Occupation Assessment Summary

Interventions will often include the use of assistive and adaptive devices such as crutches, wheelchairs, orthotics, and prosthetics. An important component of physical therapist patient management involves teaching the patient appropriate ways to move or perform particular tasks to prevent further injury and to promote health and wellness”.

As I make my way on this journey that is my life, I realize that I have always believed in the fundamental worth of all humanity and my responsibility as a fellow human being to respect this premise and also to support individuals, as much as I am able, to help unearth it should this basic truth become hidden to them. This is a guiding principle for me and I believe that many of the constructs of the field of Therapeutic Recreation (TR) are congruent with this philosophy. Making the decision to obtain a Therapeutic Recreation Specialization (TRS) degree offered a theoretical rationale in which to further explore the concept of leisure, define my professional philosophy and an opportunity to reflect critically on the field which I have

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

Angelo is a 65-year-old male who has left-sided hemiparesis because of a right cerebrovascular accident that occurred 7 years ago. Though he has left upper extremity weakness, it does not affect his right upper extremity, which is his dominant side. Angelo uses a cane to ambulate between locations, yet he needs to use a rail in order to climb up stairs, and he uses an ankle-foot-orthosis to support his left foot. Although Angelo has no visual and/or perceptual deficits, Angelo struggles to flex his shoulder, extend his elbow, and both flex and extend his fingers. Angelo experiences diminished sensation on his left upper extremity, but it depends on the time of day. When Angelo sits down on a chair next to the table, he places his left upper extremity on the top of the table to support it, using his right upper extremity. In addition, Angelo is able to articulate

-- Sit-down fine motor activity: Buttoning and unbuttoning on an ADL kit to improve bilateral hand coordination, fine motor skills, dressing skills, problem solving and sequencing required for buttoning skills.

Data: The data I used to create this NANDA was from my routine assessment of the resident along with EMR. Through both the assessment and EMR I was able to recognize a growing inability to perform ADL’s common with individuals suffering from moderate

For this assignment I had the opportunity to interview Darcy Page and Brittney Stobbie on what exactly leisure means to them. Both Brittney and Darcy are juniors here at the University of Florida pursuing a degree in Recreation Tourism Event Management. When it comes to leisure, Darcy defines leisure as the time she spends doing things that help to relieve her stress. One of her biggest stress relievers is the gym because she loves the way she feels after a hard workout. Brittney describes leisure as free time to do the activities she enjoys. Both girls find leisure an important part of their lives and affiliate it with the feeling of happiness and being healthy. When it comes to leisurely activities Darcy enjoys reading, exercising, doing

During the treatment process Mike had a number of barriers such being ashamed of receiving treatment, because of his past military career. as Mike was encouraged to get out and try to enjoy himself. Mike said that he enjoyed exercising. The Social Worker and Mike scheduled time during the week to exercise, and spending quality time with his family. Mike reported that he still has a fair way to go, but he feels he’s making progress. He still worries but much less and his family have noticed the

Just because an individual enters a care facility, does not mean they lose citizenship, values, compassion or love. Everyone regardless of age, wants to feel loved and needed. There are many benefits and negatives associated with the leisure ability model in regards to patients and the staff. The Leisure ability model allows for flexibility as this type of model focuses on leisure, it can be used on any population group (Yaffe, 1998, p. 105). This makes it a very popular choice for homes, as any home regardless of culture, age and illness can implement it. The way in which, staff deliver the leisure is also up to them giving them flexibility in decision-making, they can also include the residents (Yaffe, 1998, p. 105). There are arguments for the leisure ability model as it allows patients to experience a human right, that being leisure and allows them to overcome constraints they may face in regards to leisure (Yaffe, 1998, p. 105). This means individuals who face barriers and constraints are assisted with the use of leisure and allows there to be a focus on wellness and health (Yaffe, 1998, p. 105). While there are advantages to the leisure ability model, there are also disadvantages to the model. Bullock (1998) argues that although the model has been present for two decades, it does not take into account current literature and research (p. 102). This model is extremely popular, but

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

BK displays cognizant judgement and safety awareness during daily occupations. Her positive outlook and positive affect support her social interaction skills, which do not hinder her performances in social participation. Due to RA and resulting pain, she has decreased grip strength, problems lifting, transporting, and handling objects. This hindrance is a major performance barrier, especially when the object that she needs to lift is positioned such that it requires reaching and lifting at the end of her shoulder ROM. During RA flare ups BK’s performance is limited because of the elevated levels of swelling and perceived pain. BK has the ability ambulate without her prosthetic leg for short distances (up to 10ft), using a walker to navigate the bathroom, and complete transfers needed for modified independent toileting. She has the muscular, sensory, and cognitive capacities to shower independently but is apprehensive in doing so due to the environmental barriers that increase her risk of falls during

For the purposes of this paper, the focus is on the first stage of motor learning, the cognitive stage. The patient has suffered a recent traumatic SCI influencing his ability to perform any task independently. He must now learn how to perform everyday tasks over again. The overall goal of the cognitive stage is to provide the patient with an understanding of the skill/task at hand and provides a trial and error approach for acquisition of the skills of performing that task. The example of bed mobility skills and the ability to roll left and right may be used to explain this concept. The patient should first be made aware of the task and purpose (to improve his independence with bed mobility), a demonstration of the task should be shown, and the patient should be able to verbalize what is expected during this task. Extrinsic feedback should be provided in the form of tactile and/or verbal cues, i.e. reminding the patient to rock his body to gain momentum to roll towards the left or right side from supine. This task should be performed on a blocked practice schedule initially and then progressed to random practice, where there are a variety of tasks performed in a random sequence. For example, have the patient roll to his left side and then back to supine repeatedly followed by having him roll right, then supine, then right, then supine, then left, then supine and mix up the directions of rolling1. Each task practiced with the patient should start with the cognitive stage and then progress to the associative when he is

--Sensory processing activities: Swinging on the hammock swing in linear motion with slow to medium swing for followed by 1 minutes of slow swinging. Wilbarger's brushing protocol (providing deep pressure, tactile input, joint compression and oral swipes and massage using MORE protocol), weight bearing activity, curl-ups, and standing dynamic activity to increase concentration, attention span, body awareness, fine and gross motor skills, UE strength and activity tolerance to facilitate therapeutic activities.

Develop individualized plans of care for patients, outlining the patients’ goals and the expected outcomes of the plans

Activities therapist-who initiate a recreational therapy for the client and covers a series of activities