Distal Radius Fracture (DRF) is a common injury resulting from a fall that can occur at all ages. Surgical treatment to restore improved alignment after the wrist fracture and cast immobilization can result in decreased range of motion and strength, making it difficult to perform daily activities. Not all patients are referred to an outpatient hand therapy clinic to obtain the necessary home exercises and standard treatments, as some patients may reside in long-term care facilities. These patients may receive limited, if any, guidance about precautions or protocols, including occupation-based activities or exercises that are evidence-based and related to distal radius fractures. Occupational therapy emphasizes functional and purposeful interventions so patients can engage in daily tasks. In long-term care settings, there is an opportunity for occupational therapists to incorporate the protocols of DRF with evidence-based exercises and adaptive strategies to enhance patients’ participation in daily occupations. The interventions include occupation-based interventions and exercises to prevent poor occupational performance outcomes and to facilitate more participation in daily occupations. This capstone project will provide educational materials and appropriate exercises with a holistic approach for occupational therapists in the long-term care setting.