Leila- home visit and client interview

/ Hands-on cases

📄 You can download the full simulation scenario in your preferred language below:

🧩 Simulation Overview
The simulation takes place during a home visit after Leila being discharged from the hospital. The purpose of the home visit is to identify, through an interview, the need for therapy process and activities that are meaningful to the client. During the home visit, Leila is accompanied by a member of her family and, if desired, a home care worker. 
Modality: Hands-on Student roles:
​​Student roles​  ​​Number of students​  Extra information 
​​Occupational therapist​  1-2  One student plays the role of an occupational therapist, and if desired accompanied by a student occupational therapist assistant during the home visit, and they can agree between themselves who is responsible for the interview, for example. 
​​Participant​  1  Leila 
​​Other simulated participant Please specify in extra information​  3  Leila’s family member, optional role Home Care Worker  
​​Observer​  1 <  The study group that does not have a role in the simulation acts as observers in another room, monitoring the situation via camera. 
Learning outcomes:
​​Learning outcomes (simOT Framework)​ 
 
​​Domain A: Knowledge and attitudes supporting OT competence​ 
  • Occupations in context: Relationships between person, environment (and other contextual factors), occupation and occupational performance, participation, occupational and social justice (A.1.) 
​​Domain B: Managing and conducting OT process​   
  • Occupational therapists assess occupational participation in all areas of human occupation (e.g. personal care, daily living, work / study/ school, play, leisure and rest. (B.2.1.) 
 
  • Conduct an occupational therapy interview to understand the client’s occupational narrative and establish a relationship with the client (B.2.1) 
 
  • Assess subjective personal factors (i.e., client’s beliefs about occupation, occupational goals, strengths, skills, limitations; satisfaction with participation) that affect occupational performance or participation (B.2.1.) 
   
​​Domain C: Developing and maintaining professional relationships and partnerships​   
  • Collaborate and partner with clients, families and significant others to attain optimal and person- centred occupational outcomes (C.2.1.) 
🛠️ Preparation for the Simulation
Prerequisites:
​​Competencies​  ​​Specific description of prior knowledge, attitudes and skills​ 
A.1.     Occupational therapists possess knowledge about occupation and humans as occupational beings 
B.2.     Occupational Therapist demonstrate competencies in managing and conducting the occupational therapy process  
C.2     Occupational therapists demonstrate competencies in establishing trusted professional relationships and partnerships 
📦 Actions and Materials
​​Action​  ​​Materials​ 
Scripts Available for all participants (occupational therapists, occupational therapist student, client Leila, her daughter, optional home care worker, observers)  printed or electronically on the learning platform    Handout and/or presentation for students with case/scenario information, role description. Case information for simulated participant. 
Preparing the environment    Arrange access to the simulation, control, and debriefing rooms.   Familiarize yourself with the SimStation system:  
  • Test cameras, microphones, and software.  
  • Learn how to record, mark, and replay sessions.  
Conduct a technical check before the session:  
  • Ensure all devices, batteries, and connections are working.  
  • Test audio and video recording/playback.  
Cameras positioned and adjusted:  
  • Microphones positioned and tested  
  • SimStation control console and software ready  
  • Display or projector in debriefing room ready  
Optional: whiteboard/flipchart and markers for debriefing discussion.       Furniture and props to create an authentic simulated environment 

​​Learning objectives (observable behaviour)​ 

 

​​Domain A​ 

 

  • The student can initiate, conduct and conclude an occupational interview with the client (identify and evaluate occupational performance problems).  
  • The student identifies meaningful occupations of the client 

 

​​Domain B​ 

  • The student prepare self for conducting an occupational interview (review and prepare interview professional)  
  • The student compares the client’s strengths and resources vs. difficulties in performance 
  • The student applies clinical reasoning and critical thinking skills to formulate hypotheses about the factors that affect the client’s occupational performance 

 

​​Domain C​ 

  • The student collaborates with the client and others to understand their perspective and experiences of their occupational performance 
  • The student uses effective, respectful, and professional communication skills throughout the interaction with the client. 

 

​​Name​ 

Leila 

​​Age​ 

86 years old 

​​Sex​ 

women 

​​Personal factors​ 

Leila is a retired widow and mother/grandmother. Leila feels that she is a burden to others and that she has had to give up everything (crafts, flower care, gardening, cleaning, cooking, baking, etc.) 

 

 

​​Ethnicity and cultural context​ 

Western European, Finnish 

​​Reason the participant is seeking OT service and concerns related to engagement in occupations​ 

Managing at home, carrying out daily activities independently. 

Finding meaningful occupations.  

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