OT in the Home: Interventions for Low Vision

Presented by Krista Covell-Pierson

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Video Runtime: 59 Minutes; Learning Assessment Time: 46 Minutes

Low vision is a growing public health concern that significantly impacts safety, independence, and quality of life—particularly in the home. Occupational therapy practitioners are uniquely positioned to provide functional, client-centered interventions that address visual impairments in real-life environments. This course explores the role of OT in assessing and treating low vision in the home setting, with a focus on practical strategies such as lighting optimization, contrast enhancement, magnification tools, and environmental adaptations. Participants will learn how to administer standardized and therapist-friendly assessments, develop compensatory strategies, and create tailored patient education materials. Grounded in occupational therapy models and clinical guidelines, this course equips practitioners with the tools to improve participation and reduce fall risk for individuals with low vision. It is appropriate for OT professionals working in home health, community-based settings, or outpatient care.

Learning Objectives
  • Identify common home safety concerns and daily living challenges experienced by clients with low vision
  • Recognize three low vision assessment tools that can be used to guide occupational therapy evaluation and intervention planning in the home
  • List compensatory strategies—including lighting, contrast, magnification, and environmental adaptations—used to enhance occupational performance for individuals with visual impairments
  • Select client-centered goals that address participation in meaningful occupations such as medication management, meal preparation, or reading in the context of low vision

Meet your instructor

A smiling woman with long blonde hair and a necklace stands against a pink background, representing medbridge's compassionate approach to healthcare education.

Krista Covell-Pierson

Krista Covell-Pierson is the owner and founder of Covell Care and Rehabilitation, an innovative mobile outpatient practice designed to help adults and older adults live safer, more independent, and engaged lives at home and in their communities. She developed this one-of-a-kind model from the ground up, integrating…

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Chapters & learning objectives

Why Occupational Therapy at Home for Low Vision?

1. Why Occupational Therapy at Home for Low Vision?

This chapter introduces the scope and impact of low vision, including its most common causes and functional consequences. It highlights why OT intervention in the home is essential for maximizing safety and independence, using models such as PEO and MOHO to frame clinical reasoning. The benefits of in-home assessment for tailoring environmental modifications and fostering sustained behavior change are emphasized.

Where Do We Start?

2. Where Do We Start?

Learners will explore how low vision affects common daily activities, from reading and medication management to mobility and emotional well-being. This chapter reviews key visual diagnoses—such as cataracts, glaucoma, macular degeneration, and diabetic retinopathy—and connects these conditions to specific functional challenges in the home. Guidance is provided on building a toolkit for assessment and intervention.

Assessments to Use in the Home for Low Vision

3. Assessments to Use in the Home for Low Vision

This chapter covers three low vision assessments suitable for home-based OT practice, including the National Eye Institute Visual Function Questionnaire, the Revised Self-Report Assessment of Functional Visual Performance, and the Amsler grid. Clinicians will learn how to interpret results, develop client-centered goals, and use assessment data to guide treatment planning.

Treatment Interventions

4. Treatment Interventions

In this chapter, learners will discover targeted intervention strategies for common low vision diagnoses, with a strong emphasis on compensatory techniques and assistive technology. Topics include eccentric viewing training, environmental modifications, and home safety adaptations. Real-world examples illustrate how to scale interventions to client needs using both low- and high-tech solutions.

Where Do We Go From Here?

5. Where Do We Go From Here?

The final chapter outlines how to support patients beyond discharge through education, referrals, and ongoing access to low vision resources. Learners will explore how to create a roadmap for patients, communicate modifications to care teams, and maintain professional development in the field of low vision. The importance of long-term follow-up and advocacy is reinforced.