing healthy and nutritious meals, and going to the gym to do exercises. She is also very much
interested in the occupation of hiking, and participates in this activity as a leisure and social
participation. The clients value is to maintain a balance life by making time for her education,
volunteer participation, leisure exploration, and social participation between her family and friends.
She believes that having a balance life is a fulfilling life.
10. What are the clients daily life roles?
The clients daily life roles are being a full time occupational therapy student, performing health
maintenance by preparing nutritious meals and going to the gym, and performing home
maintenance by managing her personal and household possessions.
11. What are the clients patterns of engagement in occupations
The clients patterns of engagement in occupations is performing her activities of daily living, which
are showering, dressing, eating, and personal hygiene. After the client completes her ADLs she then
participates in the occupation of being a student by participating in her academic studies by
attending classes. After school, the client participates in a leisure activity of going to the gym so that
she may maintain an active and healthy lifestyle.

12. What are the clients priorities and desired targeted outcomes related to occupational
performance?
The clients priorities and desired outcome is to be able to perform the activity of running with the
correct body mechanics and posture so that she does not cause damage or pain to any parts of her
body, specifically her back, due to a slouched posture.
Occupational Analysis
1. Occupation: Running on treadmill
Categorization of occupation for the client:
Subcategory:
1. Activities of daily living
2. Instrumental activities of daily living Health management
3. Education
4. Work
5. Play
6. Leisure
Leisure participation
7. Social participation

2. Values, beliefs, spirituality associated with participation:

Values: The clients acquired belief and commitment is that if she stays active and continues to eat
healthy, she will be able to maintain her strength and health even when she gets older.
Beliefs: The client believes that if she continues to participate in the activity of running, she will lose
weight and build muscle and strength.
Spirituality: The client refers to the occupation of running not just an activity to stay healthy and
lose weight, but uses it as a therapeutic tool where she can relax and reflect on her life.

3. Contexts:
Context
Physical/space demands

Social

Cultural

Personal

Temporal

Supports
The client participated in the
activity of running in the gym,
therefore being in an
environment where other
individuals are working out
gives the client the sense of
motivation to keep running and
working hard.
The client performed the
activity of running by herself,
therefore she did not have
anyone present with her that
would help support the activity
of running.
The clients cultural customs
within her environment is that
the healthier a person is the
least likely will they acquire an
illness. Therefore, due to this
mindset the client is more
inclined to work out and go
running.
The client is a 25 year old
graduate student who
participates in the occupation
of running on a daily basis.
The client participates in the
activity of running for 30
minutes on a daily basis.

Inhibits
An inhibitory factor for the client
is when the gym is full and many
people are on the treadmill, she
has to wait a long period of time
before she can use the
equipment. This can cause the
client to lose motivation.
An inhibitory factor that would
cause the client to not
participate in the activity of
running is if the gym is full with
other individuals, making it
difficult for her to use the
treadmill.
The client did not display any
inhibitory cultural standards
throughout her activity of
running.

There are no inhibitory factors

that are displayed by the client.

When the client has too much

work to do for school and does
not have enough time
throughout the day to do other
activities, she has to put aside
running for that day.

Virtual

The client did not use any

virtual communication as she
participated in the occupation
of running.

The client did not use any virtual

communication as she
participated in the occupation of
running.

4. Objects and their properties used:

Tools: Running shoes, plastic water bottle, IPhone, and headphones
Supplies: Water and towel
Equipment: Treadmill
5. Social demands:
Social Environment: When the client participated in the occupation of running she did not engage with
anyone, therefore social environment was not applicable for the client.
Cultural and virtual context: When the client went to the gym to run on the treadmill, one of the gym
etiquettes is to use a treadmill that does not have other peoples materials placed on it, therefore the
client only used a treadmill that was open and free.
Rules and norms: When the client goes to the gym, the rules and norms of the treadmill equipment is to
only use it for 30 minutes so that others can use it. Therefore, when the client participated in the activity
of running she only used the treadmill for 30 minutes.

6. Sequence and timing:

1. The client walked to her dresser.
2. The client grabs the handle of the first drawer of the dresser and pulls it towards her.
3. The client grabs a pair of women ankle socks from the first drawer of her dresser.
4. The client closed the first drawer by pushing it in the dresser.
5. The client grabbed the handle of the second drawer and pulled it open.
6. The client grabbed one workout short and a cotton t-shirt from the second drawer of her
dresser.
7. The client closed the second drawer by pushing it into the dresser.
8. The client walked out of her bedroom and went to the bathroom, turned on the lights and,
pushed the door closed to change her cloths.
9. The client opened the door by twisting the knob and pulling the handle towards her.
10. She turned off the light and, came out of the bathroom wearing her workout cloths.
11. The client walked back to her bedroom to get her running shoes from the shoe rack.
12. The client walked to the front edge of her bed while carrying her running shoes and sat down.
13. The client placed her right foot first into one of the shoes and then her left foot into the other
shoe.
14. The client then tied both of her shoes starting with the right shoe first.

15. The client tied her shoes by first tightening the shoe by pulling on the ends of the strings on the
right and left side of the shoe.
16. The client then crossed the left and right strings. The left string went under the right string and
she pulled through creating a new right and left end. The client took the new left end and made
a loop with it. The client also made a loop out of the new right end, and put that loop over the
left loop. Tie the loops into a knot similarly to the knot from the earlier step.
17. The client finished tying her shoe by pulling on the loops tightly.
18. The client stood up from her bed and walked to the kitchen towards the refrigerator.
19. The client grabbed the handle of the refrigerator and pulled it towards her in order to open the
refrigerator door.
20. The client leaned forward and grabbed a plastic water bottle.
21. The client walked to the dining table and grabbed her keys, cellphone and headphones.
22. The client walked to her apartments entrance door and unlocked the door.
23. The client stepped outside and closed the apartment door behind her.
24. The client grabbed her keys and picked out the key for the front door.
25. The client inserted the key into the key hole and turned the key to the right to lock the door.
26. The client pulled the key out and started walking towards the apartment complexs gym.
27. Once the client was in front of the gym door, she grabbed the door handle and turned it to the
right and pulled the door towards her to open the door.
28. The client walked into the gym and grabbed a complementary towel from a shelf by the door
entrance.
29. The client walked to the treadmill and stepped onto it.
30. The client placed her phone, keys, water bottle, headphones and, towel on a small platform that
is attached to the treadmill.
31. The client connected the headphone jack to her cellphone and placed the headphone on her
ears.
32. The client selected a song from her cellphone to listen to while running.
33. The client pressed quick start on the treadmill and began running.
34. When the client was running, she changed her gait pattern from a slow foot alternating pattern
to a fast alternating pattern.
35. Throughout the clients run, the client would increase the speed of the treadmill by pressing the
button with a plus symbol on the treadmill until she found a speed level that was challenging for
her.
36. In between the clients run, she would also grab her water bottle to take small sips.
37. The client ran for thirty minutes.
38. At the end of the clients run she pressed the stop button and began slowing down her gait
pattern.
39. Once the treadmill reached a complete stop, the client took of her headphones from her ears
and placed them on the attached platform where the rest of her belongings were.
40. The client turned off her cellphone to stop the music from playing then, placed it back on the
platform.
41. The client grabbed her towel and wiped off the sweat on her face, neck and, the treadmill.
42. The client stepped off the treadmill and walked towards the dirty towel hamper.

43. The client threw the towel she used in the hamper and walked towards the gyms entrance
door.
44. The client grabbed the door handle, turned it to the right and, pushed it away from her to open
the door.
45. The client stepped out of the gym and walked back to her apartment.

7. Body functions required:

Function

How It Is Used

Judgment

The client had to

determine the
appropriate shoes
and clothing to
wear when
exercising.
The client also
determined what
song from her
cellphone to listen
to in order to
motivate her
during her run.
The client had to
understand the
different functions
of each button on
the treadmill. The
client also had to
understand proper
running form to
avoid injuries.
When the client
had a problem
during the activity,
such as the
treadmill not
turning on, she had
to analyze the
problem and figure
out a solution. The
client checked if
the treadmills
cable was plugged
into a wall socket.
When the client
was running on the

Concept formation

Metacognition

Cognitive flexibility

None

Minimally
Challenged

Greatly
Challenged

Insight/awareness

Concentration

Sustained attention

treadmill, a
problem that
typically occurs
was the display
console not
showing anything.
Therefore, the
client had to be
more cognitively
aware of the time
and speed of the
treadmill.
Knowledge of the
clients physical
ability when
running on a
treadmill was
needed. Therefore,
if the client was
unsure of the
appropriate
treadmill speed for
her, it is
recommended that
she initially starts
her run from the
slowest treadmill
speed and slowly
increase the speed
until she has found
a speed that is
both comfortable
yet challenging.
Concentration of
the client was
needed when
running on the
treadmill because
she can slip off the
conveyor belt of
the treadmill and
injure herself.
The client
sustained attention
throughout the
whole activity in
order to complete
the work session in
a timely manner.

Selective attention

Divided attention

Short-term memory

Working memory

Long-term memory

Discrimination of senses: Auditory

The ability for the

client to maintain
focus on running
even when there
are distractions
within her
environment such
as music playing,
the television
being on, or people
talking near her.
The clients ability
to run on the
treadmill while
watching a
television show or
talking to another
person at the gym.
While running on
the treadmill, the
client must recall
the printed
instructions on the
treadmill so that
she knows how to
make the treadmill
go faster or slower.
While running on
the treadmill, the
client must use
working memory in
order to perform
the sequences of
instructions. This
will help the client
properly operate
the treadmill.
The client must use
long term memory
in order to locate
where the gym so
that she could run
on the treadmill.
When the client is
running on the
treadmill, auditory
senses are used to
listen to music, the
television, or to

Discrimination of senses: Tactile

Discrimination of senses: Visual

Discrimination of senses: Olfactory

Discrimination of senses: Vestibularproprioception

Multisensory processing

another person
talking.
From the
beginning of the
clients run and
throughout the
duration of the
workout, the client
must press on the
buttons of the
treadmill because
the tactile
movement of
pressing the
buttons will either
start, stop, slow
down, or speed up
the treadmill.
Using visual senses
will help the client
to look at the
treadmill console,
which will inform
the client how
much time has
passed, the
distance she ran,
or the speed level
she is in.
Olfactory is not
applicable in order
for the client to
run on the
treadmill.
In order for the
client to run on the
treadmill, a
standing upright
position and at
least one leg
planted on the
conveyor belt of
the treadmill is
needed in order to
maintain stability
and balance.
In order for the
client to run on the
treadmill and have
a better

Sensory Memory

Spatial relationships

interpretation of
what is occurring in
the environment, it
was important for
the client to use
the sense of touch
in order to operate
the buttons and
control the speed
of the treadmill.
The client used
proprioception in
order to maintain
balance when
running on the
moving conveyor.
The client used
visual to see the
information on the
treadmill console.
When the client
visually sees that
the speed on the
treadmill console is
increasing, the
client must process
the growing
numbers and run
faster.
The client
understood that
standing on the
center of the
treadmills
conveyor was the
best place to run
on. Consistently
running on the
center of the
conveyor will still
allow the client
access to control
the buttons on the
treadmill. It will
also avoid the
client from injuring
themselves by
falling backwards
off the treadmill or
running into the

Temporal relationships

Recognition

Categorization

Generalization

control panel of
the treadmill.
The client needs
the knowledge of
how much time
has been spent
running on the
treadmill in order
to know if the preestablished
workout goal has
been achieved.
When the client
looks at all the
different buttons
on the treadmill,
she must recognize
what she is seeing
and be able to
interpret the
function of each
button.
When the client
places her towel,
water bottle, keys
and, phone on the
attached treadmill
platform, she
groups together
the items that will
be used during the
workout session
from the items
that will not be
used. She grouped
the water bottle
and towel together
for easier access,
while the keys and
phone was placed
at a different
location.
The client can
implement the
techniques of
running outdoors
and transfer them
towards running
on the treadmill.

Awareness of reality

Logical/coherent thought

Appropriate thought content

Mental functions of sequencing

complex movement

Regulation and range of emotion

The client was

aware that she was
running on a
moving conveyor
belt of a treadmill
even though other
thoughts were
developing in her
mind.
The client
recognizes that it
would be best to
start off running on
the treadmill at a
low speed and
then slowly
increase the speed
until she has found
a speed level that
is both
comfortable yet
challenging. This
process will avoid
the client running
on a speed level
that is more than
what the client is
capable of
handling. It will
also avoid the
client from
possible injuries.
Depending on how
much time was left
to complete the
workout, the client
should thinking
about how much
energy should be
use to
continuously fuel
the legs with
running.
The client can slow
down the running
speed of her legs
due to their legs
fatiguing.
When running on
the treadmill, the

Appropriateness of emotion

Coping

Behavioral regulation

Body image

client usually has a

set timeframe goal
that she wants to
achieve. Therefore,
when the client
does not achieve
their goal, she
must contain not
being frustrated.
The client must
maintain a neutral
emotion, due to
being in a public
gym. Although the
activity can be
discomforting, the
client must control
making loud noises
that could
potentially disrupt
other individuals
who are exercising.
The client does not
need to handle
crises or situations
when running on
the treadmill.
After running thirty
minutes on the
treadmill, the
client will often
feel tired.
Therefore,
common
expressions after
running are
excessive deep
breathing and
heavy eyelids.
When running on
the treadmill, it
was useful to have
a mirror near the
client so that she
could see her
reflection. Seeing
the clients
reflection, while
running will help
remind her to run

Self-concept

Self-esteem

Arousal

Consciousness

Orientation to self

Orientation to place

with proper form

in order to run
efficiently and to
avoid injuring to
her joints.
Self-concept was
not needed for the
client when
running on the
treadmill.
The client having
confidence when
running on the
treadmill was
beneficial because
it motivated her to
run longer and
faster.
The client
demonstrated
alertness and
responded to the
increase or
decrease of the
treadmills speed.
The ability to stay
alert and aware,
while the
treadmills
conveyor is still
moving or else an
injury can occur.
Orientation to self
is not used when
running on the
treadmill. Running
on the treadmill
can still be
accomplished
without it.
When running on
the treadmill, one
must understand
that the treadmill
is located in a
public gym, which
other apartment
tenants have
access too.
Therefore, must

Orientation to time

Orientation to others

Energy level

follow gym
etiquettes.
Knowing what day, x
week, or month is
not needed to
accomplish running
on the treadmill.
Being aware of the x
identities of
significant people
within ones life is
not needed to
accomplish running
on the treadmill.
When running on
the treadmill, the
energy level used
by an individual
will depend on
whether the
treadmills speed is
set on high or low.
The higher the
speed the greater
the energy level
that is needed.
Usually for a
workout, one must
sustain an optimal
energy level for 30
minutes in order to
accomplish the
activity.

Function

How It Is Used

Motivation

The clients
internal motivation
to lose weight and
live a healthier
lifestyle was an
incentive to
complete the
treadmill workout.
Even though the
client was tired,
she had to contain
the impulse of
wanting to stop
the treadmill
before the

Impulse control

None

Minimally
Challenged

Greatly
Challenged

Appetite

Sleep

Detection/registration

Visual modulation

Integration of senses

Awareness at distances

workout was
finished.
The client needed
to have both
physiological and
psychological
mechanisms in
order to
successfully
accomplish running
on the treadmill.
Sleep was not
x
needed or used
when the client
was running on the
treadmill.

When operating
the treadmill, the
client must be able
to detect colors
that were
associated to
certain buttons
such as, green for
the start button
and red for the
stop button.
The clients ability
to regulate the
degree and
intensity of the
visual stimuli was
not needed when
running on the
treadmill.
Integrating the
clients visual and
touch senses was
needed when
running on the
treadmill. Using
both of these
senses helped keep
the clients balance
and footing on the
treadmill.
Determining the
distance of the

Tolerance of ambient sounds

Location and distance of sounds

Moving against gravity

Taste

water bottle
relative to the
clients body was
needed when
running on the
treadmill because
it allowed the
client to know
where to grab the
water bottle in
order to take a sip
out of it.
When the client
was running in an
environment with
other people, she
was able to drown
out the noises that
appeared in the
background, such
as voices.
Locating and
determining the
distance of a sound
was not needed for
the client to run on
the treadmill.
When running on
the treadmill, the
clients body was
moving against
gravity.
Specifically, every
time her legs lifted
off the treadmill or
her arms swung
forward, those
body parts were
going against the
pull of gravity.
When the client
took a sip of water
from her water
bottle, tasting the
water was needed
when running on
the treadmill
because it satisfied
the clients thirst.

Smell

Body in space

Comfort with touch

Localizing pain

Thermal awareness

Joint mobility

Smell is not
applicable to the
client when
running on the
treadmill.
The client needs to
be aware of her
body position and
space on the
treadmill in order
to avoid falling off
the treadmill.
The client used
comfort with touch
when touching the
towel to wipe off
the sweat on ones
face or touching
the buttons to
operate the
treadmill.
Used when the
client was sensing
pain on her knees
or ankle joints due
to the constant
compression of the
joints, which is
associated with
running.
Thermal awareness
was used when the
client grabbed the
water bottle that
came out of the
refrigerator.
Therefore, being
aware that the
bottle will be cold
will prevent the
client from being
shocked by the
coldness of the
bottle.
Needed
throughout the
duration of the
clients time
running on the
treadmill. The

Joint stability/alignment

Muscle power

Muscle tone

Muscle endurance

client must have

full range of
motion with her
ankles, knees, hip,
and arms in order
to accomplish the
activity.
Maintenance of
the structural
integrity of the
clients joints
especially, the
knee joints when
running on the
treadmill is
important so that
injuries within the
joint capsule does
not develop.
Optimal muscle
power was needed
by the client to
generate enough
force for her legs
to push of the
conveyor and
propel her body
forward when
running on the
treadmill. Doing
the movement
repeatedly in order
to accomplish the
task will require a
lot of muscle
power.
Muscle tone was
used by the client
when running on
the treadmill. The
clients muscle
tone was increased
when her foot
would go into
plantar flexion due
to her foot pushing
off the treadmill.
Muscle endurance
does not apply to
the client when

Stretch reflex

ATNR

STNR

Righting and supporting reflex

Eye-hand coordination

running on the
treadmill since the
activity of running
requires constant
alteration of use of
each leg.
Therefore, each leg
does not remain in
contraction for a
long period of
time.
After every run, it
is good to stretch
out the legs.
However,
involuntary
contraction of the
leg muscle
occurred when the
client stretched
her legs farther
than what her legs
were capable of
stretching.
No infants will be
participating in the
activity.
No infants will be
participating in the
activity.
When the client
was running on the
treadmill she
almost tripped, but
she repositioned
her legs quickly in
order to restore
balance before
hitting the floor.
The client used one
hand to reach and
grab the water
bottle, while the
clients other hand
decreased the
speed of the
treadmill by
reaching in front
and consecutively

Bilateral coordination

Crossing midline

Fine motor control

Gross motor control

Occulomotor control

pressing the minus

button.
In order for the
client to run on the
treadmill, both of
her legs must
alternately push
off the treadmill,
swing both knees
up and, replant
each feet back on
the treadmill.
When running on
the treadmill, the
client tends to run
with a habit of
alternating each of
her arms to cross
the midline of her
body.
The clients fine
motor control was
utilized when
pressing the
buttons on the
treadmill with her
finger. The precise
movement of her
finger during the
same time that the
client was running
required the small
muscles of her
hand to help
stabilize the finger
in order to make
sure that the
correct button was
pressed.
The clients leg
muscles were used
to coordinate
running on the
treadmill.
The clients
occulomotor
control was used
when searching for
a certain
information on the

Gait patterns

Blood pressure

Heart rate

Respiratory rate

treadmill console
such as the
duration of the
run, distance of the
run, or how many
calories have been
used.
The clients gait
patterns were
needed
throughout the
whole time sent
running on the
treadmill because
the walking
movement had the
biggest affect
towards engaging
in the activity.
Running on the
treadmill tends to
elevate the clients
blood pressure
because blood
needs to get
delivered to the
legs, which needs
the nutrients and
oxygen from the
blood.
When the client is
running on the
treadmill, the
clients heart rate
will increase
because since her
body is under
stress, her blood
will need to refuel
the nutrients and
oxygen as quickly
as possible to the
muscles
When the client is
running on the
treadmill, her
respiratory rate
will rise so that
blood cells can
deliver enough

Respiratory rhythm

Respiratory depth

Physical endurance, aerobic capacity

Voice functions

Voice rhythm and fluency

oxygen to supply
the muscles needs.
When running on a
high speed level on
the treadmill, the
clients cycle of
inspiration and
expiration of air
will speed up
because the lungs
need to resupply
the muscle with
oxygen.
When the client is
running on the
treadmill, she will
inhale and exhale a
large amount of air
in order to
resupply the
muscles with
oxygen.
In order for the
client to
successfully finish
running on the
treadmill for 30
minutes, the client
needs to have an
optimal
cardiovascular and
respiratory system.
An optimal
cardiovascular and
respiratory system
will be able to
resupply the
muscles with
oxygen.
Voice functions are
not needed by the
client to
successfully
complete running
on the treadmill.
Voice rhythm and
fluency are not
needed by the
client to
successfully

Alternative vocalization

Digestive system

Metabolic system

Endocrine system

complete running
on the treadmill.
Alternative
vocalization is not
needed by the
client to
successfully
complete running
on the treadmill.
When the client
takes a sip of water
from the water
bottle, the liquid is
transported
through the body
an absorbed by the
large intestine.
When the client
take a sip of water
from the water
bottle, the clients
body will utilize the
liquid and convert
it to energy.
When running on
the treadmill, the
clients body will
automatically
release endorphins
from the pituitary
glands. Endorphins
will reduce any
pain that the client
is experiencing
during the run,
which will allow
her to run longer.

Function

How It Is Used

None

Urinary functions

Although the
urinary functions
are currently
working
throughout the
activity, it is not
necessary for the
client when
running on the
treadmill.

Minimally
Challenged

Greatly
Challenged

Genital and reproductive function

Protective functions of the skin

Repair functions of the skin

Although the
genital and
reproductive
functions are
currently working
throughout the
activity, it is not
necessary for the
clients completion
of running on the
treadmill.
When the client
was running on the
treadmill, she did
not experience any
danger to her skin.
Therefore,
protective
functions of the
skin was not
needed to
complete the
activity.
When the client
was running on the
treadmill, she did
not experience any
damage to her
skin. Therefore,
the repair
functions of the
skin was not
needed to
complete the
activity.

8. Muscular analysis of movements required:

Muscle
Shoulder flexion
Shoulder extension
Shoulder abduction
Shoulder adduction
Shoulder internal rotation
Shoulder external rotation
Elbow flexion
Elbow extension
Wrist supination

Not used

Minimally
challenged
X
X

X
X
X
X
X
X
X

Greatly challenged

Wrist pronation
Wrist flexion
Wrist extension
Thumb flexion
Thumb abduction
Finger flexion
Finger extension
Trunk flexion
Trunk extension
Trunk rotation
Lower extremities

X
X
X
X
X
X
X
X
X
X
x

9. Performance skills required:

Skill- Motor

How It Is Used

Aligns

When the client

is running on
the treadmill
her hips and
back are aligned
with her legs
allowing her to
stand upright
and not fall.
When entering
the apartment
gym, client
grabs a towel
from the shelf
near the door
and moves
across the room
to the
treadmills.
When running
on the treadmill
the client
positions their
body at the
middle of the
conveyor where
it is an effective
distance from
all the edges. All
this position the

Stabilizes

Positions

None

Minimally
Challenged

Greatly
Challenged

Reaches

Bends

Grips

Manipulates

Coordinates

client will avoid

falling off the
treadmill and
crashing into
the control
panel.
Whenever the
client feels
thirsty on the
treadmill, she
extends one of
her arms in
order to grasp
the water bottle
from the
attached
platform of the
treadmill.
At the
completion of
running on the
treadmill, the
client will walk
to the dirty
towel hamper
and flex their
trunk in order
to throw the
used towel
away.
When running
on the
treadmill, the
client effectively
grasped the
water bottle in
order to take a
sip of water.
The individual
used dexterous
finger
movements in
order to plug in
the headphone
jack into her
cellphone.
When
connecting the
headphone jack
to the

Moves

Lifts

Walks

Transports

cellphone, the
client had to
use both of her
hands. One
hand was used
to stabilize the
cellphone in
order for the
other hand to
input the
headphone jack
to the
cellphone.
The client had
to pull the gym
door towards
her in order to
enter the gym
and use the
treadmill.
When the client
was running on
the treadmill, in
order for her to
take a sip out of
her water bottle
she had to lift
the bottle off of
the attached
platform of the
treadmill.
In order to
successfully run
on the
treadmill, the
client had to
use her legs to
ambulate on
the conveyor
surface of the
treadmill.
At the end of
using the
treadmill, the
client wiped her
face with a
towel and
carried the
towel across the
gym to dispose

Calibrates

Flows

Endures

Paces

of it in the
hamper.
When running
on the
treadmill, the
client had to
use appropriate
running speed
depending on
what speed
level the
treadmill was
on.
When running
on the
treadmill, in
order for the
client to
successfully
reach for the
water bottle to
take a sip of
water, the client
had to use
smooth and
fluid arm and
wrist movement
to grasp the
water bottle.
The client was
able to
successfully
complete
running on the
treadmill for 30
minutes
without
stopping the
treadmill.
The client
maintained a
consistent pace
when running
on the
treadmill, which
allowed her to
complete
running on the
treadmill for 30
minutes.

Skill- Process

How It Is Used

Paces

When the client

was running on
the treadmill
she maintained
a consistent
tempo of
moving her legs
throughout the
entire activity.
When the client
was running on
the treadmill,
she did not let
anything
interrupt her
from
completing her
workout.
Once the client
began to run on
the treadmill
she continued
to run until she
reached her
goal of running
for thirty
minutes.
Before the
client ran, she
selected
materials that
were
appropriate for
her run, such as
a water bottle
to keep her
hydrated, a
towel to wipe
her sweat, and
her iPhone so
that she could
listen to music.
When the client
was thirsty she
used her water
bottle so that
she could drink.
Also, when the

Attends

Heeds

Chooses

Uses

None

Minimally
Challenged

Greatly
Challenged

Handles

Inquires

Initiates

client began to
sweat profusely
she used her
towel so that
she could
eliminate the
sweat from her
face and body.
Before the
client began to
run she placed
her water bottle
and her iPhone
in the
designated slots
on the treadmill
so that both
would be
secured from
falling when the
treadmill
moved.
Before the
client began to
run, she read
the directions
on the treadmill
which required
her to input her
weight and age
in order to
accurately
display the
calories she was
burning
throughout the
run.
In the beginning
of the clients
run, she started
with a slow
steady pace,
however as she
continued to
run she would
initiate the next
step by
increasing the
speed limit so

Continues

Sequences

Terminates

that she could

run faster.
Although there
are many
distractions in
the gym, the
client continued
to complete her
task by running
on the treadmill
for thirty
minutes, and
did not pause or
delay her
activity until it
was completed.
Throughout the
clients time
running on the
treadmill, she
had to follow a
sequences of
tasks in order to
successfully
complete the
task. First, the
client had to
start the
treadmill, than
adjust the
speed to her
appropriate
setting.
Sequence of
tasks takes
place in order to
save the client
time and ensure
that the activity
will be done in a
timely manner.
Although the
client appeared
to look tired
close to the end
of her run, she
continued run
until she
completed her

Searches/locates

Gathers

Organizes

goal of thirty
minutes.
Before the
client went to
the gym, she
searched for
materials that
would assist her
in her run, such
as her iPhone,
towel, and
water bottle.
Before the
client went to
the gym, she
gathered all her
necessary
materials that
were needed
for her run,
such as her
iPhone, towel,
and water
bottle.
Before the
client started
running on the
treadmill, she
organized her
towel, keys,
water bottle
and, cellphone
on the attached
platform of the
treadmill in
order to easily
have access to
them. The client
placed all the
items she
needed to grab
on the right side
such as her
towel and water
bottle and the
placed the
items she did
not need to
grab on the left
side such as her

Restores

Navigates

Notices/responds

Adjusts

cellphone and
keys.
Once the client
was completed
the activity of
running, she
removed her
water bottle,
iPhone, and
towel from the
treadmill in
order to restore
the treadmill to
its original
condition.
When the client
entered the
gym, she moved
through the
gym in order to
get to the
treadmill. At the
end of the
clients
workout, she
moved across
the gym to
dispose her
used towel in
the dirty towel
hamper.
When the client
was done
running on the
treadmill and
done wiping her
sweat off her
face, she
disposed her
towel in the
used towel
hamper.
When the client
was running on
the treadmill,
she would often
adjust the
speed of the
treadmill in
order to run

Accommodates

Benefits

faster or slower.
In addition, the
client would
also adjust her
running form
whenever she
would see
herself in the
mirror running
with bad
posture.
When the client
was running on
the treadmill,
she prevented
ineffective task
performance by
running with
proper form
and also she
would decrease
the speed of the
tread if the
treadmill was
too fast for her
to keep up.
In order to
prevent the
client from
having difficulty
running with
the speed of the
treadmill she
decreases the
speed to a more
comfortable
speed.

Skill- Social interaction

How It Is Used

None

Approaches/starts

The client did

not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
initiate a
conversation.

Minimally
Challenged

Greatly
Challenged

Produces speech

Gesticulates

Speaks fluently

Turns Toward

The client did

not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
produce an
articulated
message.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
use gestures to
communicate a
message.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
speak in a
continuous
manner.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
position her
body or turn her
face towards a
social partner.

Looks

Places self

Touches

Regulates

The client did

not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
make eye
contact with a
social partner.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
position herself
at an
appropriate
distance from a
social partner
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
respond or use
body contact.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
regulate
irrelevant or
impulsive
behavior

Questions

Replies

Discloses

Expresses emotion

towards a social
partner.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
ask information
from a social
partner.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
respond to a
question or
comment.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
reveal opinions
or private
information
that was socially
appropriate.
After the client
finished running
on the
treadmill, she
expressed that
she was tired by
breathing
deeply and
having a

Disagrees

Thanks

Transitions

Times response

slouched
posture.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
express any
differences in
opinion.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
use words or
gestures to
acknowledge
receipt of
service.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
converse with
smooth
transitions of
topics.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to

Times duration

Takes turns

Matches language

Clarifies

reply to a
message
without
hesitation.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
speak for a
reasonable
period of time.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
exchange taking
turns speaking
to a social
partner.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
use a tone or
dialect that
matched to a
social partners
understanding.
The client did
not have any
social
interaction
when running
on the
treadmill,

Acknowledges and encourages

Empathizes

Heeds

therefore she
did not need to
respond to a
message
showing that
she understood
the information
given.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
show that she
received the
message or
encourage
other social
partners to
communicate.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
express a
supportive
attitude
towards a social
partners
feelings.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
carry out the
intended

Accommodates

Benefits

purpose of the
social
interaction.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
prevent
unsuccessful
social
communication.
The client did
not have any
social
interaction
when running
on the
treadmill,
therefore she
did not need to
prevent socially
inappropriate
interactions
from recurring.

10. Performance patterns:

Parts of this occupation has elements of which of the following: (check all that apply)

Pattern
Useful habit

Describe
When the client enters the apartment gym, she automatically grabs a
towel off the shelf by the entrance door.

Dominating habit

Routine

Ritual

Before the client begins running on the treadmill, she first follows a
sequence of procedures. First, when she gets on the treadmill, she places
her towel, water bottle, keys and, cellphone on the attached platform of
the treadmill. Secondly, she plugs her headphones jack into her
cellphone and places the headphones over her ears. Lastly, she takes a sip
of water from her water bottle and presses the start button to begin
running.

Role

Intervention Plan
1. Identify 1 objective and measurable goal of the intervention:
Objective: Every other day Ayessa will run on the treadmill for 30 minutes independently, while
using a posture shirt for 1 month.
Measurable goal: Determining how long the client can run on the treadmill with proper form.

a. According to the OTPF what type of outcome is this?

According to the OTPF this type of outcome is an improvement in occupational
performance. Specifically, since the client has a performance limitation of scoliosis than
helping her to correct her posture will increase occupational performance.
2. Intervention approach:

Approach
Create/promote

Describe
Since the client does not seem to have any disabilities with her
movement and is very much able to perform her occupation, this
approach is simply to provide the client guidance in order to enhance her
running performance.

Establish/restore
Maintain

Modify

Since the client has the habit of running with a slouched posture, the
client should wear a posture shirt that will assist her in keeping her back
straight as she runs on the treadmill.

Prevent

3. Activity selection
a. Activity selection: Identify 1 example of each for the intervention plan

Activity
Occupation

Describe
The client will complete the activity of running for 30 minutes using an
adaptive device, specifically a posture shirt, so that she can maintain a
straight back position while running.

Activity

The client will perform exercises and stretches that will strengthen her back
muscles so that her posture can be corrected.

Preparatory method

The practitioner will recommend the client to use her posture shirt not just
when she goes running, but on a day to day basis until her back is able to
maintain the position on its own.

Preparatory task

The client can engage in the activity of kayaking so that the client can work
out her back and strengthen it so that she can maintain a straight back
position.

b. Discuss how activity selection relates back to occupational profile and occupational
analysis
One of the occupations that holds great value and interest to the client and is seen in
the clients occupational history and patterns of daily living, is the occupation of
running. Specifically it plays importance in her life in the areas of health management
and leisure participation. Therefore, due to these factors it is important for the client to
engage in activities that will strengthen her back posture so that she can continue to
engage in her activity of running without hurting herself or feeling a sense of pain or
discomfort due to her lack of proper body mechanics. Therefore, as I analyzed the
clients performance in her occupation of running, I was able to determine interventions
that would assist her in performing at an optimal level.

c. Discuss how activity selection will support achievement of client identified goals and
goal of the intervention plan
The overall goal of the client is to be able to run while maintaining a back posture that is
straight, in order to prevent back problems in the future. Therefore the activity selection
that is set for the client will help achieve her goals by increasing her strength in her back
and using an adaptive equipment that will help assist the client to maintain a straight
back position. Also, by having the client engage in activities that both increase her back
strength and is an activity that she enjoys, for example kayaking, she will not only have
fun but gain the benefits of a work out.
4. Describe how intervention can be graded or adapted and why
Graded up: The occupation of running can be graded up by running for a longer distance,
running at a faster pace, running with an incline, or adding weights to your wrist and ankles. The
intervention should be graded up once client continues to show improvement, so that they can
continue progressing.

Graded down: The occupation of running can be graded down by running a shorter distance,
running in a slower pace, or by taking frequent breaks by walking. The intervention should be
graded down when the client shows difficulty in completing the activity or easily shows fatigue.
Adaptation: An adaptation that can be used in the activity of running are using adaptive
equipment such as wearing knee bands and orthotics. This adaptive equipment will allow the
clients feet and knees to be better supported and have less impact of them when she is
running.

5. Discuss any safety concerns and/or precautions

Some safety concerns when the client is running on the treadmill is to make sure that she is only
runs on a level that she feels comfortable with because if the client over pushes them self, they
could possibly hurt their knees or fall off of the treadmill. Also, it is best that the client maintains
the proper body mechanics, specifically a straight back, when she is running, in order to not
cause possible injury or disability of the back in the future.
6. Discuss the role of the occupational therapy practitioner during the intervention
The role of the occupational therapy practitioner during the intervention process is to ensure
that the client can function in her environment and be able to perform her occupation
successfully. The occupational therapist is simply suppose to promote client centered care by
allowing the client to take charge of her therapy session and let her be the one who determines
the goals.
7. Discuss what is expected of the client during the intervention
During the intervention process, the client is expected to be fully engaged in her therapy session
by actively participating and taking initiative. If the client is confused or concerned with
something, she should not be afraid to ask questions as well.