Guidelines For Patient Mobilization, Assistive Devices, And Potential Obstacles

We decided to use this method to convey the information, because the nurses on this floor are very busy taking care of sick patients. We felt it would be more convenient for them to look at the information, while they had a minute or two to themselves. To evaluate whether the teaching was effective, we created an evaluation sheet for the nurses to fill out. Some of the questions ask were: if the information was relevant to them in practice, how well the poster displayed the teaching data, how well the poster explained the need for injection rotation and to rate the overall teaching. Most of the nurses answered that they felt like the information was useful to them. However, there were a few that said the information was not that useful to them on that particular floor. The nurses, who did not feel the information was useful to them, thought the information would have been more useful to nurses on a regular floor such as the Medical

When creating training modules for direct care staff members, using visual aids can provide information and explanations in an efficient, timely manner. Videos and visual aids are also easier for individuals to recall. 13

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

The interventions that I observed was the use of contrast bath for the Chronic Regional pain, E-stim, Ultrasound, hot packs for the pain management as well as to decrease the stiffness and swelling. The activity that I observed were ROM arc to increase movement in the bilateral upper extremities, sand box to increase core strength, Theraputty, peg boards, cognition pattern puzzles, visual perception puzzles, arm bike (rollator), bolts and screw for fine motor coordination, mini mental test to intact orientation as well as memory. I observed how therapist were teaching the patients to increase independence while transferring from bed to wheelchair to commode. I observed the use of adaptive devices to make the patient as functional as possible with their daily activities such as long handled shower brush, Reacher, sock aid, leg lifter, adaptive heavy weighted utensils and many

2. Demonstrate 3 different postural and walking exercise to help the patient with his walking and learning.

During my time at Memorial Regional Hospital and supporting the physical and occupational therapist there, I assisted a patient with peripheral neuropathy. By supporting him in and out of the vehicle movement in the gym, he was able to gain hand controls. Another example was when three colorful objects were placed on the floor with numbers and the patient had to use

Proper movement and alignment of the body is essential for maintaining health and well-being. This is especially important during a hospital stay or while in a long term care facility. However, being in these facilities often contributes to decreased mobility as a result of clients being in bed the majority of their stay. To help prevent loss of mobility, facilities and providers utilize teaching videos, physical therapy, and proper transfer techniques as evidenced by case studies and observation of movement at the clinical site.

The human factor, or ergonomics, viewpoint was also supported throughout various BCMA research studies. Studies that focused on nurses’ perception of the technology or their use of the technology were able to identify barriers to BCMA technology and consequentially they were able to improve upon the rates of compliance to BCMA which decreased the rates of ADEs (Carayon et al., 2007; Harrington et al., 2013; Koppel et al., 2008; Ludwig-Beymer

The quasi-experimental research design was used in this study by Hevener et al. (2016), to explore the cause and effect relationship of the DST on the reduction in the number of restraints used in the ICU. The scope of this study included the participation of all 32 clinical staff members assigned to an eight-bed ICU at a major trauma center in California (Hevener et al., 2016). The study participants completed a checklist each shift documenting the use of the DST, the outcomes related to restraint use, and any adverse effects noted related to medical devices (Hevener et al., 2016). Once the control data was collected, the study participants received online as well as individualized education related to the use of a DST, the indications for restraint use and alternatives to use prior to the use of the restraints (Hevener et al., 2016).

During the 4-hour wheelchair activity, I assumed the role of a paraplegic. Since the activity was simulated in a school environment, I also assumed the role of a student. The activity is focused on the perspective of a paraplegic student attending college. Navigating around the school, finding w/c access points around the school vicinity, and going about daily school routines were the primary challenges that were undertaken. Few minutes into the activity, I was trying to figure out what is the most efficient way to propel the w/c. I noticed that most of the power for w/c propulsion comes from the shoulder. Proper trunk positioning and good UE ROM are essential for w/c ambulation.

This will allow a patient to work on their transfer and balance ability. This will improve skills such as increased strength through weight bearing on arms, bed mobility, decrease the spasticity in his lower extremities, and practice part practices task. It will be important for the nurses to learn the head-hip relationship. By teaching the nurses to facilitate this type of movement it will increase the patient’s comfort and skill while transferring. The head-hip relationship is that when the head moves in one direction, the hips will move in the opposite.

First, we showed her images of the exercises. As we were showing the pictures of the exercises we were telling her step by step on how to perform it at the same. For example, “this is the picture of ankle pumping exercises. First, you have to bend your ankle then move it up and down. Patient was able to perform that. However, on the second exercise, the straight leg exercise when we were showing her the picture and telling her what to do step by step. She could not get it. What we did was we demonstrated to her the skill and she repeated it afterwards. This as a result tells us that patient learn better by explaining the skill how to do it and also showing her exactly what to do. Showing her the images did help but not so much. Showing her video would probably the best option rather than the images. Different senses were used such as sight by showing her images and modelling the skills for her and hearing by explaining to her what to do. To enhanced her learning, we used multiple strategies for teaching. Based on our assessment, the client learn was more like a visual

Familiarization drill – Students will take a few minutes to practice placing the tourniquet on their legs and also

As an OT, we will have to assess needs, modify, suggest, train and even write medical justification letter for appropriate adaptive equipment. We should have good amount of knowledge on AE to fulfill our patient’s needs. It is very critical to select right adaptive equipment for comfort, safety and proper alignment of the body. As a COTA, I have never written or even learn writing a justification letter. However, this semester, I had an opportunity to make splints, write justification letter and even conduct physical assessments for the needs of AE. It has helped me tremendously to attain my goal of becoming a good OT.

The highest motor skill of patient is prone on single elbow support and long sitting.