Case Study: John CVA

Case Study
John is a 74-year-old male, who suffered a right cerebrovascular accident 1 month ago with resultant L-sided hemiparesis and L visual neglect. John was hospitalized due to the stroke and is now receiving occupational therapy services at the hospital’s inpatient rehabilitation facility. Prior to being hospitalized, he was independent with all ADLs and IADLs, walked 2 miles a day, and was active in a senior golfing league. He is a painter and still sells his artwork at local events. He and his wife also take care of his 6-year-old granddaughter 3 days a week after school.


1. List the specific category/areas of occupations that could be impaired for this client. Please include not only the major categories (Areas of Occupation) but also the subcategories (Occupations) such as activities of daily living: dressing, bathing, etc. For each major category, discuss which occupations might be of primary importance to address in occupational therapy to return to his specific living situation and interests.

2. Choose one occupation important for John and list the specific body functions which are required for that occupation. Of these body functions, mark the ones that are limited with the client with an X. Please list specific client factors, not the categories.

Sample Format

The following is a suggested format:


Client factors demanded of bowling (occupation)


Limited with John


Muscle Functions


1) Muscle Power X


2) Muscle Tone X


3) Muscle Endurance X


3. After the chart, in one paragraph describe in each category which body functions would be the most important to address with John.

4.Using the same occupation as above, complete a similar chart for the performance skills required for the selected occupation and indicate which are limited for John (both skill and category).

5. After the chart, in one paragraph describe for each category which performance skills would be the most important to address with John.

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