Bryan Moylan and Sandi

Occupational Therapy and

Builder Synergy.A basis for client centred practice and best design principles.

Bryan Moylan and Sandi Lightfoot-Collins

Objectives

By completion of the session participants will

� Define the unique roles that both the Occupational Therapist

and Builder perform.

� Complete a case study identifying best� Complete a case study identifying best

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The Role of the Occupational

Therapist

• To functionally assess the client/ carer and identify both enablers and disenablerswithin the built environment.

• Assess, evaluate and prescribe equipment • Assess, evaluate and prescribe equipment to allow for increased function and safety.

• Anthropometrically measure and determine both the footprint and required function of the specific room and environment.

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• Have an understanding of the appropriate Standards, Codes and ordinances that guide design.

• Provide conceptual design to both the • Provide conceptual design to both the client and the buildder.

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Builder Role

• Functional and working knowledge of the building requirements as required by all statutory bodies.

• Determines the structural feasibility of the • Determines the structural feasibility of the design.

• Formulates the final concept , in negotiation with client and OT.

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Case study

• 79 year old gentleman with unexplained syncopicepisodes.

• After hospitalisation with ?CVA he is now residing in the family home.

• Past medical history of mild diabetes, UTI, • Past medical history of mild diabetes, UTI, syncope, high blood pressure, decreased iron levels.

• Prior to his current diagnosis he was relatively fit and healthy with no history of major illness or injury.

• Resides alone in two bedroom house on stumps.

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Social Situation

• Resides alone in the family home.

• In receipt of short term ADL assistance and shopping assistance by a Community Based Service.Based Service.

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Clients Functional StatusFunctional Mobility

• Safe and functional with mobility with nil aids, concerns still exist in regards to balance when syncope episodes exist. Nil have been reported since discharge.have been reported since discharge.

• Currently receiving short term assistance for bathing and shopping.

• Sit to stand and stand to sit observed safe and steady. Off toilet, chair and bed.

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Home environment

• Single storey permaclad 2 bedroom home on stumps.

• Circa 150 years old nil heritage listing.

• Well maintained.• Well maintained.

• 1 bathroom, with combined laundry and kitchen preparation area.

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Personal ADL

• Independent in communication

• Due to the shower-over-bath configuration, assistance is required.

• Note that shared amenities with kitchen • Note that shared amenities with kitchen ablutions and laundry facilities.

• Reported that he sits to dry and dress and does this independently

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Domestic ADL

• Performs the majority of all domestic ADL and IADL (cooking, cleaning, and laundry).

• Independent with household financial management management

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Equipment Trialled

• Transfer bench, this is not safe for extended periods of time as it presents manual handling concerns for paid carers.

• Current location of kitchen sink and • Current location of kitchen sink and laundry facilities to bathroom is in conflict with current hygiene requirements.

• Location of external toilet, due to size and location, present a risk both during the day and night.

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Kitchen

� Original wood stove.

� Updated gas

appliance.

� Floor lino.� Floor lino.

� Nil running water.

� All appliances other

than stove and cooker

are free standing

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Bathroom

� Two door entry.

� Roof slopes to external wall.

� Kitchen food preparation area,preparation area,

� Original concrete laundry tubs.

� HWS internally.

� Cast iron bath with exposed pipework.

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Original floorplan

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Elevation A

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Elevation B

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Elevation C

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Elevation D

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Activity

• Identify potential barriers and disenablerswithin the residence.

• Identify environmental considerations in design.design.

• What are the potential options for design?

• What are the limitations?

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