Potential treatment goal(s) when used in treatment. * ^ FM skills – Cl. will ^ FM skills by cutting the design of the leather. * ^ Cognitive skills – Reading and following directions will ^ cl. cognitive skills. * ^ Sensory-perceptual skills – Cl. will ^ sensory-perceptual skills by touching dry and oiled leather. * ^ Attention to task – Cl. will ^ to focus on the task at hand. * ^ UE ROM – Cl. will ^ UE ROM through manipulation of the Versa-tool, leather, and rivets. * ^ Emotional regulation skills – Despite frustrations cl. will ^ emotional regulation skills. ^ Self-esteem – Cl. will ^ self-esteem due to completion of the activity * ^ Social participation and communication skills – Cl. will ^ social participation and communication skills by asking for assistant and or questions. * ^ Bilateral-hand coordination – Cl. will ^ bilateral-hand coordination by requiring both hands to be used. * ^ Eye-hand coordination – Cl. will ^ eye-hand coordination while burning the design into the leather. * ^ Pinch/grip strength – Cl. will ^ pinch/grip strength bilaterally while fastening the rivets into the leather. * ^ Endurance – Cl. ill ^ endurance by either standing or sitting independently during activity. * ^ Gross motor skills – Cl. will ^gross motor skills by lifting and moving the Versa-tool, leather, and accessories. * ^ UE strength – Cl. UE strength will ^ by the motions required to fasten the rivets in the leather. B. Appropriate Population/general skills needed or addressed a) For whom can occupational performance be increased through use of this activity? Age range * Pediatrics- Creating a leather keychain as a craft is an inexpensive activity for older children to ^ their eye-hand coordination and FM skills by manipulating the stitching needle.
Suitable for ages 7-12. When requiring tools supervision is required. * Adolescents- Creating a leather keychain is a gender neutral activity where the client can try something new without the fear of failure or embarrassment. This is crucial due to the peer pressure within this age group. Suitable for ages 13-18. * Adults- This activity is an opportunity for adults to exercise their creativity, ^ UE ROM, eye-hand coordination, hand strength, FM and gross motor skills, while burning a design onto the leather. Suitable for all ages in this age range. Geriatrics- Creating a leather keychain is a creative project for clients of this age range by ^ eye-hand coordination, UE ROM, hand strength, FM skills, and sensory-perceptual skills when decorating the keychain. Suitable for ages 55 and up. Diagnosis: * UE amputee- A cl. who has an UE amputation, UE strength of the unaffected limb is important. Cutting or punching leather utilizes resisted grasp, activating wrist musculature for stabilization. * Visual impairment – Cl. with visual impairments will ^ tactile awareness from the design, impressions and contours that are felt with the fingers. Mental Retardation- Cl. will ^ motor coordination/dexterity skills and concentration for repetitive actions by lacing and or stamping the leather. Motor and Process Skills: * Client(s) must be able to persist in the activity despite their frustration. * Client(s) must be able to follow instructions. * Client(s) must have the ability to lift and place objects from one place to another. * Client(s) must be able to manipulate scissors in their hand. * Client(s) must be able to grasp objects. b) Under what conditions would this activity be contraindicated? * Quadriplegic- Cl. ith quadriplegia will not experience ^ to any occupation as a result of this activity.
* Advanced Alzheimer’s disease – Cl. diagnosed with advanced Alzheimer’s disease experiences v cognitive skills. Creating a leather keychain requires cognitive skills in timing and sequencing to stitch the leather. * Severe rheumatoid arthritis – Cl. diagnosed with severe rheumatoid arthritis almost always have joint deformity and would be frustrating and painful to participate in this activity. C. Tools needed to perform activity and their properties * Stamper – available at Hobby Lobby $3. 99 Versa-tool – available at Hobby Lobby $29. 99 * Scissors -available at Hobby Lobby for $1. 99 * Recycled leather for jacket – NA * Beads – available at Wal-Mart $. 99 * Table – provided free of charge * Chair – provided free of charge * Needle – available at Wal-Mart in package for $1. 99 * Thread – available at Wal-Mart for $. 88 D. Gradation a) Activity sequence, duration, and/or the procedures involved The cl. would initially perform the activity using a simple kit. To grade the activity the cl. would progress to a complex kit ^ the duration of the activities, which will ^ the endurance level of the cl. ) Working position of the individual To grade this activity, the cl. would perform the activity initially in a seated position then to a standing position to ^ endurance and posture. c) Tools (position, size, shape, texture, weight) The cl. would initially be required to perform the activity using a soft, thin leather kit requiring minimal stitching. To grade the activity, thicker leather requiring cordovan stitching would be used, ^ hand strength, UE ROM, bilateral hand coordination, eye- hand coordination, and cognitive skills. d. ) Materials The cl. ould use rubber gloves and gradually move to lighter weight gloves to ^ the cl. sensory awareness of differing textures. E. Adaptation:a) Method of instruction Verbal cues as needed to assist the client(s) that cannot read written instructions to perform the activity. b) Teacher-learning environment Environment should be conducive for the activity. Temperature must be set at moderate –not too warm or too cold. External noises should be limited to minimum in order to retain the conduciveness of the environment. Ensure the client is given enough space, of which he/she are comfortable.
The space should include an area wherein they can easily place and reach for the materials needed. There should be adequate lighting of the room, sufficient enough for the client to see what he/she is doing. c) Group vs. individual or group member assisted. Cl. moved from a group setting to an individual setting to v distractions to assist the cl. to stay focused on the activity through completion. d) Using assistive devices For clients with visual impairments, an adaptation to this activity would be using a magnifying glass to ^ the ability to see small detailed work.
F. Precautions (Health and Safety Concerns) * Choking Hazard- The use of small materials such as broken ceramic tile could present a choking hazard. When working with clients such as pediatrics, constant supervision is required. * Work Table Stability- A safety concern would be the work area where the activity is being conducted. It is vital to have the client perform the activity on a stable work table to avoid the table falling on the lower extremities of the client. To prevent this, test the work tables prior to client utilization. Scissor Safety- Some shapes may need to be cut down to fit properly which will require cutting with scissors. This could be dangerous for children under six and some psychiatric clients. To avoid this, provide child scissors to the client so they are able to cut the material independently. * Tool Safety-Some leatherwork require sharp tools that may be needed for parts of some projects. Hammering during tooling and stamping may pose hazards if cl. has v strength, coordination, or vision. Lacing needles are blunt and danger of a puncture injury is minimal.