Bk's Disability Case Study

A.K. receives weekly home-based occupational therapy services due to delays in gross motor skills, fine motor skills, and self-help skills. A.K’s affected areas of occupation are her activities of daily living (ADL) and play. She requires assistance, from her parents, with ADLs, such as bathing, dressing, feeding, and functional mobility. In the area of occupation for dressing, A. K. needs assistance with doffing clothes, shoes, and socks. In order to establish/maintain independence with self-feeding, A.K. utilizes some adaptations. As a result, of A.K. having spastic diplegia, play skills are also affected. A.K. has difficulties with maintaining a stable position and has a decreased ability to move around her environment to attain toys to

As Mrs B has diminished mobility we have to make sure she gets enough exercise and movement so she doesn’t get stiff, so it’s important that she goes for small assisted walks in the ward. Mrs B has a healthy appetite and likes to choose her own meals.

Mrs. Keller, 86 years old was diagnosed with dementia with signs of behavioral problems. She can still walk independently but needs minimum assistance in some basic activities of daily living.

There are many acts that help the employees within the workforce. The acts we will be discussing are as follows: Americans with Disabilities Act, Age Discrimination in Employment act, Occupational Safety and Health Act, Family Medical Leave Act, and Fair Labor Standards Act. We will also be discussing harassment, diversity, and grievances.

Participants: 15 total participants, age range 48-78; all community dwelling; independent with ambulation (no assistive devices needed), and independent with transportation.

This case study is about a patient, T.C., who I treated while a physical therapy assistant at an acute rehabilitation hospital. T.C. had terminal spinal cancer and at the time of admission had a fair prognosis to maintain function and strength enough to be discharged to his daughter’s home with home health care and family support, and he wanted to eventually go back to his own apartment. He was using a wheelchair as he was partially paralyzed from the waist down, and was able to use a transfer board to transfer from his wheelchair to bed and back.

This includes, practice ROM exercise and taking walks to see how their endurance and strength is. I shadowed one of the RA's that performed daily walks with each patient to see how far they are able to get and if they are able to move from a wheelchair to walker. In the afternoon, the RA's did ROM exercises and also instructed a work out class for anyone who would like to participate. An OTA would help patients with daily tasks such as being able to put on pants with the right movements (practice bending up and down) or how to put on a sweater with one weak

After evaluation, Suzy needs assistance to set up and move from wheelchair to bed. She can stand, pivot with assistance, and is cooperative. She is about 5 feet tall and weighs about 100 pounds. Explaining the procedures is important for the resident to understand what will be done and how (Anon., n.d.). After explaining procedures and ensuring Suzy understands, place right arm under shoulders, left arm over legs, gripping Suzy's right knee, bending and bracing knees against the and keeping back as straight as possible to avoid injury, using

On 9/28/17 I spoke with C. Weaver physical therapy. The physical therapist advised that they do not offer occupational therapy just physical therapy. They also are not equipped to do more than one body part at a time. In reviewing the records and the FCE I had supplied them they determined she is not in the best location. They recommend Hope Network. I have contacted Hope Network and confirmed that this would be a more appropriate location for the 5 days a week therapy she needs and what the FCE had suggested. I have contacted Dr. VanderJagt’s office and requested an order for the therapy.

A review of her medical records indicates that she suffers from chronic pain due to history of fracture vertebrae’s and due to her chronic neuropathy diabetes related. She also suffers from HTN-stable, hypothyroid-stable with medication, Dm-which is chronic and manage with Lantus and victoza, and impaired gait. She is nonambulatory and is dependent on her scooter. She was being followed by Dr. Glener for pain management but has difficulty getting to her appointment due to her homebound status.

Jesus Aleman is a 31 year old Hispanic male with Moderate IDD, Intermittent Explosive disorder, birth complications and Infantile Cerebral Palsy with minimal right hemiparesis. He is verbal and able to make his wants and needs known. His preferred language is Spanish, however he also understand and speaks English. Jesus has unequal leg length and abnormal gait. As a child he underwent right ankle surgery for equinus deformity and in 2014 he had a Right proximal tibia & right distal fibula corticotomy. He has history of fracture to right 4th finger. Despite client’s gait, he ambulates independently around the campus. To aid with mobility PT recommended a brace for his right lower extremity and two pair of shoes which he acquired this past year.

Standard procedures for transfers are frequently modified to allow the patient to safely move from one surface or position to another, especially in an assisted living facility. One resident, had recently undergone a right total hip replacement, and was still under standard hip precautions. Additionally, she had a history of repeated fractures to her right wrist, which limited her overall range and strength in that extremity. When assessing her limitations, we decided a dependent transfer would have to be modified to a two-person dependent transfer, allowing us to adhere to present hip precautions, as well as to compensating for the decreased strength in her right upper extremity. Prior to initiating the transfer from wheelchair to mat, the

There are mild limitations with her heel bilaterally (Yamamoto, 2007). She demonstrates spasticity in all lower extremities and her trunk (Yamamoto, 2007). Her movement reflects significant spasticity in her legs (Yamamoto, 2007). Although she can sit independently, she has difficulty sitting on the floor without her legs extended in front of her for support (Yamamoto, 2007). She requires assistance when moving in and out of sitting in a chair, undressing skills such as removing shoes and socks (Yamamoto, 2007). She can push up in prone to hands and is able to crawl for short distances (Yamamoto, 2007). She supports her weight in a supported standing position with knees in a small degree of flexion, hips adducted and feet plantar flexed and pronated (Yamamoto, 2007). She ambulates with a walker for short distances (Yamamoto, 2007). There is incoordination with her upper extremities caused by mild increased muscle tone (Yamamoto,

A physical therapist comes to see you about a 60-year-old female patient recovering from a stroke. She needs information about mobility training, and best practices in using walking aids (such as walkers or canes) versus leg braces (orthotics) to stabilize ankle and leg strength so the patient can learn how to walk again.

Having use of the triceps is a major advantage for these individuals because they have the ability to potentially live independently. The individual should be able to transfer independently by lifting the body up using the arms, and transfers to and from the wheelchair may be accomplished the same way with adequate tricep strength; this is also how they perform pressure relief in the wheelchair. These individuals can be independent in almost all ADLs and self-care including bowel and bladder programs with the use of adaptive equipment. Individuals with this level of injury usually have lack of the ability to produce a forceful cough and clear secretions so an assisted coughing technique may be used to help with respiratory hygiene.9 Driving may be achieved with the use of adaptive hand controls. 5,8 Individuals with this level of injury are usually independent with the use of a manual wheelchair on level surfaces within the home and out in the community, but may require assistance with inclines, curbs, and uneven surfaces and