PEO Assessment

Presentation
Created By: Gabrielle Beauchamp, Katelynn Krause, and
Victoria Pruess
Case: Ron
● Age: 83
● Residence: Breton Woods of Holland Home - Independent Living Facility
● Marital Status: Married
● Family: 4 children and multiple grandchildren
● Born and raised in Grand Rapids
● Dedicated to sports more than education growing up

For our occupational profile, we utilized a PEO perspective to help us gather

information about complex dynamic relationships and conceptualize/plan
occupational performance interventions (Strong et al., 1999).
About Ron
Health History
● Neuropathy in BLEs
● Hand Tremors
● MI and CABG 6 months ago
● Hx of falls with bicycling
● Psychosocial Limitations: An older adult was killed in a biking accident in an
area where he would always ride his bike. His wife reported this being a barrier
to Ron getting back on his bike
MI and CABG
Neuropathy and Physical Activity
Hand Tremors and Adaptive Equipment
Falls
Psychosocial Limitations
Social Support
Occupational Engagement
Work:
● Owned a grocery store chain
● Volunteer work through Crossroads Bible Study Prison Ministry
Education:
● Not a major priority
● Attended Calvin College and a community college, but did not complete
Leisure Activities:
● Bicycling (indoors/outdoors)
● Attempted to enlist in a pilot-training program in the 50s, but was declined due
to decreased vision, so got private pilot’s license
● Travel
● Writing - autobiography
Education
Work - Investing in 1st grocery store
Volunteer/Spiritual
Autobiography
Leisure
Leisure
Evaluation Tools

ROM - WFL

MMT -grossly 5/5 for BUEs

Falls Efficacy Scale

Tinetti Balance Assessment

Home Safety Self-Assessment Tool (HSSAT)

(Tomita, Saharan, Rajendran, Nochajski, & Schweitzer, 2014)

Falls Efficacy Scale
Tinetti Balance Assessment
 Tinetti Balance Assessment Results

Total Score: 16/28

High Risk of Falls

Tinetti Balance Assessment Results
Falls Efficacy Scale Results

NO fear of falling
Environmental Evaluation
Environmental Evaluation
Results:

● Entrance to front door, entrance to back door, hallway/foyer, kitchen, bedroom,

and laundry room have zero problems
● Bathroom does not have a bath chair and the toilet is too low
● Living room does not have enough space to walk in front of the couch

Recommendations:

● Shower chair and toilet riser for bathroom

● Moving the coffee table in front of the couch closer to the television or placing a
smaller coffee table there to provide more walking space in front of the couch
Assessment
● Independent with all ADLs/IADLs
● High Fall Risk
● Increased awareness of his
limitations/needs for assistance.
● Decreased activity tolerance due to
MI and CABG
● Psychosocial limitations related to a
recent biking incident
Recommendations
● Balance classes and going to feldenkrais with his
wife

● Continue using shower chair

● Educate patient and wife on fall risks

● Referral to PT for increased strength and balance

● Setting short term and long term goals to get

back to biking on the roads with decreased
anxiety (Bottche, Kuwert, & Knaevelsrud, 2012).

● Social group involving biking for support

References
Strong, S., Rigby, P., Stewart, D., Law, M., Letts, L., & Cooper, B. (1999). Application of
the Person-Environment-Occupation Model: a practical tool. Canadian Journal
of Occupational Therapy. Revue Canadienne D’ergotherapie, 66(3), 122–133.
https://doi.org/10.1177/000841749906600304
Tomita, M., Saharan, S., Rajendran, S., Nochajski, S., & Schweitzer, J. (2014). Psychometrics of
the home safety self-assessment tool (HSSAT) to prevent falls in community-dwelling
older adults. American Journal of Occupational Therapy, 68(6), 711-718.
doi:10.5014/ajot.2014.010801
Bottche, M., Kuwert, P., & Knaevelsrud, C. (2012). Posttraumatic stress disorder in older adults:
an overview of characteristics and treatment approaches. Wiley Online Library, 27(3),
230-239. doi:10.1002/gps.2725