Introduction: Stroke is one of the most common causes of long-term disability and significantly affects an individual’s functional independence in performing daily activities. The consequences of stroke can lead to limitations in mobility, cognitive changes, and reduced ability to carry out basic daily activities. Occupational therapy plays an important role in stroke rehabilitation, as it enables the improvement of functional abilities and promotes independence in everyday life. Purpose: The purpose of this thesis was to determine the effectiveness of occupational therapy intervention for a person after stroke, following the process of the American Occupational Therapy Practice Framework, with a focus on occupation-based intervention. Methods: The research was conducted as a case study, involving an in-depth intervention with a 77-year-old woman in the subacute stage after stroke. The intervention focused on improving the quality of daily activity performance and was carried out individually in the client’s home environment. Interventions were delivered four times a week, one hour per session, over a total period of five weeks. The main goal was to enhance the client’s independence in daily activities. The intervention process included assessment, goal setting, intervention implementation, and progress monitoring. Evaluation was conducted using three key assessment tools: Canadian Occupational Performance Measure, Functional Independence Measure and activity analysis based on motor and process skills. These tools provided insight into the client’s priorities, level of independence, and quality of performance in selected daily activities. Results: The results showed noticeable progress in daily activities. After the intervention, the client performed dressing, personal hygiene, eating, and preparation of simple meals more independently, with less need for assistance and greater satisfaction. The analysis of upper-body dressing performance demonstrated improvement in motor and process skills, such as trunk stabilization, coordination, and sequencing of movements. The outcomes of the assessment tools confirmed progress in both performance and satisfaction, supporting the effectiveness of the applied occupational therapy approach. Discussion and Conclusion: The results confirm that systematic progress monitoring, continuous adjustment of therapeutic tasks, and integration of activities within the home environment significantly contributed to improving functional independence and increasing satisfaction for the client after stroke.
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