Frame of Reference #2

Rehabilitation 

The environment is a problem for Bethany, and independence can be achieved through compensating. The first step is being able to have Bethany be independent is when it comes to dressing and helping around the house. She can then go into training to learn how to paddle, balance, and pop up on the board using only one arm, but traditional surfboards are not optimized for individuals with upper limb amputations, especially during duck dives and wave navigation. This causes an inability to grip/stabilize during maneuvers, which limits performance.

• Why this Approach? 

• Bethany's condition is permanent (left arm amputation)

• Bethany is aware of the challenge/deficits

•  Bethany can recall the activity and how it works

• Motivation:  The client is intrinsically driven to participate in meaningful tasks, adapting as needed to succeed

• In Bethany's case, she does not care what she has to do to get back out on the water as long as she is able to 

• Goal: Bethany can adapt to the environment, task, and deficits through the use of adaptive equipment, adaptive technology, assistance, and modifications

After adapting to the task through alternative methods...

• • Bethany can engage in activities of choice in a way that she finds satisfying and meaningful, like surfing and cooking for/with her family

  • Bethany can complete activities with a full level of independence, like dressing and preparing meals