Subjective: Client reported that the 3-in-1 commode makes performing toileting easier.
Objective:
Open Sentence: Client participated in 60 minute OT session focusing on increasing dynamic sitting balance in the rehab gym. Client also worked on increasing independence with sit to stand transfers while utilizing a 3-in-1 commode in the rehab bathroom.
Deficits: Client presented with decreased dynamic sitting and standing balance and decreased muscle endurance.
Chron/Cate:
Self Care: Client participated in five sit to stand transfers on the 3-in-1 commode with moderate assistance in the rehab bathroom within 30 minutes. Client did this to increase independence with sit to stand transfers for toileting.
Therapeutic Activity: Client performed four
She became unsteady on her feet, which made her use the wheelchair from time to time. I always tried to give her motivation and encouragement to drink and eat as well as other staff members.
Topical preparations such as cream and ointments can speed up healing process and prevent further tissue damage.There is also a vast range of equipment that is designed specifically to assist with moving and handling.- Chairs - Wheelchairs - Beds - Shower/Commode Chairs - Sliding Boards - Sliding Sheets - Low Friction Rollers - One Way Slides - Turntables - Hoists and Slings
Anyone with limited mobility should be assisted to change positions by the care providers on a regular schedule to help
Accessible multidisciplinary services including assessment (urodynamics investigation where appropriate), diagnosis and management for people with urinary incontinence and other bladder dysfunctions.
Urinary incontinence is very common following a stroke with 40-60% of hospitalised patients experiencing it in the acute phase, 25% on discharge and one third of survivors experiencing ongoing problems at one year (Barrett 2002, Kolominsky-Rabas et al.2003).Bladder and bowel problems are common following a stroke and can have a huge impact on physical and psychological aspects of quality of life, for both patients and carers. Health care professionals can do much to help improve and manage incontinence problems in stroke patients and this starts with a good understanding of key issues. Mobility and manual dexterity problems can compound bladder and bowel symptoms because they can make toileting access difficult, other problems such as visual disturbances, dysphagia and cognition also contribute indirectly to continence difficulties. There is evidence that professional input through structured assessment and management of care, together with the involvement of specialist continence nursing services, may reduce urinary incontinence and related symptoms after stroke. Bladder and bowel care requires active management –this includes a written personalised plan, taking into consideration required assistance, personal needs and goals. This essay is an overview on the importance of timely nursing assessment and management of urinary incontinence
You are planning an outing with a group of individuals. Some of the individuals need assistance with using the toilet, eating and drinking, and with their medication.
Once a resident has improved with their mobility its down to the care staff to help encourage them to continue using this daily life skill by encouraging them to be as independent as possible with things they are known they are able to do reporting any
The learner will be providing care to an 86-year-old Hispanic female admitted to the MedicalSurgical Unit with a non-healing wound on her right upper leg where a femoral-popliteal bypass graft was performed two weeks ago. She is diabetic and injured her left ankle by tripping on a curb on the way to the hospital. She is anxious about not being able to care for herself when she returns home. She lives alone but has a daughter close by, and has no insurance. This Simulated Clinical Experience™ (SCE™) has five states, that are transitioined manually. With manual transitions, the instructor should advance to the applicable state when
The Pa is requesting a grab bars to maximize safety while completing personal care I/O the tube and during transfers. The SC is recommending grab bars installation due to Pa’s declining health; sever unsteady gait, generalized weakness, and lack of other resource and/or informal support. The Pa was hospitalize recently and stayed 30 days in a skilled facility for rehab. The Pa had both PT and OT and home had since been d/c and is going to outpatient therapy.
The patient and their families must be aware of the infection, the source of infection, signs and symptoms, treatments, and measures to apply at home to decrease their risk of receiving an infection. Because geriatric patients are incontinent they may need a catheter in place to help remove their urine. Nurses must perform aseptic technique, wearing proper gloves when inserting or removing device. Another way to help reduce the risk of elderly urinary tract infections would be to avoid or remove catheter soon as possible. Once patients are cleared for discharge they must be aware of the steps to take to insure proper bladder
Because I am at a title 1 school, I would have to create a targeted intervention for English Language Learners (ELL). In the ELL intervention group I would use sentence frames to help with scaffolding. Sentence frames are a simple yet powerful way for students to speak to each other in a respectful way and also a way that allows for understanding. Many of my ELL students are shy and don’t want to speak, using sentences frames can help facilitate that.
Although, his physical environment at home is not supportive. There are five stairs that he must use to go into his home and a large flight of stairs needed to climb to get to the second floor. The second floor is where his bedroom and full bathroom are located. Thus, the areas he needs to access are spread apart, between the floors. His home also does not have rails or bars that he can hang onto when getting up from bed, or getting off the toilet. This is a safety hazard, that can result in another hospitalization.
This reflection case study will be discussing urinary continence management using Gibbs reflective framework (Gibbs,1988). This will include what is urinary incontinence management, the pathophysiology of urinary incontinence after stroke, how continence affect patient and current clinical practice and the role of the nurse and multi-disciplinary team within continence management. Also using the evidence based research and national guidelines.
Mr. Trosack is a 72 year old man who fell down a long flight of stairs a month ago, underwent a total hip replacement and is in need of a discharge plan. He completed two weeks of rehabilitation in the hospital for his hip as well as diabetic teaching for his new onset of Diabetes. It was also discovered during this hospitalization that he needed to start taking medication for hypertension. Both he and his family are in denial about what it will take to get him home and deliver the care that is needed.
When I started my placement , Mrs . X who was suffering from Parkinsonism and dementia was on Indwelling urinary catheter for the management of urinary incontinence. Adhering to the results from the literature review I planned for initiating several steps to control incontinence in Mrs. X. My mentor was always with me with full support and guidelines. Fluid management was the first step started. An input output chart was kept and well maintained. Then steps wre also taken to manage constipation. Exercises were the last method practiced and the final result was really appreciable as she got a great reduction in the incontinence rate.