NOTCE case studies
NOTCE · Put your knowledge to work in context.
The NOTCE (National Occupational Therapy Certification Examination) is the entry-to-practice examination used in Canada to certify occupational therapists. It is aimed at graduates of accredited occupational therapy programs who need certification before registering with a provincial or territorial regulatory body and practising. The NOTCE case studies are 5 cases and about 4,896 words.
1Post-Stroke Shoulder Pain and Early Mobilization
A 68-year-old right-handed retired machinist had a left middle cerebral artery infarct 11 days ago. He has dense right hemiparesis (Medical Research Council grade 1/5 in the shoulder, 2/5 in the elbow), right hemianopia, and moderate expressive aphasia.
1,094 words, about 5 min2Dementia, Wandering, and a Discharge Decision
An 82-year-old woman with moderate Alzheimer's disease has been in an acute hospital for 9 days after a fall at home that caused a stable pubic ramus fracture. She is now mobile with a rollator and one-person supervision, but she has wandered twice at night, once into another patient's bay and once toward the ward exit.
1,024 words, about 5 min3Return-to-Work After Rotator Cuff Repair in a Manual Handler
A 44-year-old warehouse order picker had an arthroscopic repair of a full-thickness supraspinatus tear on his dominant right shoulder 7 weeks ago. He is self-employed through an agency and is paid only when he works; his household has two children and a mortgage.
888 words, about 4 min4Suspected Non-Accidental Injury in a Pediatric Therapy Session
A 6-year-old boy is referred for occupational therapy because of difficulties with handwriting and attention at school. He attends with his mother, who is quiet and answers questions briefly.
943 words, about 5 min5Supervision, Delegation, and Competence in a Rural Clinic
A newly qualified occupational therapist has taken a post in a rural community clinic. She is the only therapist on site.
947 words, about 5 min