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Answers:    First would be excellent observation. Next upright listener. Then you need the skill to put yourself in the Clients situation and see time from the clients viewpoint. After that it is improvisation.
I hold Arthritis and the OT was here concluding month, observed me, listened to what be going on, put herself in my situation, saw my perception and then produced what looked approaching a plastic soft tube and then showed me how this tube placed over the switch of a knife will allow me to cut food for drinking or preparing dinner. Simple, but for me a God Send!

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