Chandler is a 65-yr-old man who underwent a left total knee replacement due to osteoarthritis approximately 5 days ago. He is a newly retired firefighter who served in his city’s fire department for 40 years. Chandler and his wife of 42 years live in their four-bedroom, single-story home; they have two grown sons who live in the area and a large-breed pet dog. Chandler reported becoming increasingly limited in his ability to participate in his desired occupations because of bilateral knee pain and stiffness caused by osteoarthritis. He retired as the chief of the fire department as a direct result of his difficulty with work tasks. He also reported that in addition to work-related tasks, he was having difficulty with leisure activities that he enjoyed with his wife, including light home renovation, caring for his Scottish Deerhound, and yard work. Chandler and his wife have always been very active within their community and enjoy spending time with their grandchildren who live nearby and volunteering in the community with at-risk children. His daily routine has typically consisted of waking early; taking his dog outside for a morning walk; preparing breakfast for himself and his wife; and then spending the day at work, in his yard, or at a community event. He indicates concerns that he may not be able to return to many of his occupations not only because of his recent surgery but also because of the worsening condition of his right knee, which is not scheduled for surgery at this time. His goals for occupational therapy, according to the COPM and as described on the occupational profile, include reengaging in community activities, such as fundraising and field days with at-risk youth; completing yard maintenance at his home, including lawn mowing, mulching, and plant care; cooking and completing odd jobs around his house (instrumental activities of daily living [IADLs]); and regaining independence in all self-care activities. While describing his goals, Chandler pointed out that sometimes he becomes concerned that he may not be able to return to his previous activity level. He pointed out that this concern causes him some anxiety but that he and his wife discuss his apprehensions on a regular basis and that it alleviates some of his fear. Spirituality is an important part of any individual, regardless of religious affiliation. How does spirituality influence his occupational choice?
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