Self-management is encouraged by guiding people in setting their own personal goals and action plan following a problem solving approach (Lyons, 2004). The individuals insight into problems in meaningful occupational performance is increased by providing them information and feedback and by encouraging self reflection.
I think it is important that the individual with Parkinson’s has an insight into their disease, learn to anticipate problems in activities and participation, and learn how they can deal with problems in meaningful occupation performance.
To help the individual the OT will focus on setting priorities in activities and changing them so that they best suit the individual. It is important to balance the demands of activities with the abilities and energy levels of the person. Priorities need to be set and previous standards and values reconsidered with respect to activities. Time pressures often have a negative effect on the individual’s performance. The OT makes sure the individual chooses an appropriate meaningful activity, which will match the individual’s interest, motivations and capabilities.
Reviewing a person’s daily routine, prioritising tasks, restructuring activities according to energy levels, and introducing regular rest periods, including good sleep hygiene, will all contribute to fatigue management (Jahanshahi & Marsden, 1998). For example, on placement using a fatigued dairy.
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