A case of a man who can act his daily living by himself in cooperation with his wife and other professional people to make effective use of self-help devices

This study is about the case of a man, in his late 50s, who was diagnosed with subarachnoid hemorrhage. His profession was accounting, and his personality had been strict. His wife has been a key person in his life. There was no motor paralysis, but his ADL could not take action without verbal instruction due to deficit of awareness, attention, memory, and aspontaneity. His goal was to be discharged from hospital and to be safe at home, so we planned to prioritize his voluntary behavior, with the cooperation of his wife, through occupational therapy. During the first month, the goal was to have him voluntarily carry his memory notebook, and during the next month, to have him use his alarm device while adjusting to the environment. Then, self-management of medicine became possible. In the last month, we linked the schedule table created by himself to his alarm application. As a result, his schedule management became a habit, and medication management became independent. At the beginning of the introduction of occupational therapy, it was difficult to use external assistive devices because it was always necessary to instruct him how to use it verbally. It can be thought that sharing information with his wife and other professional people about his disabilities and remaining abilities, and also taking unified treatments, makes it possible for him to manage his schedule independently by utilizing external aids.