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Occupational Therapists use theory to base their practice on and these theories help to analyse a clients occupational performance I went on placement to an Intermediate Care team where I met a Client who I saw frequently during my time there To analyse this clients occupational performance I am going to use the Model of Human Occupation MOHO Kielhofner 2002 developed the model which he originally based on an open systems theory The theory describes occupational behaviour in three subsystems which are volition habituation and performance capacity Turner Foster Johnson 2002 Kielhofner 2002 also emphasises the importance of the environment on the person in relation to these subsystems The environment is made up of things that can arouse us and can promote action including social and cultural pressures This includes a persons physical social and cultural environment I met the client on an Intermediate Care ward where she had come in following a fall and her Son was worried about her She had been on the ward for a few weeks when I arrived but on my first day the Occupational Therapist decided to take her on a Home Visit to assess her to see if she could be discharged because she had been on the ward for several weeks and she did not seem to require the service any longer I was informed that her confidence had decreased significantly and she was very anxious about going home which she reported was in case she fell However the OT told me that she had often felt that the clients falls were a little false and wanted to see how she was on the visit The visit included a Physiotherapist an Occupational Therapist and I who accompanied the client She presented as being very anxious and made many comments that reflected this to which the Physio and the OT refuted During the assessment she managed to get around her flat but she did not use
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