Developmental: Jaylene was born at 29 weeks. Therefore, the evaluation would focus on addressing her developmental milestones while in the womb (Sames, 2014). Progress must demonstrate the client made gains for functional performance of daily occupations (Sames, 2014). The occupational therapy goals will identify the occupations to enable maximum participations in life situations (Sames, 2014).
Rehabilitative: The evaluation reports will emphasize both strength and areas of improvement (Sames, 2014). The progress note will reflect the types of adaptations tried and the results of each trial (Sames, 2014). The goals will reflect jaylenes functional outcomes of what the client will do (Sames, 2014).
Ecology of human performance: The evaluation…show more content… The progress report will demonstrate client's occupational performance within contextual environments (Sames, 2014). There will be short and long term goals addressing the context (Sames, 2014). The short term goals will relate to the intrinsic factors inhibiting occupational performance (Sames, 2014). The long term goals will address the functional performance of daily life tasks and roles (Sames,…show more content… This framework is based on the idea that an infant's capacity to regulate their behavior emerges through continued interaction with the environment and is expressed through autonomic/physiological, motor, state, attention interaction and self regulating systems (Mulligan, 2014). Infants especially a premature baby like Jaylene often cannot regulate and synchronize these systems and manage environmental input (Mulligan, 2014). Her responses were often overactive and poor tolerance from minimal input (Mulligan, 2014). The occupational therapist must be skilled to reading Jaylene cues for thresholds and sensitivity (Mulligan, 2014). The information gathered would let the occupational therapist guide adjustment to care, handling, and physical environment based on the infant behavioural communications (Mulligan, 2014). The key to this theory are the interactions and interventions which is aimed to support the infant's stabilization and organization of the autonomic, motor, and systems at each level of maturation while minimizing stressful events (Mulligan,
