Max A Case Study: The Patient

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

Review of The Twenty-four Hour Mind: The Role of Sleep and Dreaming in Our Emotional Lives by Rosalind Cartwright 224 pages Oxford University Press, USA; * edition (June 24, 2010)

Patients will report to physical therapists with a multitude of impairments throughout the progression of the disease. The most prominent impairments will present during cerebellar testing. Patients will show signs of dysmetria, dysphasia, dysdiadochokinesia, and ataxia primarily as a result of the atrophy and damage to the cerebellum. Instability and lack of postural control will be demonstrated during the Romberg's test. Additionally, cranial nerve testing will have positive results for many cranial nerve palsies such as CN III, V, VII, IX, and XII. Patients show weakness in their trunk and extremities during the manual muscle testing. Vestibular testing will result in abnormal VOR, saccades, smooth pursuits and nystagmus. As a result of these impairments, patients experience functional limitations. Primarily, these patients are considered to be “high fall risks,” which ultimately decreases their independence due to weakness, instability and decreased postural control. These patients will feel uncomfortable in many situations and be unable to function independently in the community. This creates an increased risk for further injury. Due to the dysmetria and weakness, patients will also experience difficulty with their daily living skills, such as maintaining proper hygiene; They will have trouble bathing themselves and brushing their teeth without assistive equipment. PT interventions can help minimize and control these limitations. The implementation of balance training and assistive devices will be imperative interventions for an individual to modify and adapt to their gait

Per the work conditioning progress report dated 06/19/12, the patient has attended 19 work conditioning sessions and IW has made great progress.

3. Instruct the patient to reposition herself frequently and supply extra pillows for bony prominences like heels and elbows

However, client demonstrate deficit in narrow BOS balance and tandem standing balance with closed eyes and slight resistance. In addition, client was concerned about her balance during one leg rising with opposite hand raising gym exercise. Client will attend occupational therapy services 3x per week and will be able to stand on balance board for 1 minute with wider BOS while holding side bar to improve her balance. For long term goal, client will attend occupational therapy services 3x per week and will be able to stand independently on balance board for 1 minute with narrow BOS to improve her endurance, strength and balance while standing. Client will get education from an occupational therapist for increasing her BOS while standing, and to hold side rail while walking/exercising to avoid future fall accident. It is also recommended that client will attend outpatient physical therapy service to address her balance

Per the PT note dated 12/27/16, patient states doing home exercise program (HEP) 3 times daily, though she still has difficulty with range of motion (ROM) of the left upper extremity. Patient has attended 4/12 sessions.

help the patient achieve their optimal health. For the first NANDA, the patient can be at

Writer obtained the information for this clinical presentation from the interviews with the individual, records from the chart and from asking my supervisor about the person’s history and current goals.

A.K. receives weekly home-based occupational therapy because of her delays in gross motor, fine motor, and self-help skills. Activities of daily living (ADL) and play are the areas of occupations that affected. Independency in ADLs is not a factor for A.K. given that she is only 2 years of age. She relies heavenly on her parents for most. ADLs that are affect include bathing, dressing, feeding, and functional mobility. A. K. needs assistance with dressing skills such as undressing and removing shoes and socks. To independently feed herself, A.K. uses adaptations. As a result, of A.K. having spastic diplegia her play skills are affected. The play skills that are affect include, moving around her environment to attain toys to play with. She also

Chronic health conditions, higher mortality rates, and mismanagement of preventative care are attributed to the frequent usage patient. This high usage patient group was identified as having multiple visits over a predefined time frame. Identifying the frequent usage patient however, proved difficult because each facility in the study group possessed its own definition. The panel did however agree on two traits of the frequent patient. They are most likely a member of a lower socioeconomic group and accessed emergency services for preventative or interventional care. Because the high usage patient has limited access to preventative care their mortality rates are higher, versus the control group, over a year. The study concluded that even though

Pt participated in a 60-minutes treatment session for developmental milestone in the OT gym. Pt jumped on the trampoline, performed valance, exercises(squat, X-jumps, Knee cross, and donkey kicks), obstacle course (6 steps, picked up a card for speech therapist, swing, and dock walk)to increase sensory input( proprioception, vestibular, tactile, and visual), fine and gross motor skills, self-regulation, body awareness, balance, bilateral coordination, and behavioral issues. First, pt jumped on the trampoline for 10 rounds. Second, pt performed valance while placed in a wilbager position with arms extended to pick-up simulated fruits as instructed by the therapist. Third, pt performed exercises (squats, x-jumps, knee cross, donkey kicks for

One of life’s unfortunate truths is that many of us tend to judge others, as well as ourselves, based on personal lots, or the hand that has been dealt in our lives. A good job with a big paycheck each week is often times the main focus for some, and the amount of flashy material possessions you lay claim to are all too often used to measure your life’s success. The opposing actuality, however, is this: The real measure of success has nothing to do with financial gain or material wealth. To be truly successful in life, a person must only pursue contentedness, happiness, and satisfaction with life itself. It was this unique quality – genuine joy – that initially drew me to the individual that I chose to interview. His name is Max Fedde, he has a genetic disorder known as Down syndrome, and he loves life!

Caring for patient with developmental disabilities (DD) could be challenging because of the difficulty to have the accurate information that could be presenting during a physical assessment. With issue, that can cause under treatment for these patients because many of health professionals have little exposure to individuals with developmental disabilities and, as a result, are sometimes uncomfortable treating

The client did not exhibit any apparent visual, auditory or motor problems. He denied use of glasses or hearing aids, and did not appear to have difficulty visually or audibly perceiving any instructions or test stimuli. He did not exhibit any difficulties with fine or gross motor skills, and was able to physically participate in all tasks.