has a tendency to eat rapidly. She is on a modified diet
and only needs occasional verbal prompting to decrease the
speed of her eating.
enjoys community dining. He requires no assistance in the
preparation or consumption of his regular diet but is usually
the last to finish.
receives most of his nutrition by gastric tube, requiring
maximum cueing in therapy to swallow safely.
can lock her wheelchair brakes, but always requires moderate
assistance for the transfer from her wheelchair to the car.
has received training in transferring to a car. However,
she still needs to be reminded of the proper sequence of
has contracture of the muscles in the arms and legs. His
parents lift him in and out of the family truck.
Jones relies on his daughter for transportation. he is only
concerned with the destination; his daughter arranges all
appointments and travel plans.
Colton is able to independently use the bus system. She
arranges her own personal schedule to work with the bus
schedule. She also plans outings with her family on the
needs only incidental help to get to the store.
can read simple sentences without trouble. However, he needs
cues to understand complex or long sentences.
is unable to recognize or even match letters or pictures.
enjoys reading her newspapers and novels and has no difficulty
whatsoever in understanding lengthy and complex articles.
is able to write simple sentences with cueing to express
her thoughts. She sometimes needs help with grammar.
has difficulty expressing herself in writing. She is unable
to form complete sentences, makes frequent spelling and
grammatical errors, and has poor legibility.
is able to write complex sentences and paragraphs with only
an average number of errors.
speaks clearly but has decreased rate.
can say "ah" and "o" without help but can imitate only a
few short words intelligibly.
will produce intelligible words and word groups but cannot
produce sentences or express complex thoughts.
exhibits lability in stressful situations; she also continually
attempts to influence staff behavior and to avoid therapy
sessions by crying.
Sullivan becomes depressed and refuses to cooperate in therapy.
While she assumes some responsibility for these behaviors,
she still misses therapy once per week.
shows minimal anxiety and depression on occasion. However,
he is able to tell his therapists what he is feeling and
to work through the trouble with them.
Adjustment to Limitations
has severe motor deficits; he is able to ambulate in his
home safely and completes some household tasks. He states
that he is aware of the nature of his injury, but he maintains
his goal of playing college football.
is aware of her memory deficit, but has difficulty understanding
how it affects some of her daily activities, and is resistant
to learning new strategies. As a result, she occasionally
requires cueing to use memory strategies.
feels the staff is condescending to him when teaching him
ways to remember to perform basic hygiene tasks. He maintains
his goal to return to his law practice within the month.
Testing shows a severe memory deficit. He does not remember
the hospital name or the nature of his accident.
needs total assistance on all tasks of daily life.
is able to complete simple homemaking tasks. She requires
no physical assistance and is able to follow a checklist
of routine tasks if allowed extra time. She has worked as
a maid in the past and wishes to return to this type of
Martin requires only occasional physical assistance, he
requires constant cueing by an assistant in order to function.
Goddard is able to accurately state her name, the date,
and her location if she is in her room and able to use the
calendar as a cue.
Butler is only able to state his name and what happened
to him; he is not oriented to time or location.
is oriented only to her own name, requiring cueing most
of the time for all other orientation components.
requires maximal structure to maintain attention for more
than 2 or 3 minutes, and is very easily distracted.
is able to attend to a task for about 30 minutes but is
is able to attend long enough to complete most tasks, but
he often needs to redirect his attention and this delays
Eckerd is able to perform routine grocery shopping and household
tasks and can function at home alone. She does require supervision
in unfamiliar community settings.
needs close supervision at all times to keep him from hurting
is considered safe without supervision in his room where
all sharp edged furniture has been removed.
to: Training Vignettes