Stacy Smallfield, Sharon J. Elliott; Occupational Therapy Interventions for Productive Aging Among Community-Dwelling Older Adults. Am J Occup Ther 2019;74(1):7401390010. https://doi.org/10.5014/ajot.2020.741003
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© 2020 American Occupational Therapy Association
Evidence Connection articles provide clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association’s (AOTA’s) Evidence-Based Practice Project. In this Evidence Connection article, we describe a case report of an older adult who was referred to outpatient occupational therapy services due to chronic back pain from herniated discs. Findings from the systematic review of occupational therapy for community-dwelling older adults were published in the July/August 2018 issue of the American Journal of Occupational Therapy (Berger et al., 2018; Elliott & Leland, 2018; Hunter & Kearney, 2018; Liu et al., 2018; Smallfield & Lucas Molitor, 2018a, 2018b) and in the American Occupational Therapy Association’s Occupational Therapy Practice Guidelines for Productive Aging for Community-Dwelling Older Adults. Each article in the Evidence Connection series summarizes the evidence from the published reviews on a given topic and presents an application of the evidence to a related clinical case. These articles illustrate how the research evidence from the reviews can be used to inform and guide clinical decision making.
Martin and his wife live in a rural agricultural community 20–30 mi from the nearest health care services, including fitness gyms. His home is in a northern climate with snowy and icy winters that limit outdoor mobility.
Martin’s bedroom and bathroom were located on the second floor of his home, and his stairs lacked hand railings. He had temporarily relocated to a guest room on the main level, which had limited floor space, especially by the toilet, which made navigation difficult for him.
In the bathroom, Martin had a shower chair and a toilet riser but lacked grab bars and a long shower hose.
Martin’s wife assisted with self-care and completed all home management tasks, and his four children lived a distance away but came to assist as needed.
Martin was employed in basement remodeling, which included heavy lifting, stooping, reaching, and working with handheld power tools. He was also a seasonal semitrailer truck driver for local farms.
Martin’s interests included being a volunteer fire department chief, which he had done for 40 yr; spending time at the lake and with his family; watching sporting events; attending religious services; and participating in woodworking activities.
Previous performance patterns included getting up early, completing self-care tasks, eating breakfast, packing his lunch, driving to work, and performing work activities, often in a 10-hr day.
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