Patient Premature Case Studies

Based on the outcome assessments the speech therapist may find alternatives to increase treatment outcomes.

A clinical situation that has taken place that has enabled me to incorporate the “Occupational Therapy Practice Framework Domain and Process (3rd Ed.)” (AOTA, 2014) into my approach was when an individual that has had a car accident during an ice storm. We will refer to this individual as Jane. She was a 55 year old housewife that was the primary caretaker of her husband who had suffered a stroke a few years ago. Jane took care of all the home management as well as transportation and health care needs for her husband. Jane was very active in her community as well as her family that lived several hours away.

According to the physical therapy notes on 1/18/16, the patient has attended 30 visits of therapy.

The multidisciplinary team (MDT) meeting that the author attended was regarding Laura 's case, a 62 year old lady that lives alone and had a fall followed by knee surgery at her right leg which now needed rehabilitation. Laura also has Hypertension, arthritis and recently diagnosed with Parkinson which are managed with medication. In the MDT attended Laura and her daughter, the physiotherapist, occupational therapist, the nurse and the author as a

Furthermore, a multidisciplinary team meeting will be presented to identify the impact of different health care professionals such as a physiotherapist, an occupational therapist and a nurse have on a patient with complex need and how the patient receives the care needed due to the collaborative practice. In addition, a comparison between physiotherapy, occupational therapy and nursing practice will be outlined

Occupational Therapy was greater utilized in light of PPS to expedite the recuperation process for patients.

Outpatient treatments include aquatic therapy, general orthopedics, occupational therapy, pain therapy, physical therapy, sleep disorders therapy, and speech therapy. On the other hand, rehabilitation hospitals treat major problems including parkinson's disease, stroke, brain injuries, spinal injuries, balance problems, and much more.

Children afflicted with illnesses or diseases that require treatment including multiple sclerosis, sports injuries, birth defects such as spina bifida, head injuries and developmental delays. Infants and toddlers can also be afflicted with swallowing or speech delays, which a speech therapist specialized in pediatrics, would be available for treatment. On the other end of the spectrum, patients in the latter years of their life can begin to have issues with their balance and muscle strength. Elderly patients with Parkinson’s disease benefit from all discipline programs such as the Big and Loud program which teaches them how to regain control over their movements improve muscle control and increase their balance.

“The occupational therapy provided by Niagara Therapy LLC from 7/29 to 09/15/15 was not supported by records as medically necessary/standard of care. The medical necessity of ongoing therapy depends upon making measureable progress in functional goals. The documentation does not support that this patient meets this criteria. The patient received 12 visits through 7/27/15 and improvement in function was not documented. Also, there is a lack of literature support for long term OT for this patient’s condition. The patient could have continued a home program after 7/27/15. Occupational therapy after 9/15/15 would not be supported as medically necessary due to the lack of documented progress and lack of support for the efficacy of long term therapy over practicing skills with a home program.”

Keeping a patient motivated, active, and engaged in the process is always important “it’s our foundation of Occupational Therapy Practice”. I would be extremely pleased to see my patients happy, smiling and slowly improving over time. I want to be there for them and help them as much as I know I can. I want to be a person who changes a life. My goal is to see my patients being able to regain abilities once again, for them not to give up and for them to show me that in the end it was worth it and I made someone regain

Mr. P is an 88-year-old man who was admitted to hospital after falling outside his home on an uneven sidewalk. He underwent a successful hip replacement surgery and has begun his rehabilitation on an acute care surgical unit. Mr. P’s 61-year-old son and daughter-in-law visit him frequently while he has been hospitalized, but they are unable to care for him after his discharge from the hospital. The physical therapist feels that Mr. P cannot adequately care for himself at home. (Fero, Herrick, & Hu, 2011, p. 113)

The patient will take prescribed medications and remain an active member of their community for as long as possible with the aid of medication and physical therapy.

This patient most likely has a extradural (epidural) hematoma and the temporal fossa is the most common site of this type of hematoma caused by “injury to the middle meningeal artery or vein”(McCance & Huether, 2014, p. 584). “Expanding high-volume epidural hematomas can produce a midline shift and cause herniation of the brain. Compressed cerebral tissue can impinge on the third cranial nerve resulting in pupillary dilation and contralateral hemiparesis or extensor motor response”(Price, 2014, p. 3). Extradural hematomas are medical emergencies and surgical intervention is needed to remove the clot and reduce the pressure on the brain. Whether treated or untreated, this type of hematoma has an elevated risk of brain damage. However, left untreated, patients with extradural hematomas have a high risk of

A second reason for a client to need occupational therapy is due to an illness. Severe illnesses like cancer leaves the client with little energy for leisure, social, or work-related tasks after just doing some daily activities. Occupational therapy practitioners are experts with the knowledge of how to modify activities and environments to allow individuals to do the activities they want and need to do to maintain quality of life. The role of occupational therapy is, “to facilitate and enable an individual patient to achieve maximum functional performance, both physically and psychologically, in everyday living skills regardless of his or her life expectancy” (Newman, “The Role of Occupational Therapy in Oncology.”)

After reading this scenario about this patient, there are a few things that I wonder about and things that could have potentially contributed to this patient’s death. First, I do not understand why they did not place an Ewald tube down this patient and perform some sort of gastric lavage with activated charcoal (Gastric, 2017). They did all the work to stabilize the patient, but did not remove the remainder of the product, causing the acidosis. Basically, I feel that the patient came in with metabolic acidosis because of the aspirin, was stabilized, but then developed metabolic acidosis again. Which could have lead to a whole new list of complications to develop.