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Occupational therapy: Assistive technology recommendations for client ‘George’

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  1. Introduction
  2. Assessment of client and AT needs using MPT
  3. Context for client and significant others
  4. Client goals
  5. Implementation and usage of PDA device with AIMS
  6. Other required AT devices
  7. Evaluation of potential outcomes
  8. Ethical considerations
  9. Abandonment concerns
  10. Concluding remarks

The enclosed case-study is a follow-up to the previous report on client ?George,? a seventy-one year old high-functioning male retiree living in an independent unit with his spouse, and contains recommendations on an appropriate AT device usages which should prove beneficial to him in an assisting capacity. It includes my reasoning why a Personal Digital Assistant (PDA), effectively programmed with AIMS software, would assist him with his cognitive deficiency: namely, his memory. My intention is that this report will provide a useful tool in examining the utility of this product, and its suitability for George as an assistive technology which will aid in his well-being, completion and enjoyment of everyday activities consistent with his routine.

An MPT assessment of George revealed that he is a highly functioning adult with sound speech and communication abilities; that he is active and mobile; that he possesses manual dexterity; that his eye-sight is diminishing; that his hearing is sound; that his reading and writing is effected by his diminishing eyesight; that he is capable and fulfills household activities; and that he is experiencing remembering difficulties but is otherwise able to think and to comprehend well.

[...] A variety of custom icons could be programmed for him on its desktop creating file folders which would contain the requisite prompts for his activities. For instance, the creation of an audio reminder to buy a certain set of groceries or sundries such as eggs, flour, milk, butter and toothpaste could be easily recorded by George and stored in an appropriately named folder (i.e., Shopping) and easily prompted once he is at the supermarket if he has forgotten what items he intended to buy. [...]

[...] By using this technologically current device, the client is in fact demonstrating his ability to keep informed and ?live with the times' which should counter- act any negative stigma which could be directed against him (i.e., ageism). The fact that the AIMS software contained within the PDA is directed toward assisted living and promoting cognition and memory retention is an ancillary issue as it is not a demonstrable or socially evident feature of the technology. If the client is concerned of social stigma associated with using a memory support device, the introduction of a hands-free or otherwise connected ear-phone could easily minimize the broadcasting of auditory cues to those in his immediate vicinity. [...]

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