Stephanie
Byrley,
OTR
Evansville,
IN
47715
Initial
Progress
Report
for
Occupational
Therapy
November
2001
Client
Name:
Crystal
Allbritton
Evansville,
IN
47710
Date of Birth: 7-18-99
Parent: Brenda Brames
Physician: Neil Propst, M.D.
Service Coordinator: Terry Rizen
Treatment Order: Occupational therapy one time per week for 45 minute sessions.
Long Term Goal # 1: Crystal will demonstrate muscle strength and range of motion to participate in play and self care activities.
Objective
#1:
Crystal
will
demonstrate
165
degrees
of
active
shoulder
flexion
consistently
to
raise
both
arms
above
her
head
during
play
and
self
care.
Progress:
Crystal
was
able
to
reach
above
her
head1
time
during
2
different
treatment
sessions.
She
is
consistently
reaching
to
chin
level
when
doing
such
things
as
putting
beads
on
over
her
head
and
putting
balls
into
the
container.
She
tolerates
approximately
one
minute
of
weight
bearing
in
prone
on
elbows.
During
weight
bearing,
she
requires
head
support.
Objective
#2:
Crystal
will
demonstrate
full
active
range
of
motion
of
all
joints
in
both
of
her
hands
and
wrists.
Progress:
Crystal
demonstrates
full
active
range
of
motion
for
all
joints
of
the
hand
with
the
exception
of
the
ring
finger
on
the
left
hand.
She
requires
cues
to
extend
her
fingers
or
flex
her
fingers
when
playing
dress
up
games
with
the
baby,
squeezing
and
flattening
play
dough,
and
when
putting
on
jewelry.
There
is
full
passive
range
of
motion
in
the
ring
finger
of
the
left
hand.
Crystal
has
a
splint
but
it
does
not
fit
properly
so
new
options
will
be
explored.
We
will
monitor
both
of
Crystal's
hands
to
determine
the
need
for
resting
hand
splints.
Long Term Goal #2: Crystal will maintain breath support to decrease respiratory illnesses. (oops I accidentally deleted the rest of it)
