This occupational therapy case presentation discusses an evaluation of an elderly client who suffered a stroke. The therapist used the Kawa model to understand the client's situation and priorities. Through interviews and assessments, the therapist identified goals for maintaining the client's independence in daily activities. A treatment plan was developed that focused on caregiver education and collaborative goal setting to support the client's well-being and quality of life despite physical limitations. The prognosis was poor due to multiple health complications and environmental constraints outside of the therapist's control.