AR's case is notable for her long history of osteoarthritis and for the later onset of Alzheimer's disease. In her case, the three difficulties that most need to be addressed are difficulty getting around due to the osteoarthritis, trouble with memory and with forming words and sentences due to Alzheimer's disease, and anger resulting from her incapacitation.
1. Three goals and objectives that will ameliorate her situation are:
. Goal 1: For osteoarthritis, to improve mobility through a program of hydrotherapy (Foley, Halbert, Hewitt, & Crotty 1162).
. Objective 1-1: Increase walking speed by 10 minutes per mile.
. Objective 1-2: Increase leg strength as measured by the ability to lift weights with the leg, by 5 pounds.
. Objective 1-3: Increase walking distance by 30 steps before having to stop and rest.
. Goal 2: For Alzheimer's disease, to reduce the symptoms and issues of the disease, such as anger, frustration, and depression.
. Objective 2-1: Plan "structured, individualized activities that involve and interest the person" ("Alzheimer's Disease Treatment").
. Objective 2-2: Plan daily walks and light exercise ("Alzheimer's Disease Treatment").
. Objective 2-3: Pet therapy ("Alzheimer's Disease Treatment").
. Goal 3: For Alzheimer's disease, to reduce the memory loss.
. Objective 3-1: Provide mentally stimulating activities such as crossword puzzles, board games, cards, and reading (Ahuja).
. Objective 3-2: Eliminate sources of brain toxins such as mercury (in fish, dental fillings) and fluoride.
. Objective 3-3: Eliminate foods that aggravate Alzheimer's disease, such as high-fat, high-calorie diets and alcohol, salt, and refined carbohydrates ("Alzheimer's Diet(Beneficial Foods and Supplements").
2. The four positive iss...