Checklist for your Therapist

Use this tool to for ideas about whether an occupational, physical or speech therapist from Therapy In Your Home could help you... You may fax it to us before or after you call.

Click here for a printable version of the following list.

Would you like to learn about...

MOBILITY

__Easier ways to get up from a bed, chair, tub or car?
__Being less short of breath while you move?
__Techniques that will have you sitting / walking straighter?
__Improving your balance, security and confidence?
__Knowing about safe driving? Therapy In Your Home offers FREE CONSULTS on safe driving and how to talk about it

HOME SAFETY and ORGANIZATION

__Options for making your home safe, beautiful and more efficient?
__Identifying ways you can manage in emergencies despite your special needs?
__Tips for organizing "stuff" and reducing clutter?

PERSONAL CARE: (DRESSING, HYGIENE)

__Ways to use the tub or shower safely, or alternatives?
__Ways to reach further without bending more, like for putting on socks or spreading lotion on your legs?
__Fasteners for clothes and jewelry; and finding simpler clothes?
__Tips to help you get to the toilet in time?

EATING

__Getting food to your mouth without spilling (loading fork, reach, aim)?
__Ways to manage food that stays in your cheek.
__Reducing coughing or runny nose after eating or drinking?

DEXTERITY and COORDINATION

__How to have fewer items drop from your hands by accident?
__Alternative storage ideas to eliminate reaching and bending?
__Improving your handwriting?

PERCEPTUAL MOTOR SKILLS

__Ways to compensate for low vision, glare and other obstacles to seeing well?
__Improving your skills so you don't bump into things or miss the edge of a step?

BRAIN FUNCTION and FITNESS

__Successful ways to follow your medication's dosage schedule?
__Tips so it is easier to make change, order from a menu and use a phone?
__Better ways to keep schedules, keep track of where you and your things are?
__Keeping your brain fit: flexible and reliable?

HOPE and EMPOWERMENT SKILLS

__Regaining you interest in people and plans?
__Communicating with your friends and family about your wishes?
__Being actively involved in your own health care decisions now and in the future?
__Being more independent by asking for help?
__ Improving your ease at asking for help and accepting help more easily as your needs change?

FOR CAREGIVERS: Would you like to learn about...

__How to make your home safer for someone who doesn't make safe decisions? (wanders, get up without telling you, trips easily...)
__Positive ways to motivate someone to bathe or get going without resisting?
__Why the person you help can't follow your directions?
__Ways to make care giving easier? (minimizing behaviors like not staying in one place, swearing, resisting care or not helping?)
__Helping someone become less resistance to change?
__Changing your despair regarding loss of function and the future into feelings of knowledge, control and understanding?
__Positive ways to discuss long term plans, options, change and challenges?
__Positive ways to bring up the subject of safe driving? Therapy In Your Home offers FREE CONSULTS on safe driving and how to talk about it