Case Study Multiple Sclerosis

Case Study Multiple Sclerosis
Joe is a 50-year-old man with multiple sclerosis (MS). He is married with a 14-year-old son. Both Joe and his wife, Ann are blue-collar workers with high school education. Joe lives with his family in a rented, ranch-style home but with 10 stairs to the basement, where Joe likes to play his electric guitar on Saturday nights. They cannot afford to move.

Joe works for an auto parts store full-time, making less than $25,000 per year and he stands most of the time to assist customers. He sits occasionally for some computer work. Joe’s hobbies include anything to do with rock and roll, eating out, and watching television. On the weekdays, he usually gets up at 5:30 am and returns home at 7 pm. He drives 1 hour to work each way. He is exhausted when he arrives home.

Joe participates in no structured exercise or activity during the week and occasionally will do some light yard work or household chores. Ann works two jobs in order to pay the bills She is overweight and is often under tremendous pressure to “keep things going” in the home. She has a tendency to take over many tasks in and around the house because she is “afraid Joe might fall.”

Over the past 5 years, Joe has developed lower extremity weakness and requires a cane much of the time to walk. He has difficulty ascending and descending stairs while carrying anything over 10 pounds. About twice a year,
Joe experiences an exacerbation of symptoms and is bedbound for a week at a time. He states that he often gets depressed about his situation, not feeling like a “man” and unable to do many things with his son.

I just need these questions answered completely using the guidelines it provides (using OT journals with one of them being an international OT publication);

• Identify and describe any imbalances of daily occupations currently for both Joe and Ann.
• Consider what some signs and symptoms of MS that Joe and his family may not be aware of.
• Develop and describe educational sessions for Joe and his wife to promote healthy living and to maximize occupational participation. Include health literacy principles