Abstract
We performed an assessment and administered interventions using horticultural activities which focused on the classification of occupational dysfunction in a client who exhibited general reluctance in a special elderly nursing home. Observation-based evaluation enabled us to clarify the necessary interventions for the four types of occupational dysfunctions:occupational imbalance, occupational deprivation, occupational alienation, and occupational marginalization. The client started to enjoy horticultural activities, talked with a smile, had more opportunities to go out, and got enough sleep at night. Her occupational dysfunction improved, and she was able to spend a healthy life in the facility. Therefore, the assessment and interventions which focused on the classification of occupational dysfunctions were effective in a client who could not identify a meaningful occupation.
