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CMOP-E: Fibromyalgia

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CMOP-E shows the connection of the person and environment through participation in occupation. (Murnane, 2013). The person comprise of three performance components: cognition; physical and affection with spirituality as the core of the person (Turpin & Iwama, 2011). Dish washing requires sequencing, counting and attention which enable the person to perform the task in a logical manner (Clark, 2014). A cognitive barrier includes people who experience fibromyalgia may have difficulty in everyday attention, sequencing and episodic memory as this could prolonged dishwashing activity (Glass, 2007). A cognitive enabler is Ruby was able to remember how to operate the dishwasher and understand safety procedures as her memory is not affected.

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A physical barrier may be an increased likelihood for people who experiences fibromyalgia having impaired fine motor control, decreased increased tone which can in turn affecting their gripping strength (Watson, Buchwald, Noonan, & Ellenbogen, 2009). Ruby sometimes experience difficulty with fine motor control as she could drop plates without being aware of it. Ruby experience spirituality through getting something out of volunteering as it was her occupational engagement. Working provide motivation and reinforce her a sense of purpose and meaning (Johnston & Mayers, 2005). Therefore volunteering work enables …show more content…

Disability pension financially support Ruby’s basis needs even though she is not in the workforce (Malcus, Carlqvist, Sturesson, & Eberhardt, 2005). This enable her to participate in volunteering work without payment. However, the assets test on disability pension can be a physical barrier to participation as Ruby will be receiving inheritance from her parents. Thus, she may not eligible for a full disability pension and have to save up her money. She said she will leave the centre before 3:30pm to make sure she can travel for free with her Pensioner SmartRider

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