Jesse Vallera

Occupational Profile
1. Client name: Timothy Husted
2. Age: 55
3. Sex: Male
Briefly discuss each of the following:
4. Who is the client?
Timothy (Tim) Husted is a 55 year old, single, male who was born in Saginaw, Michigan. He was
adopted at birth and his heritage is 100% Sicilian. He works as a realtor and stated it is a stressful
job. He has lived in Las Vegas for 14 years and likes to travel and take care of his two dogs.

5. Why is the client seeking services and/or what are the clients concerns relative to engaging in
occupations and in daily life activities?
The reason that he is seeking services is due to difficulty with fulfilling his responsibility of caring
for his two dogs (Boo and Astro). Boo and Astro are ages are 13 and 14, respectively. He walks Boo
and Astro each day around his enclosed neighborhood. This occupation is purposeful and it is
beneficial to promote health and well-being. However, recently his occupational performance has
been decreased secondary to his deep venous thrombosis (DVT).

6. In what occupations does the client feel successful and what barriers are affecting his or her
success?
Tim walks Boo and Astro each day around the enclosed neighborhood. Each day this promotes
health and well-being while walking his dogs. He has had success every day for his evening walk but
unfortunately he had a DVT and now he has swelling in his left leg. He rates the pain as a two and it
is a dull sensation. This occupation performance has been decreased because he stops frequently
and the ambulation time is longer but he still completes the overall distance. If this occupation
performance could not be met then there will be complications for his health. He would like to

decrease the ambulation time for his walk because recently there is a barrier due to the swelling. I
observed if there was any asymmetries or irregular gait but I found none.

7. What aspects of his or her environments or contexts does the client see as supporting engagement
in desired occupations and what aspects are inhibiting engagement?
One aspect that is inhibiting his environment is the physical environment. In this occupation,
the property of walking is cement and that limits walking because of hard impact with each step. An
aspect that supports engagement in occupation is the temporal context. He and his dogs are very
particular about the time of day because he states that it is impossible to walk in the daytime due to
overheating while walking. Also his personal context is important for him because he leads a
healthy lifestyle full of exercise due to his diabetes and previous embolisms.
8. What is the clients occupational history?
He has worked for over 20 years as a realtor and worked in California, Nevada and Michigan. He
passed the board for his realtor exam in Nevada but before that he had a bachelors degree in
business management and an associates degree in applied science. He worked has a general
branch manager to establish stores at Walgreens. He likes artificial sweetener sodas and ice teas
but sometimes he can drink in excess. He had previous embolisms with his recent DVTs and he has
diabetes.

9. What are the clients values and interests?

His main interest is travel. He travels usually by car; he commented that he is used to it because
that is a requirement as a realtor. Other interests are going to shows and concerts. He is well
educated in technology and media communication. He his determine to stay healthy and he runs a
5k, 10k, half-marathon or full-marathon about once a month although recently he has not done so.
One value is his loyalty to his dogs and loyalty to be connected with his family.
10. What are the clients daily life roles?
As a role of a realtor, Tim his knowledgeable about floor plans, utilities, locations and he has
good interactions with clients. He is an owner and master for his pets. He is a colleague and friend

for his realtor firm. He is the oldest brother for his two younger sisters and he travels often to see
his father and stepmother to have a role of a son.

11. What are the clients patterns of engagement in occupations?

Usually Tim wakes at dawn in sync with the dogs. He has a healthy breakfast and watches the
morning news while being informed about his work. He showers, dresses and goes to work. He
plans contracts, facilitates tours, and eventually their clients live in their new houses. When he
comes home it is usually at dusk and when the pavement is cool enough he takes the dogs for a
walk. He stated that usually this is the highlight of the day to spend time with the dogs and
maintain health through exercise.

12. What are the clients priorities and desired targeted outcomes related to occupational
performance?
He would like to decrease the ambulation time of walking and also decrease the amount of pain.
If this occupational performance could be improved then he and the dogs can improve their quality
of life, health and well-being that can ultimately improve his other domains.

Occupational Analysis
1. Occupation: Ambulation while walking his two dogs.
Categorization of occupation for the client:
1. Activities of daily living
2. Instrumental activities of daily living
3. Education
4. Work
5. Play
6. Leisure
7. Social participation

Subcategory:

2. Values, beliefs, spirituality associated with participation:

Care of pets

Tim has a strong commitment for his two dogs and he feels responsible to maintain their quality
of life as well as his own. His beliefs are held true that he and the dogs have a mutual relationship
and benefits for walking. The spiritual aspect of the walking has a purpose and it restores physical,
mental, and cognitive balance in his life.

3. Contexts:
Context
Supports
Physical/space demands This supports occupation
performance with fresh air and
wind to have a calm,
therapeutic sensation.
Social

Cultural

Personal

Temporal

Virtual

The social environment

supports his occupational
performance because he and
the dogs communicate very
well and many times people
stop and want to converse
about dogs.
He wears the correct attire
while walking and he always
picks up the dog feces because
it is a cultural expectation.
He his 55 years old and he has
a respectable job so he has to
be active and maintain his
physique for his routines.
He likes this occupation in the
evening because it is not too
hot for him or for the dogs.
Sometimes he goes in the
morning if he cannot go in the
evening.
Sometimes he calls is
coworkers or his family while
he is walking.

Inhibits
This inhibits for the street
because the sidewalk is a
cement property and it is painful
while walking on the hard
surface.
Sometimes aggressive dogs or
neighbors could be in their
personal space but this happens
seldom.

Sometimes dogs bark or can be

aggressive because their owners
do not train them.
The DVT has been a barrier and
time spent during his normal
regiment has been deceased
recently.
He has a somewhat
disadvantage because of his age.
His muscles, joints and bones
are not at his peak as they once
were.
There are no inhibitions for this
occupation because he likes to
be connected through
technology and in this case his
smartphone.

Objects and their properties used:

Tools: Dog collars, leashes, dog harnesses, footwear and compression stockings.

Materials: Plastic bags for the use of picking up dog feces.

Equipment: A street, a sidewalk, and a crosswalk.
Properties: The street, the sidewalk and the crosswalk are concrete. The leash is plastic and the soles of
the shoes are rubber. The dog collars are cotton and polyester.

4. Social demands:
Communication is an important component between person and dog. In this occupation, the
person must raise and train the dog to have verbal communication so they can have a functional
relationship. Also, when walking outside it is expected to control dogs and contain any impulsive or
inappropriate behaviors. If other people or dogs come in to the vicinity it is expected to have a
calm demeanor and not an aggressive or angry demeanor.

5. Sequence and timing:

1. Don compression stocking.
2. Don correct footwear (in this case he wears tennis shoes).
3. Grab two plastic leashes from the drawer in the hallway cabinet.
4. Call Boo and Astro in a forceful tone (e.g. Boo! Astro! Its time to go for a walk!)
5. Attach the proximal metal latch of the leash to the metal ring that is Boos collar.
6. Attach the proximal metal latch of the leash to the metal ring that is Astros collar.
7. Grab 3 plastic bags.
8. For each one tie a knot on to the handle of the leashes.
9. Hold the two leashes in one hand.
10. Opening the front door with the other hand.
11. Pass through the front door.
12. When the two dogs are outside, close the front door and lock it with a key.
13. Walk to the street.
14. Walk down the street with good pace, rhythm, base of support, gait and proper lifting of the
feet.
15. Stop if the dogs have to pee or sniff but if they linger too long gently pull on the leash and give a
command.
16. If the dog is pooping, untie the plastic bag from the handle of the leash.
17. Reach into the inside of the bag,
18. Grab the dog feces on the outside of the bag.
19. When the person is still using the inside of the bag as a barrier from the outside dog feces, wrap
the bag inside out.

20. Tie a knot on the end of the bag.

21. Continue walking.
22. Dispose plastic bag of dog feces in a trashcan.
23. When the person or the dogs are fatigued, turn back to the original direction.
24. When the person has arrived at the front door, unlock the key and enter inside.
25. Close the front door and lock it.
26. Unlatch the metal latches of the metal rings one at a time collars.
27. Put the used plastic bags outside and put the plastic leashes away.
28. Doff footwear.
6. Body functions required:

Function

How It Is Used

Judgment

Tim judged
which
direction and
route to go.
Tim formed a
cognitive
concept in
order to
decide which
route to take.
This requires
thinking
about
thinking, or in
this case Tim
understood
the
technique of
walking and
performed
walking while
grasped two
leashes
simultaneous
ly.
Tim had
adaptability
and
responding
to the
reacting of
the two dogs.

Concept formation

Metacognition

Cognitive flexibility

None

Minimally
Challenged

Greatly
Challenged

Insight/awareness

Concentration

Sustained attention

Selective attention

Divided attention

Short-term memory

Tim
responded to
the natural
environment
and was
aware of his
walking.
Tim paid
attention to
the physical
aspect while
walking with
his two dogs.
Tim had little
sustained
attention
besides the
full
concentratio
n of the
route.
Tim paid
attention to
the individual
tasks that
switch from
one priority
to another
(for example
paying
attention to
the dogs, the
limbs, the
route, etc.).
Tim paid
attention to
multiple
tasks while
paying
attention to
the dogs, the
limbs, the
route, etc.
Tim had short
memory
brain
integration
(for example,
walking for

Working memory

Long-term memory

Discrimination of senses: Auditory

Discrimination of senses: Tactile

Discrimination of senses: Visual

15 seconds
while).
Tim
manipulated
memory to
act in the
environment
(e.g. keeping
pace if the
dogs sniff too
long on the
same spot).
Tim
remembered
things that
are
memorable
and he stored
it in longterm memory
(e.g. he had
long-term
memories of
an aggressive
dog and was
aware of that
same dog).
Tim
discriminated
the sounds of
people, barks
and sirens.
Tim
discriminated
the specific
amounts of
pressure of
the leashes
and whether
the dogs are
determine to
wander.
Tim
discriminated
visual stimuli
of the dogs,
be aware of
the street
and senses

Discrimination of senses: Olfactory

Discrimination of senses: Vestibularproprioception

Multisensory processing

Sensory Memory

Spatial relationships

Temporal relationships

on-coming
traffic.
This was not
x
required of
the
occupation.
Tim sensed
to maintain
balance while
discriminatin
g moving in
space as he
goes forward.
Tim sensed
visual,
auditory,
vestibular
and
proprioceptio
n senses and
are
important to
him to be
aware and be
safe of the
dogs.
Tim
responded to
the natural
environment
(e.g. to hear
the engine of
a car and
immediately
give a
command for
the dog to
come and be
safe).
Tim used
visuospatial
relationships
and visual
depth
perception
while
walking.
Tim and his
dogs are in
tune to which

Recognition

Categorization

Generalization

Awareness of reality

Logical/coherent thought

time of day is
optimal for
walking and
the pace of
his walking.
Tim
recognized
the sounds,
people, and
the shapes
while walking
(e.g.
recognized
that it is a
tree and
know to
avoid on the
backside
otherwise
the leash will
be tangled).
Tim used
classifying of
objects and
structures
like signs,
trees, streets,
grass, etc.
Sometimes
Tim can use a
different
environment
(e.g. a walk in
the morning
vs. and walk
at midnight).
Tim is aware
of himself
and what
they are
doing.
Tim
understood a
smooth flow
of thought
processes
while actively
thinking
about other

Appropriate thought content

Mental functions of sequencing

complex movement

Regulation and range of emotion

Appropriateness of emotion

Coping

Behavioral regulation

Body image

Self-concept

thoughts as
well.
Tim had
appropriate
thinking and
did not
diverge to
dangerous
thinking.
Tims mental
processes
plan motor
performance
in walking.
Tim had
therapeutic
emotions and
released
negative and
stressful
emotions.
Tim had
therapeutic
emotions and
released
negative and
stressful
emotions.
Tim had
therapeutic
emotions and
released
negative
emotions.
Tim
understood
the law and
did not have
inappropriate
behavior.
This was not
required of
the
occupation.
Tim felt
purposeful
and
responsible.

Self-esteem

Arousal

Consciousness

Orientation to self

Orientation to place

Orientation to time

Orientation to others

Energy level

Tim felt
purposeful
and
responsible.
Tim was
aware of the
natural
environment
and
responded to
danger or
safety.
Tim was
cognitively
aware to
move in
space while
being alert
and knowing
where he was
going.
Tim identified
and
recognized
that the dogs
are familiar
and he
trusted them.
Tim was
aware of
where he was
going and he
understood
that there
was a start
and an end.
Tim was
aware of the
time and day.
Tim identifies
with his dogs
and his
aware of
each other.
Tim had
elevated and
positive
energy while
walking.

Function

How It Is Used

Motivation

Tim was
motivated to
walk and if he
was not the
dogs will ask
(or beg).
Tim did not
have erratic
impulses and
he controlled
the dogs if
the dogs had
impulse
behaviors.
This does not x
require
appetite for
the
occupation.
This does not
require sleep
for the
occupation.

Impulse control

Appetite

Sleep

None

Minimally
Challenged

x
Detection/registration

Visual modulation

Integration of senses

Tim
perceived
visual stimuli
for objects,
animals or
other types
of detection.
Tim
perceived
visual stimuli,
to integrate
and reason
for what to
do with the
information
(e.g. perceive
that the
street and
the sidewalk
are
different).
Tim
perceived

Greatly
Challenged

Awareness at distances

Tolerance of ambient sounds

Location and distance of sounds

Moving against gravity

several
sensory
stimuli that
happened at
once while
walking (e.g.
maintain
vestibular
senses while
being aware
of visual
discriminatio
n).
Tim had
visual depth
perception
and knew
how far an
object (e.g. a
car) was.
Tim was
tolerant of
auditory
stimuli and
was not
overwhelmed
when walking
(e.g. can
tolerate
crickets
humming,
birds
chirping, and
hearing the
wind).
Tim
determined
how far a
sound was
(e.g. he heard
how far a
siren was).
Tim had
balance and
had
vestibular
senses for
equilibrium
while
walking.

Taste

Smell

Body in space

Comfort with touch

Localizing pain

Thermal awareness

Joint mobility

Joint stability/alignment

Muscle power

Taste did not x

require this
in the
occupation
Smell did not x
require this
in the
occupation.
Tim sensed
how to move
in space and
how far he
moved
because of
his
proprioceptiv
e senses.
Tim touched
his dogs and
was
comfortable
with his dogs.
Tim sensed
where in his
body the pain
radiated from
was while
walking.
Tim was
aware of his
temperature
stimuli from
heat or cold
in his body.
Tim
demonstrate
d good range
of motion
(e.g. He
flexed his
knees).
Tim
demonstrate
d balanced
and he did
not fell.
Tim walked
fluently and
did not use

Muscle tone

Muscle endurance

Stretch reflex

ATNR

STNR

Righting and supporting reflex

Eye-hand coordination

Bilateral coordination

excessive
force.
Tim had good
muscle tone
to create
movement
while
walking.
Tim had good
muscle
endurance
and did not
fatigued.
Tim had
reflexes for
external
stimuli. He
responded to
these stimuli
with muscle
contractions.
ATNR is not
required for
this
occupation.
STNR is not
required for
this
occupation.
Tim used
balance and
reflexes for
righting his
gait.
Tim was
aware to see
visual stimuli
and avoid
obstacles.
Tim used
active
movement
for both legs
and to
control his
dogs in the
upper
extremities.

Crossing midline

Fine motor control

Gross motor control

Occulomotor control

Gait patterns

Blood pressure

Heart rate

Respiratory rate

Respiratory rhythm

Tim used
crossing the
midline to
control his
dogs if the
dogs go on
the opposite
side.
Tim held the
leashes and
picked up the
dog feces.
Tim had
movement in
both the
upper and
lower
extremities.
Tim used
eye-hand
coordination
to see where
he was going.
Tim used
proper body
mechanics
while
walking.
Tim exercised
and his blood
pressure
increased
while
walking.
Tim exercised
and his heart
rate
increased
while
walking.
Tim exercised
and his
respiratory
rate
increased
while
walking.
Tim had good
rhythm and
pace as he

Respiratory depth

Physical endurance, aerobic capacity

Voice functions

Voice rhythm and fluency

Alternative vocalization

Digestive system

Metabolic system

Endocrine system

Function

regulated
breathing
patterns
while
walking.
Tim
regulated his
breathing
patterns and
the amount
of air volume.
Tim had
endurance
and did not
quickly
fatigue while
walking.
Tim
communicate
d with his
dogs.
Tim gave
commands in
a strong
tone.
Tim produced
speech with
different
decimals.
Tims
digestive
system was
less active
while
walking.
Tims
metabolic
system was
active while
walking
because his
entire body
was moving.
Tim released
chemicals in
the body
while
walking.
How It Is Used

None

Minimally
Challenged

Greatly
Challenged

Urinary functions

Genital and reproductive function

Protective functions of the skin

Repair functions of the skin

Tims urinary
system was
less active
while
walking.
Tims genital
and
reproductive
system was
less active
while
walking.
Tim had
protection
from his skin
and
prevented
skin cancer
through a hat
and
sunscreen.
Tim had no
blisters or
cuts in his
skin for his
integumentar
y system.

7. Muscular analysis of movements required:

Muscle
Shoulder flexion
Shoulder extension
Shoulder abduction
Shoulder adduction
Shoulder internal rotation
Shoulder external rotation
Elbow flexion
Elbow extension
Wrist supination
Wrist pronation
Wrist flexion
Wrist extension
Thumb flexion
Thumb abduction
Finger flexion
Finger extension
Trunk flexion

Not used

Minimally
challenged
x
x
x
x
x
x
x
x

Greatly challenged

x
x
x
x
x
x
x
x
x

Trunk extension
Trunk rotation
Lower extremities

x
x
x

8. Performance skills required:

Skill- Motor

How It Is Used

Aligns

Tim aligned his

movement
without
propping or
leaning.
Tim had
balance
through the
whole activity
and had a good
base of
support.
Tim positioned
himself while
moving in
space and it
was the correct
distance from
his stride.
Tim pulled on
the leashes and
sometimes
picked up dog
feces.
Tim bent down
when picking
up dog feces.
Throughout
the occupation
Tim gripped
both leashes
and have
strong hands to
control the
dogs.
Tim had
movement in
his torso while
walking and

Stabilizes

Positions

Reaches

Bends

Grips

Manipulates

None

Minimally
Challenged

Greatly
Challenged

Coordinates

Moves

Lifts

Walks

Transports

Calibrates

Flows

Endures

also
manipulated
his upper
extremities to
control the
dogs.
Tim was aware
and looked
where he was
walking (e.g.
eye-foot
coordination).
Tim had variety
in his mobility
(stepping,
striding,
twisting, etc.)
for this
occupation.
Tim picked up
the dog feces
and if the dogs
were too far he
lifted the
leashes.
Throughout
the occupation
Tim walked for
the entire time.
Tim
transported
the plastic bag
of dog feces to
the trashcan.
Tim had the
correct
distance of
every stride.
Tim had a fluid,
synergist gait
that had
balance and
stability.
Tim required
muscle
endurance to
build stamina
and not get
fatigued.

Paces

Tim had good

rhythm while
walking.

Skill- Process

How It Is Used

Paces

Tim had a
steady pace
and he did not
over and under
sequence.
Tim paid
attention with
each task while
walking
without
interrupting
anything.
Tim and his
dogs agreed
and were
excited about
the occupation.
Tim had the
necessary tools
(leashes,
plastic bags,
etc.) and chose
the correct
route.
Tims tools
were in use of
the occupation
(e.g. a leash)
Tim used his
tools for
stability and
safety (e.g. a
leash is
maintain
through use to
control the
dog).
Tim did not
x
inquire
anything for
this
occupation.
Tim and his
dogs interacted

Attends

Heeds

Chooses

Uses

Handles

Inquires

Initiates

None

Minimally
Challenged

Greatly
Challenged

Continues

Sequences

Terminates

Searches/locates

Gathers

Organizes

Restores

Navigates

with objects
and people.
Tim continued
to walk with
step-to-step
movement to
made
synergistic
movement.
Tim had an
order to (e.g.
gather tools,
plan route,
etc.).
Tim had an end
point were he
was fatigued.
Tim sought the
necessary tools
(e.g. leash)
before walking.
Tim gathered
the necessary
tools or
materials (e.g.
leash,
footwear,
plastic bags,
etc.) before
walking.
Tim did not
have
organization
because there
is no
workspace
when he is
moving.
Tim put away
the necessary
tools from
whence they
came.
Tim navigated
while walking
and responded
to objects or
people the
natural
environment.

Notices/responds

Adjusts

Accommodates

Benefits

Tim responded
to the natural
environment
(e.g. heat, light,
sounds, vision,
people, dogs,
etc.).
Tim adjusted
his gait to
maximize
efficiency while
walking.
Tim did not
x
accommodate
but he did
handle Astro
with his left
hand because
he is left hand
dominant.
He was aware
of any safety
issues.

Skill- Social interaction

How It Is Used

Approaches/starts

Tim called Boo

and Astro.
He called his
two dogs with
proper
articulation.
He could not
gesticulate
because for
this occupation
the leashes are
occupied.

Produces speech

Gesticulates

None

Minimally
Challenged

x
x

Speaks fluently

He spoke with
firm voice for his
two dogs.

Turns Toward

He used
interaction to
face the dogs
and ask them if
they wanted to
go for a walk.
He interacted
with his dogs
to face the

Looks

Greatly
Challenged

Places self

Touches

Regulates

Questions

Replies

Discloses

Expresses emotion

Disagrees

dogs at eyelevel.
He interacted
with his dogs
to face the
dogs at the
appropriate
distance.
Sometimes he
stroked the
dogs. Also, he
always has
pressure on
each leash.
Tim regulates
each task with
proper
sequencing to
have mental
control.
This does not
require
questions
because there
are only
commands
with the dogs.
This does not
require replies
because there
are only
commands
with the dogs.
This does not
require
discloses
because there
are only
commands
with the dogs.
When walking
he sometimes
feels relieve
from the
pressures of his
job.
This does not
require
disagrees
because there

Thanks

Transitions

Times response

Times duration

Takes turns

Matches language

Clarifies

Acknowledges and encourages

are only
commands
with the dogs.
This does not
require thanks
because there
are only
commands
with the dogs.
This does not
require
transitions
because there
are only
commands
with the dogs.
This does not
require time
response
because there
are only
commands
with the dogs.
He had very
short
commands
when he is
conducting his
speech.
There is only
one-way
communication
in this
occupation.
Tim responded
to the sounds,
grunts, barks
and touches.
This does not
required
clarification
because there
are only
commands
with the dogs.
Tim had
interaction that
acknowledged
and cued with
touch, visual or

Empathizes

Heeds

Accommodates

Benefits

verbal
communication
for his dogs.
Tim
empathizes
when his dogs
feel discomfort
or pain.
Tim had
purpose and
intention
throughout his
occupation.
This does not
x
require
accommodatio
n because
there is only
one-way
communication
with the dogs.
This does not
x
require
benefits
because there
is one-way
communication
with the dogs.

9. Performance patterns:
Parts of this occupation has elements of which of the following: (check all that apply)

Pattern
Useful habit

Describe
Tim always attaches the two leashes to his two dog collars without
thinking or mental processing. This is a useful habit because it is smooth,
fluid movement.

Dominating habit

Tim is left-hand dominant so he usually grips both leashes with is left

hand. This can be dominating and also could be unfavorable due to the
sometimes impulsive behaviors of the dogs.

Routine

In his occupation he has a familiar routine. He acquires his smartphone

and puts it in his pocket, he sometimes puts headphones on his head,
dons his tennis shoes, and proceeds with the rest of the sequence for the
occupation.
He does not have any symbolic gestures or objects for his occupation.

Ritual

Role

Both of his dogs identify him as a master and an owner. He provides

food, drink, bathing, exercise and loving touch for both of his two dogs.

Intervention Plan
1. Identify 1 objective and measurable goal of the intervention: Tim will decrease his ambulation
time while walking his two dogs from 25 minutes to 20 minutes for 5 days per week. He will
accomplish this by decreasing his walking time by one minute every day while walking
independently and attaching dog harnesses in a safe park near his house.

a. According to OTPF what type of outcome is this?

If Tim can decrease his ambulation time and met this goal (e.g. 25 minutes to 20
minutes) then he will increase his quality of life that can be more functional in his work
and his exercises. In addition he will increase muscle tone and endurance for his overall
health if this goal was met. The outcome will have enhancement for his occupational
performance to contribute to his well-being, purpose, and fulfilling his role as a master
of his dogs. Also, an outcome is prevention. If the environment could be free of
aggressive dogs then it would be safer and prevent any injuries. Furthermore, if he can
utilize dog harnesses then his dogs will have more stability and control and not have
jerky movements as dogs sometimes do.

2. Intervention approach:

Approach
Create/promote
Establish/restore

Maintain
Modify

Describe
I will establish a routine for a training schedule so the client and the dogs
will benefit and have decrease time for walking. I will educate him about
energy conservation while walking and respiration rhythm so he can build
up endurance and stamina.

Prevent

3. Activity selection
a. Activity selection: Identify 1 example of each for the intervention plan
Activity
Occupation

Describe
The occupation will be ambulation while walking his two dogs.

Activity

One activity within this occupation that I will explain is proper body
mechanics while walking. This includes a good base of support, proper
stride and control of his dogs.
For this activity I will recommend to attach dog harnesses for prevention of
any injuries for joints and muscles in the upper and lower extremities.

Preparatory method

Preparatory task

To improve muscle tone I will recommend Tim do some quick stretches

before ambulating. This way he can focus his efforts on decreasing
ambulation time after his muscles are flexible and more engage in the
activity.

b. Discuss how activity selection relates back to occupational profile and occupational
analysis.
The occupation is ambulation while walking his two dogs. I will provide
generalization in a different environment; I will educate him on proper body mechanics
while walking and decreasing ambulation time of walking each day. I also will provide
him a dog harnesses for safety. If the goals were met then he will improve his muscle
tone, muscle endurance, quality of life, health, well-being and fulfilling is role as a
master for his dogs.

c. Discuss how activity selection will support achievement of client identified goals and
goal of the intervention plan.
If the activity target outcomes are met then Tim will increase his safety and time
management. By changing his environment and attaching the dog harnesses the
preventative outcome will behave more control, balance, and stability. The goals
identified will be walking in a safe environment, to attach dog harnesses before walking
his dogs and learning the proper technique for walking including breathing, proper body

mechanics and energy conservation. This will enhance his technique for his goals and
occupations.

4. Describe how intervention can be graded or adapted and why?

This occupation can be graded up which is decreasing the amount of time and taking
few or no breaks while ambulating. The adaption will be a dog harness to have better control of
his dogs and prevent injury.
5. Discuss any safety concerns and/or precautions?
Safety concerns in this occupation are usually aggressive dogs or impulsive behaviors of
the clients own dogs, which can be dangerous for fall hazards and damaging to the lower
extremities. Also dogs with impulsive behaviors could damage his joints in his upper extremities
due to tension and recoil. Tim will have the safety precaution of the dog harnesses, which allow
for have more control of the two dogs and will prevent damage to his joints in his lower and
upper extremities. Furthermore, prior to bringing his dogs to the park he should assess dangers
and be aware of aggressive dogs.
6. Discuss the role of the occupational therapy practitioner during the intervention.
I will educate Tim on the goals to accomplish these outcomes. I will also educate him on
the proper body mechanics while walking with is two dogs. I will provide him with a safe
environment and access to any other additional resources so that he can successfully achieve
these goals.
7. Discuss what is expected of the client during the intervention.
Timothy Husted will engage in ambulation with is two dogs. He will attach dog
harnesses for his two dogs. He will record his ambulation time 5 days a week and he decease
the ambulation time by 1 minute every day. He will go to a park independently, will have proper
body mechanics while walking and be aware of any safety issues.