Abstract
Problems in the accurate assessment of elderly patients are discussed in relation to the variability of this population group and the value that they place on the therapeutic relationship. Some principles of treatment planning based on systems theory, which is integral to the model of human occupation, are summarised. Assessment, treatment planning and the selection of a theory to guide behaviour change are then demonstrated through the case of an elderly male patient who has become dysfunctional following a coronary attack. Finally, a summary of the advantages of using the model of human occupation is presented.
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