I shadowed the occupational therapist (OT) on one of his session to assess a patient in my placement ward. A 91 years old male who came into hospital presenting vomiting and unsteadiness on feet. The patient mobilised with a Zimmer frame with minimal supervision. Before the patient’s assessment began, the OT introduced himself and maintained privacy and dignity all through and gained his consent. The OT began his assessment by asking the patient a couple of questions(background assessment- basically to gain understanding of patients baseline, environment and how patient have been managing before admission). Patient reported that he was responsible for his day to day care as he cooked for himself, did his own laundry, shopping and manages his own. He reported that he only had a cleaner coming in once a week to help. Patient reported to be feeling a little bit wobbly walking. The OT assessed patient functionally by telling him to mobilise to the toilet(toilet transfer) and also getting in and out of bed(bed transfer) so he can observe him. This was aimed to determine how much help patient will require when discharged back home and in other to ensure safe discharge. The OT explained to the patient that this assessment is necessary to determine the need for a package of care. Patient was asked if he would like carers helping him with his shopping, laundry and some basic needs and he responded affirmatively, he reported that he does not know how he was going to manage when he returns home, hence will probably need help till he gets better on his feet. The OT explained to him that he can have up to a maximum of four visits a day but patient said he will only require three visits daily. OT also recommended red cross referral for shopping when patient reported that he was worried about how he is going to do his shopping, patient consented for OT to send a red cross referral. OT advised that patient will be issued a frame to assist him with his mobility and also community therapy referral will be sent aiming at progressing him back to his mobility baseline. Patient reported happy with OT for his help. OT gained patient’s consent to send referral for POC, patient consented for POC. OT advised that patient will be discharged as soon as POC is confirmed