Core Modules

module 4 | Activity 4: Bob’s story: three months later

Bob’s illness has progressed over the last three months. He has severe weakness in his arms but is still able to walk around.

He has been referred to a physiotherapist and occupational therapist to determine what can be done to improve his physical and social functioning. The occupational therapist visits him at home to discuss potential modifications to his house.

  1. Provide a detailed description of how you would determine Bob’s goals of care?
  2. Bob talks about the benefits of the wheelchair and the seat over the bath but doesn’t wish to go ahead with any major house modifications at this stage. Discuss the following:
    • His reasons for delaying the bathroom modifications.
    • Healthcare professional responses to situations where a person with a life-limiting illness has different opinions about recommendations for care.