2023 Volume 42 Issue 2 Pages 213-220
The case was a male patient in his 50s using outpatient rehabilitation with long-term care insurance who sought competitive employment. He suffered from lower back pain, poor physical fitness, and autonomic imbalance and had been treated with antipsychotic drugs. He was initially reluctant to work in the disability quota. Several interventions were started from the point of being old, which the patient had accepted as a disincentive to employment. In addition, the occupational therapist implemented a plan to increase outings to improve real life physical fitness based on self-determination and reviewed the results. As a result, the client started to work under welfare employment with subjective satisfaction as a passage to competitive employment. This case identifies three important aspects for a patient with low feasibility employment goals to be convinced and to change their goals: a focus on accepting the state of disability, respect for self-determination, and the opportunity to experience and reflect on real-life.
