Strengths (be sure to include the framework domain) (1 point): Occupational Performance deficit and problem (*please note, you may not duplicate an area of occupation or client factor from any of the other problem statements):

Strengths (be sure to include the framework domain) (1 point):
Occupational Performance deficit and problem (*please note, you may not duplicate an area of occupation or client factor from any of the other problem statements):

1)

2)

3)

4)

5)

Barriers (be sure to include the framework domain) (1 point):

1)

2)

3)

4)

5)

Solutions Statements to Problem Areas:

Occupational Performance deficit and problem (*please note, you may not duplicate an area of occupation or client factor from any of the other problem statements):

Patient performs _______________ (occupation) with _______________ (level of assist) secondary to ______________ (client factor) (2 points).

Treatment Method 1 (no more then 3 sentences-methods may not be repeated) (2 points):

Rationale 1 (no more then 3 sentences) (1 point):

Treatment Method 2 (no more then 3 sentences-methods may not be repeated) (2 points):

Rationale 2 (no more then 3 sentences) (1 point):

Explanation & Answer

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