• Evaluates and establishes goals based on the client's current level of functioning and potential for improvement and performs re-evaluations as indicated which are documented on the required form(s) • Guides and instructs the client in prescribed therapeutic, self-care, and creative activities that are directed toward improving independence and physical and mental functioning • Establishes household management routines • Records and reports to the provider the client's reaction to the therapy program or any changes in the client's condition through periodic written summaries • Instructs clients and their families in the use of prosthetic, orthotic, and assistive devices (canes, walkers, wheelchairs, etc.) • Instructs the family in the client's total Occupational Therapy program • Instructs other health team personnel in the care of clients regarding occupational therapy • Attends paramedical service meetings and combined paramedical and nursing service meetings • Prepares clinical/progress notes on the day of the visit which are incorporated in the clinical record weekly • Participates in staff development activities and in-service education • Attends case conferences • Supervises the Occupational Therapy Assistant, as indicated • Prepares clinical/progress notes and submits within Agency policies • Communicates effectively with all those providing care • Confirms, on a weekly basis, the scheduling of visits with the DON or designee to coordinate necessary visits with other personnel • Participates with staff, client, and provider in discharge activities and completes the Occupational Therapy Discharge Summary within the designated framework of the Agency policies • Notifies Agency of absences due to illness, emergency leave, normal vacation periods, or special professional meetings which will affect agreed services with the Agency