OTLE case studies

OTLE · Put your knowledge to work in context.

OTLE refers to the occupational therapy licensing examination used by a state or national regulatory body to determine whether a candidate is eligible to practise as an occupational therapist or occupational therapy assistant. It is designed for graduates of accredited occupational therapy programmes who have completed their fieldwork requirements and are applying for initial licensure. The OTLE case studies are 5 cases and about 3,962 words.

Post-Hip Fracture Delirium: The Referral That Already Has an Answer

R is a 78-year-old retired postal clerk admitted 2 days ago with a right hip fracture treated by hemiarthroplasty. She lived alone in a second-floor walk-up, managed her own medications, and drove.

787 words, about 4 min 2

Second Grader, Illegible Handwriting, and a Team That Has Already Decided

Tyler is an 8-year-old in second grade with autism spectrum disorder and developmental coordination disorder. He reads at grade level and is well liked, but written assignments take him three times as long as peers; letter formation is poor and spacing erratic, and he has begun tearing up worksheets and asking to visit the nurse.

809 words, about 4 min 3

The Employer Wants a Full-Duty Date; the Wrist Has Not Settled

Andre is 44 and works on a poultry deboning line, 10-hour shifts, roughly 15 repetitions per minute with a knife. He has De Quervain tenosynovitis of the right wrist and a triggering right thumb, 10 weeks after a single corticosteroid injection.

788 words, about 4 min 4

Four Home Health Visits, Three Falls, and an Insurance Denial

L is 55 with secondary progressive multiple sclerosis (EDSS 6.5). She lives in a single-story rented home with her husband, a long-haul dispatcher who works 12-hour shifts and is often away overnight.

805 words, about 4 min 5

Housing First, a Fire Inspection, and a Client Who Has Been Burned Before

K is 34, diagnosed with schizophrenia and hoarding disorder, living in a supported apartment through a Housing First program. A fire inspector found stacked newspaper four feet high blocking the only exit and a hot plate sitting on the floor; the landlord issued a 30-day cure notice.

773 words, about 4 min