What is Occupational Therapy?

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "What is Occupational Therapy?"

Transcription

1 Introduction to Occupational Therapy Services What is Occupational Therapy? Alice Chan, OTI Tai Po Hospital a health profession that focuses on promoting health and well being through engagement in meaningful and purposeful activities, i.e. occupations. Occupational therapy involves helping people perform daily activities that are essential and significant to their health and well being through the involvement in valued occupations. World Federation of Occupational Therapists, 2004 include but are not limited to activities of self-care, the act of enjoying life and the ways that individuals contribute to the social and economic aspects of their community. Crepeau et al., 2009 Aims & Objectives Maximize patients potential in independence in self care, work and leisure Enhance community integration through education to patients and caregivers on ADL performance skills and techniques, self management of own disease process, life style re-design Facilitating patients and caregivers adaptation to their disabilities, both changes in physical and psychological aspects 1

2 Domain of Occupational Therapy Practice The Multidisciplinary Team Patient and Caregiver Adopted from: Center on Human Development and Disability, Clinical Training Unit, University of Washington Common Evaluation Tools Barthel Index (BI) Functional Independence Measure (FIM) Mini Mental State Examination (MMSE) Functional Need Assessment (FNA) Barthel Index BI First published in 1965 by Mahoney F & Barthel D Purpose Measure performance in basic Activities of Daily Living (ADL) Establish degree of independence from any help Monitor improvement in ADL over time Populations tested Stroke, neurological disorders, geriatrics, brain injury Assess 10 ADL /functional mobility activities feeding, bathing, grooming, dressing, bowels, bladder, toilet use, bed/chair transfers, mobility on level surfaces and stairs Scoring original score modified by Granger et al in 1979 (0-100) and further refined by Collin et al, 1988 (0-20) and Shah et al in 1989 Basically, the higher the score the more independent the person; 0 (totally dependent) to 100 (completely independent) Interpretation (Sinoff and Ore, 1997) , independent 60-79, needs minimal help with ADL 40-59, partially dependent 20-39, very dependent <20, totally dependent Barthel Index Form 2

3 Functional Independence Measure FIM Introduced in 1986 as BI was considered too simple and unresponsive Purpose Measure functional independence in personal activities of daily living (13 items) and measures of communication and social cognition (5 items) Useful for assessment of progress, usually assessed during admission and pre-discharge Populations tested Stroke, spinal cord injury, brain injury, multiple sclerosis, orthopedic conditions, geriatrics Comprises 18 items 13 motor tasks : eating, grooming, bathing, upper body dressing, lower body dressing, toileting, bladder management, bowel management, bed to chair transfer, toilet transfer, shower transfer, locomotion, stairs and 5 cognitive tasks : cognitive comprehension, expression, social interaction, problem solving, memory Scoring 7-point ordinal scale for each task that ranges from complete dependence (1) to complete independence (7) Interpretation Scores range from 18 (lowest) to 126 (highest) Admission FIM >70 associated with achieving non-dependence by discharge whereas admission score < 50 remained dependent (Ween et al, 2000) Functional Independence Measure Form Mini-Mental Mental State Examination MMSE Introduced by Folstein et al in 1975 Purpose Used to screen for cognitive impairment Commonly used to screen for dementia Also used to estimate the severity of cognitive changes in an individual over time Populations tested Used to assess cognitive impairment in various populations Consists of 11 simple questions or tasks grouped into 7 cognitive domains Orientation to time, orientation to place, registration of 3 words, attention and calculation, recall of 3 words, language use, and visual construction (comprehension and basic motor skills) Scoring Direct observation of completion of test items/ tasks Interpretation A score of < 24 (maxi 30) is generally accepted cutoff indicating the presence of cognitive impairment (Dick et al, 1984) Consideration of age and education 27-30: normal 21-26: mild cognitive impairment 11-20: moderated cognitive impairment 0-10: severe 3

4 MMSE Form Functional Need Assessment CFNA Published in 1990 by S.B. Dombrowski, M. Kane, N.B. Tuttle and W. Kincaid Purpose Measure patient s ability to initiate and perform basic Activities of Daily Living (ADL) Populations tested people with chronic mental illness 26-item performance-based measure instrument covers multiple areas of adaptive functioning (subscales) such as personal hygiene or kitchen skills Each subscale further comprises of five items in a developmental sequence E.g. the personal hygiene subscale consists of 5 items which are arranged in the order from the most primitive task (identify or demonstrate use of implements for personal hygiene) to the most complex task (independent in personal hygiene) Scoring A person will receive a score of 5 for each of the items he or she successfully performs, or a score of 0 for failing to perform any item under a subscale Maxi score 5x5x26 The total score is then converted into an average score by dividing it by 26 Basically, the higher the score the better the functioning Interpretation (Law, 1999) The recommended cut-off scores for the independent living, halfway house, and long stay care home groups were 605/ , 550/ /610, and 450/ /555 respectively Functional Need Assessment Form ADL Training Occupational Therapy Interventions 4

5 Household Management Functional Assessment & Training in Simulated Environment Work Rehabilitation Remedial Activities Splinting and Positioning Pressure Therapy 5

6 Seating and Positioning Computer Access and Cognitive Rehabilitation Seating picture adopted from: Otto Bock Environmental Control System Patient and Caregiver s s Education Home (School, Workplace) Assessment Outdoor Training 6

7 Community Living Skills Training Assistive Equipment Prescription Enhance patients ADL independence Facilitate community living Alleviate caregivers stress and physical efforts Promote quality of life Rippled mattress Wheelchair Wheelchair parts Seat cushion Back support Commode/shower chair Hoist Hospital bed Ripple Mattress Minimize pressure/contact between body and lying surface Reduce the occurrence of pressure sores especially at bony prominences Stage 1 4 Stages of Pressure Sores Stage 2 Types Ripple Mattress Stage 3 Stage 4 Cell A+B Low air loss Requires constant power supply and regular cleaning /change of air filter 7

8 Wheelchair Manual Wheelchair Manual Powered dependent self basic special Picture Adopted from: Invacare & Quickie Power Wheelchair Special control / input Battery charging Special Power Wheelchair Recline /Tilt-in-space for pressure management RWD Scooter 3 wheel or 4 wheel MWD FWD Standing Picture Adopted from: Invacare Picture Adopted from: Invacare & Lifestand Accessories Seat Cushions and Back Supports Hand positioner and arm tray Head support Table-top Picture Adopted from: Otto Bock 8

9 Common Deformities and Body Postures Improper Sitting Posture Poor circulation Skin breakdown Pressure sores Proper Sitting Posture Choosing Appropriate Seat Cushion Evenly distribute pressure in sitting position Stable base to maintain sitting position for functional performance Picture Adopted from: Invacare, Roho & Sunrise Medical Pressure Relieving Cushions ³ (Foam-gel) (Foam Contoured) (Air) Picture Adopted from: Invacare & Roho ý ±º (Rigidizer) 9

10 Back Support Built-in or add-on Different depth and contour Commode/Shower Chair Stationary Self-propelling laterals Dependent type Picture Adopted from: Invacare & Otto Bock Transfer bench Picture Adopted from: Invacare & Tilt-in-space Hoist Hospital Bed Facilitate nursing care and change of lying position Types Ceilingmounted Picture Adopted from: Invacare & Viking Mobile Function height adjustable Picture Adopted from: Invacare manual reclining position power Knee adjustment 10

11 References 1. Collin, C., Wade, D.T., et al (1988). The Barthel ADL Index: a reliability study. Int Disabil Stud 10(2): Dick, J., Guiloff, R., et al (1984). Mini-mental state examination in neurological patients. Journal of Neurology, Neurosurgery & Psychiatry, 47(5): Folstein, M.F., Folstein, S.E., et al (1975). Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12: Granger, C.V., Dewis, L.S., et al (1979). Stroke rehabilitation: analysis of repeated Barthel index measures. Arch Phys Med Rehabil 60 (1): Law, K.M. (1990). Validation of functional needs assessment (Chinese version) for people with chronic schizophrenia. M Phil Dissertation. Hong Kong Polytechnic University. 6. Mahoney, F. & Barthel, D. (1965). Functional evaluation: the Barthel Index. Md Med j 14: Shah, S., Vanclay, F. and Cooper, B. (1989). Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol 42 (8): Sinoff, G. and Ore, L. (1997). The Barthel Activities of Daily Living Index: selfreproting versus actual performance in the old-old (>75 years). J Am Geriatr Soc. 45: Tombaugh, T.N. and Mclntyre, N.J. (1992). The mini-mental state examination: a comprehensive review. J Am Geriatr Soc 40: Ween, J. et al (2000). Neurorehabil & Neural Repair. 14:

What is Occupational Therapy? Introduction to Occupational Therapy. World Federation of Occupational Therapists 2012

What is Occupational Therapy? Introduction to Occupational Therapy. World Federation of Occupational Therapists 2012 World Federation of Occupational Therapists 2012 Introduction to Occupational Therapy Suki HUI Occupational Therapist I Statement on Occupational Therapy Occupational therapy is a client-centred health

More information

To Whom It May Concern:

To Whom It May Concern: To Whom It May Concern: J is a 44 year old male with a diagnosis of Type 2 Spinal Muscular Atrophy. He is 5 5.5 in height and weighs 130 lbs. He lives in a wheelchair accessible home. J is physically unable

More information

Day Hospital Rehabilitation for the Elderly: A Retrospective Study

Day Hospital Rehabilitation for the Elderly: A Retrospective Study 468 Day Hospital Elderly Rehabilitation S F Wong et al Day Hospital Rehabilitation for the Elderly: A Retrospective Study S F Wong,*MBBS, MRCP, K B Yap,**FAMS, M Med (Int Med), MRCP, K M Chan,***FAMS,

More information

Slide 1. Slide 2 Disclosure. Slide 3 Objectives. Functional Mobility and Activities of Daily Living: Assessing and Treating Patients in Rehabilitation

Slide 1. Slide 2 Disclosure. Slide 3 Objectives. Functional Mobility and Activities of Daily Living: Assessing and Treating Patients in Rehabilitation Slide 1 Functional Mobility and Activities of Daily Living: Assessing and Treating Patients in Rehabilitation Terry Carolan, MSPT, NCS Slide 2 Disclosure Terry Carolan has no industry disclosures to make

More information

The UK FAM items Self-serviceTraining Course

The UK FAM items Self-serviceTraining Course The UK FAM items Self-serviceTraining Course Course originator: Prof Lynne Turner-Stokes DM FRCP Regional Rehabilitation Unit Northwick Park Hospital Watford Road, Harrow, Middlesex. HA1 3UJ Background

More information

Original Article. Client-centred assessment and the identification of meaningful treatment goals for individuals with a spinal cord injury

Original Article. Client-centred assessment and the identification of meaningful treatment goals for individuals with a spinal cord injury (2004) 42, 302 307 & 2004 International Society All rights reserved 1362-4393/04 $25.00 www.nature.com/sc Original Article Client-centred assessment and the identification of meaningful treatment goals

More information

Collaborative Research Grant Initiative: Mental Wellness in Seniors and Persons with Disabilities

Collaborative Research Grant Initiative: Mental Wellness in Seniors and Persons with Disabilities Predicting Potential for Positive Outcomes in a Slow-stream Rehabilitation Program Collaborative Research Grant Initiative: Mental Wellness in Seniors and Persons with Disabilities Ideas Fund Final Report

More information

Protect Your Skin. It s one of the most important things you can do!

Protect Your Skin. It s one of the most important things you can do! Protect Your Skin It s one of the most important things you can do! What is the skin? It s the largest organ in the body It protects you from the outside world It houses your sensory nerve endings It senses

More information

Expert Transfers in Rehabilitation: A Safety and Utilisation Review

Expert Transfers in Rehabilitation: A Safety and Utilisation Review Expert Transfers in Rehabilitation: A Safety and Utilisation Review Robert Mehan Meaghan Mackenzie Kim Brock Rehabilitation Care Centre NAHC 2007 - Hobart An important focus in stroke rehabilitation is

More information

STATE COLLEGE OF FLORIDA OCCUPATIONAL THERAPY ASSISTANT PROGRAM

STATE COLLEGE OF FLORIDA OCCUPATIONAL THERAPY ASSISTANT PROGRAM STATE COLLEGE OF FLORIDA OCCUPATIONAL THERAPY ASSISTANT PROGRAM OTH 1114C OCCUPATIONAL THERAPY SKILLS AND TECHNIQUES I (AS) LEC LAB CR 2 3 3 COURSE DESCRIPTION This course is designed to prepare the student

More information

FUNCTIONAL MOBILITY & ACTIVITIES OF DAILY LIVING. Courtney Silviotti, MS, OTR/L

FUNCTIONAL MOBILITY & ACTIVITIES OF DAILY LIVING. Courtney Silviotti, MS, OTR/L FUNCTIONAL MOBILITY & ACTIVITIES OF DAILY LIVING Courtney Silviotti, MS, OTR/L OBJECTIVES: FUNCTIONAL MOBILITY & ACTIVITIES OF DAILY LIVING Define Compare Review Examine Functional Mobility Activities

More information

CORRECTED COPY Department of Veterans Affairs VHA DIRECTIVE Veterans Health Administration Washington, DC December 9, 2010

CORRECTED COPY Department of Veterans Affairs VHA DIRECTIVE Veterans Health Administration Washington, DC December 9, 2010 CORRECTED COPY Department of Veterans Affairs VHA DIRECTIVE 2010-054 Veterans Health Administration Washington, DC 20420 CATASTROPHICALLY DISABLED VETERAN EVALUATION, ENROLLMENT, AND CERTAIN COPAYMENT-EXEMPTIONS

More information

MOBILE AIR CHAIR. A new era in mobile pressure management. aspire for... Comfort Support Relief. S.W.L 180kg.

MOBILE AIR CHAIR. A new era in mobile pressure management. aspire for... Comfort Support Relief. S.W.L 180kg. MOBILE AIR CHAIR A new era in mobile pressure management aspire for... Comfort Support Relief S.W.L 180kg World s leading high stretch, durable and breathable healthcare fabric Integrated Postural Support

More information

Rehab to Home. Stroke Recovery EDUCATION BOOKLET FOR: Care & Safety Tips. Frequently Asked Questions. Working Toward Independence. Adaptive Equipment

Rehab to Home. Stroke Recovery EDUCATION BOOKLET FOR: Care & Safety Tips. Frequently Asked Questions. Working Toward Independence. Adaptive Equipment Stroke Recovery Rehab to Home Care & Safety Tips Frequently Asked Questions Working Toward Independence Adaptive Equipment Summary of Progress Different Types of Therapy Personal Goals EDUCATION BOOKLET

More information

DIXIE REGIONAL ACUTE REHABILITATION UNIT TEAM CONFERENCE and INDIVIDUALIZED OVERALL PLAN OF CARE SUMMARY

DIXIE REGIONAL ACUTE REHABILITATION UNIT TEAM CONFERENCE and INDIVIDUALIZED OVERALL PLAN OF CARE SUMMARY DIXIE REGIONAL ACUTE REHABILITATION UNIT TEAM CONFERENCE and INDIVIDUALIZED OVERALL PLAN OF CARE SUMMARY Conference Date: Rehab Admitting Diagnosis: Comorbid Conditions: Current Medical Prognosis: New

More information

Other wheelchairs that were considered, but determined to be inappropriate include:

Other wheelchairs that were considered, but determined to be inappropriate include: 12/3/2012 To Whom It May Concern: The following is a letter of medical necessity justifying the need for a Permobil M300 Corpus 3G wheelchair for [CLIENT NAME]. A new wheelchair is required for the following

More information

The Role of Physiatry in the Care of Adults and Children with Hydrocephalus

The Role of Physiatry in the Care of Adults and Children with Hydrocephalus The Role of Physiatry in the Care of Adults and Children with Hydrocephalus Scott E. Brown, MD Chairman Department of Physical Medicine and Rehabilitation Sinai Hospital of Baltimore Who Are We? PHYSICAL

More information

Department of Clinical Psychology, National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, Bucks HP2I BAL, UK.

Department of Clinical Psychology, National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, Bucks HP2I BAL, UK. Paraplegia 31 (1993) 457-461 1993 International Medical Society of Paraplegia The Functional Independence Measure: a comparative study of clinician and self ratings N Grey BA, P Kennedy MSc C Psychol Department

More information

Supplemental Material for PTNow and MSEDGE: Using APTA's Translational Knowledge Resources to Manage the Patient With Multiple Sclerosis at CSM 2016

Supplemental Material for PTNow and MSEDGE: Using APTA's Translational Knowledge Resources to Manage the Patient With Multiple Sclerosis at CSM 2016 Supplemental Material for PTNow and MSEDGE: Using APTA's Translational Knowledge Resources to Manage the Patient With Multiple Sclerosis at CSM 2016 PTNow Clinical Case Example: PT Management of Late Stage/Severe

More information

Stroke is the leading cause of disability in the United States (Centers for Disease

Stroke is the leading cause of disability in the United States (Centers for Disease Classification of Occupational Therapy Intervention for Inpatient Stroke Rehabilitation Stacy Smallfield, Joy Karges KEY WORDS activities of daily living inpatients occupational therapy patient care management

More information

WOUND MANAGEMENT WHITE PAPER

WOUND MANAGEMENT WHITE PAPER WOUND MANAGEMENT WHITE PAPER Overview Occupational therapists and occupational therapy assistants 1 routinely work with individuals and populations who are at risk for or have sustained wounds. In 2000,

More information

Casa Colina Centers for Rehabilitation: A unique physician-directed model of care that works

Casa Colina Centers for Rehabilitation: A unique physician-directed model of care that works Casa Colina Centers for Rehabilitation: A unique physician-directed model of care that works Emily R. Rosario, PhD Why is Casa Colina unique? Continuum of care offering medical and rehabilitation services

More information

Patient Name (Last Name, First Name) & MRN: Mileage: Gender: Agency Name/Branch: DOB: / / BP: (Prior) Position Side Heart Rate: Respirations:

Patient Name (Last Name, First Name) & MRN: Mileage: Gender: Agency Name/Branch: DOB: / / BP: (Prior) Position Side Heart Rate: Respirations: Clinician: Mileage: Gender: Agency Name/Branch: M F Time In: Time Out: DOB: HCPCS Select the home health service type that reflects the primary reason for this visit: (G0152) Services Performed by a qualified

More information

Cumulated Ambulation Score to evaluate mobility is feasible in geriatric patients and in patients with hip fracture

Cumulated Ambulation Score to evaluate mobility is feasible in geriatric patients and in patients with hip fracture Cumulated Ambulation Score to evaluate mobility is feasible in geriatric patients and in patients with hip fracture Morten Tange Kristensen 1, 2,Thomas Linding Jakobsen 3, 4, Jesper Westphal Nielsen 1,

More information

Created in January 2005 Duration: approx. 20 minutes

Created in January 2005 Duration: approx. 20 minutes 1 1 The Timed Up and Go Test Created in January 2005 Duration: approx. 20 minutes 2 Credits 2005 Stein Gerontological Institute. All rights reserved. Principal medical contributors: Alan Katz, MD Francois

More information

POST-OP INSTRUCTIONS Rotator Cuff Repair

POST-OP INSTRUCTIONS Rotator Cuff Repair POST-OP INSTRUCTIONS Rotator Cuff Repair SHOULDER PRECAUTIONS It is important to follow precautions to prevent injury to the repair and to promote healing of the incision. Wear sling at all times except

More information

CARE OF SPINAL CORD INJURY VICTIMS

CARE OF SPINAL CORD INJURY VICTIMS CARE OF SPINAL CORD INJURY VICTIMS Dr THIERRY ALBERT Centre de Rééducation et de Réadaptation pour Adulte de COUBERT Route de Liverdy, Coubert 77257 Brie comte robert, cedex talbert@ugecamif.fr Spinal

More information

Occupational Therapy Assistant Explained

Occupational Therapy Assistant Explained Occupational Therapy Assistant Explained OTA EXPLAINED 2 Occupational Therapy Assistant Explained Occupational therapy can best be described as the hidden gem of the medical world. Why? Because most people

More information

Specialty Rehabilitation Fact Sheet

Specialty Rehabilitation Fact Sheet TIRR Memorial Hermann is a nationally recognized rehabilitation hospital that returns lives interrupted by neurological illness, trauma or other debilitating conditions back to independence. Some of the

More information

CLINICAL MAPPING TOOL. Therapy Clinical Care Pathway

CLINICAL MAPPING TOOL. Therapy Clinical Care Pathway CLINICAL MAPPING TOOL Therapy Clinical Care Pathway 2 Table of Contents Clinical Mapping Tool Procedure Safe Transition Planning Tool 4 5 Benchmarking 8 Clinical Outcome Tracking Form 9 Pathways to Success

More information

Cognitive Activities For Memory Occupational Therapy

Cognitive Activities For Memory Occupational Therapy Activities For Memory Free PDF ebook Download: Activities For Memory Download or Read Online ebook cognitive activities for memory occupational therapy in PDF Format From The Best User Guide Database activities

More information

Responsiveness of the Swedish Version of the Canadian Occupational Performance Measure

Responsiveness of the Swedish Version of the Canadian Occupational Performance Measure SCANDINAVIAN JOURNAL OF OCCUPATIONAL THERAPY 1999;6:84 89 Responsiveness of the Swedish Version of the Canadian Occupational Performance Measure EWA WRESSLE 1, KERSTI SAMUELSSON 2 and CHRIS HENRIKSSON

More information

How to Get a Customized Wheelchair through Florida Medicaid. Created by the Florida Developmental Disabilities Council, Inc.

How to Get a Customized Wheelchair through Florida Medicaid. Created by the Florida Developmental Disabilities Council, Inc. How to Get a Customized Wheelchair through Florida Medicaid Created by the Florida Developmental Disabilities Council, Inc. How to Get a Customized Wheelchair through Florida Medicaid What is a customized

More information

The Uniform Data System for Medical Rehabilitation Report of Patients with Debility Discharged from Inpatient Rehabilitation Programs in 2000Y2010

The Uniform Data System for Medical Rehabilitation Report of Patients with Debility Discharged from Inpatient Rehabilitation Programs in 2000Y2010 Authors: Rebecca V. Galloway, PT, MPT Carl V. Granger, MD Amol M. Karmarkar, PhD, OTR James E. Graham, PhD, DC Anne Deutsch, RN, PhD, CRRN Paulette Niewczyk, PhD, MPH Margaret A. DiVita, MS Kenneth J.

More information

I will explain the most important concepts of functional treatment while treating our 4 patients: Tom Clint Alice Dick

I will explain the most important concepts of functional treatment while treating our 4 patients: Tom Clint Alice Dick Every step we ve covered so far, from Evaluation to Clinical Reasoning to Establishing Goals and Preparation for Function has laid the groundwork for the final step: Treatment Using Functional Activities.

More information

Physical Therapy. Physical Therapy Payment Policy Page 1

Physical Therapy. Physical Therapy Payment Policy Page 1 Physical Therapy I. Policy University Health Alliance (UHA) will reimburse for physical therapy when it is determined to be medically necessary and when it meets the medical criteria guidelines (subject

More information

Exercise, Physical Therapy and Fall Prevention

Exercise, Physical Therapy and Fall Prevention Exercise, Physical Therapy and Fall Prevention University of Davis Medical Center Rosy Chow Neuro Clinical Specialist Physical Therapist Outline of Talk Role of Physical Therapy in care of people with

More information

Rifton TRAM. Sample LMN for the Rifton TRAM Homecare setting for adults Fax: by Rifton Equipment.

Rifton TRAM. Sample LMN for the Rifton TRAM Homecare setting for adults Fax: by Rifton Equipment. Rifton TRAM Sample LMN for the Rifton TRAM Homecare setting for adults EVERY REASONABLE EFFORT HAS BEEN MADE TO VERIFY THE ACCURACY OF THE INFORMATION. HOWEVER, THE SAMPLE LETTERS OF MEDICAL NECESSITY

More information

Preventing Pressure Ulcers or Bed Sores

Preventing Pressure Ulcers or Bed Sores Preventing Pressure Ulcers or Bed Sores Keeping Your Skin Healthy In the Hospital As partners in your care, this brochure will help you, your care givers and care helpers learn how to prevent pressure

More information

Preventing Pressure Ulcers or Bed Sores

Preventing Pressure Ulcers or Bed Sores Preventing Pressure Ulcers or Bed Sores Keeping Your Skin Healthy In the Hospital As partners in your care, this brochure will help you, your care givers and care helpers learn how to prevent pressure

More information

Alberta Health. AADL Approved Products List Pediatric Equipment. Pricing effective October 1, 2017

Alberta Health. AADL Approved Products List Pediatric Equipment. Pricing effective October 1, 2017 Alberta Health Approved Products List Pediatric Equipment Pricing effective October 1, 2017 Benchmark Benefits Pediatric Toileting Equipment... APL K-1 Pediatric Bathing Equipment APL K-2 Pediatric Bathing/TOILETING

More information

Reliability of the Modified Motor Assessment Scale and the Barthel Index

Reliability of the Modified Motor Assessment Scale and the Barthel Index Reliability of the Modified Motor Assessment Scale and the Barthel Index SANDY C. LOEWEN and BRIAN A. ANDERSON Many physical therapists use descriptive and functional assessments of motor recovery for

More information

Pressure Ulcers Patient Information Leaflet

Pressure Ulcers Patient Information Leaflet Pressure Ulcers Patient Information Leaflet Shining a light on the future Introduction This leaflet is about pressure ulcers and includes information about what they are what can cause them and how they

More information

Evaluating Functional Status in Hospitalized Geriatric Patients. UCLA-Santa Monica Geriatric Medicine Didactic Lecture Series

Evaluating Functional Status in Hospitalized Geriatric Patients. UCLA-Santa Monica Geriatric Medicine Didactic Lecture Series Evaluating Functional Status in Hospitalized Geriatric Patients UCLA-Santa Monica Geriatric Medicine Didactic Lecture Series Case 88 y.o. woman was admitted for a fall onto her hip. She is having trouble

More information

Quality ID #282: Dementia: Functional Status Assessment National Quality Strategy Domain: Effective Clinical Care

Quality ID #282: Dementia: Functional Status Assessment National Quality Strategy Domain: Effective Clinical Care Quality ID #282: Dementia: Functional Status Assessment National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE: Process DESCRIPTION:

More information

NEUROPSYCHOMETRIC TESTS

NEUROPSYCHOMETRIC TESTS NEUROPSYCHOMETRIC TESTS CAMCOG It is the Cognitive section of Cambridge Examination for Mental Disorders of the Elderly (CAMDEX) The measure assesses orientation, language, memory, praxis, attention, abstract

More information

Physical Therapy MM /15/2003

Physical Therapy MM /15/2003 Physical Therapy Policy Number: Original Effective Date: MM.09.005 07/15/2003 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 06/23/2017 Line(s) of Business Excluded: Federal Employee

More information

PHYSICAL THERAPY (PHY THER)

PHYSICAL THERAPY (PHY THER) Physical Therapy (PHY THER) 1 PHYSICAL THERAPY (PHY THER) PHY THER 501 ANATOMICAL APPLICATIONS IN PHYSICAL THERAPY Application of anatomy and palpatory skills in a clinically-oriented Focus is on applied

More information

THE WORLD HEALTH ORGANIZATION defines mobility

THE WORLD HEALTH ORGANIZATION defines mobility 9 Validity and Reliability Comparison of 4 Mobility Measures in Patients Presenting With Neurologic Impairment Philippe Rossier, MD, Derick T. Wade, MA, MD, FRCP ABSTRACT. Rossier P, Wade DT. Validity

More information

FSBPT Supervised Clinical Practice Performance Evaluation Tool

FSBPT Supervised Clinical Practice Performance Evaluation Tool 1. Practices in a manner that is safe for the patient 1.1. Responds appropriately in emergency situations 1.2. Recognizes and responds to unexpected changes in patient's physiological condition 1.3. Utilizes

More information

F3 Tilt, Recline, Elevate, Ant Tilt, ELRs LMN [DATE] To Whom It May Concern:

F3 Tilt, Recline, Elevate, Ant Tilt, ELRs LMN [DATE] To Whom It May Concern: [DATE] To Whom It May Concern: The following is a letter of medical necessity serving as an addendum to the medical and functional justification in the [PT/OT] Wheelchair Seating and Mobility Evaluation

More information

Chapter 13. Body Mechanics. Elsevier items and derived items 2014, 2010 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Chapter 13. Body Mechanics. Elsevier items and derived items 2014, 2010 by Mosby, an imprint of Elsevier Inc. All rights reserved. Chapter 13 Body Mechanics Body Mechanics Body mechanics means using the body in an efficient and careful way. It involves good posture, balance, and using your strongest and largest muscles for work. 2

More information

Cognitive Assessment 4/29/2015. Learning Objectives To be able to:

Cognitive Assessment 4/29/2015. Learning Objectives To be able to: Supporting the Desire to Age in Place: Important Considerations for the Aging Population AGENDA 8:45 9:00 AM Geriatric Principles Robert L. Kane, MD *9:00 9:55 AM Cognitive Assessments Ed Ratner, MD 10:00

More information

BRODA MIDLINE TILT RECLINER CHAIR

BRODA MIDLINE TILT RECLINER CHAIR BRODA MIDLINE TILT RECLINER CHAIR Feature 1: Pressure reduction positioning strapping system A. At risk for skin breakdown or decreased skin integrity. B. Outstanding bony prominence and/or musculoskeletal

More information

Cleveland Clinic Mellen Center for Multiple Sclerosis. Mellen Center Approaches: Falls and Fall Prevention in MS. Q: What is a fall?

Cleveland Clinic Mellen Center for Multiple Sclerosis. Mellen Center Approaches: Falls and Fall Prevention in MS. Q: What is a fall? Mellen Center Approaches: Falls and Fall Prevention in MS Q: What is a fall? A: A fall can be defined as an unplanned change in position resulting in the individual resting on the ground or a lower level.

More information

Preventing and managing pressure ulcers

Preventing and managing pressure ulcers Preventing and managing pressure ulcers Information for patients, family and carers Nursing and Patient Experience Patient information leaflet What is a Pressure Ulcer? A pressure ulcer is an area of damage

More information

Back Protection. Training Guide

Back Protection. Training Guide Back Protection Training Guide Use a Back Support Belt to Prevent Back Injuries Because of the incidious progression of back problems, it is always difficult to determine how a back problem began. If you

More information

Patient Stroke Recovery

Patient Stroke Recovery Patient Stroke Recovery Aboriginal Health Workers Audiologists Chiropractors Dietitians Exercise Physiologists Mental Health Nurses Mental Health Social Workers Occupational Therapists Osteopaths Physiotherapists

More information

Provider No Onset Date SOC Date. Clinical Interview

Provider No Onset Date SOC Date. Clinical Interview Plan of Treatment Provider No Onset SOC Clinical Interview The Interview was completed with: Patient Spouse Caregiver Other: Patient Age: Years Mental Status: Alert Oriented x Impaired: Living Situation

More information

LABETTE COMMUNITY COLLEGE BRIEF SYLLABUS. Please check with the LCC bookstore for the required texts for this class.

LABETTE COMMUNITY COLLEGE BRIEF SYLLABUS. Please check with the LCC bookstore  for the required texts for this class. LABETTE COMMUNITY COLLEGE BRIEF SYLLABUS SPECIAL NOTE: This brief syllabus is not intended to be a legal contract. A full syllabus will be distributed to students at the first class session. TEXT AND SUPPLEMENTARY

More information

End of Life Care in Dementia. Dr Rosie Lockwood Consultant Geriatrician Sheffield Teaching Hospitals

End of Life Care in Dementia. Dr Rosie Lockwood Consultant Geriatrician Sheffield Teaching Hospitals End of Life Care in Dementia Dr Rosie Lockwood Consultant Geriatrician Sheffield Teaching Hospitals Rosie.Lockwood@sth.nhs.uk Agenda Some facts and figures What are the challenges? What is good care? How

More information

Total Knee Replacement: Your Guide to Preparation and Recovery

Total Knee Replacement: Your Guide to Preparation and Recovery Total Knee Replacement: Your Guide to Preparation and Recovery Table of Contents Preparing For Your Surgery...................... 1 During Your Hospital Stay...................... 5 After Surgery.............................

More information

Clinical Toolbox for Geriatric Care 2004 Society of Hospital Medicine 1 of 7

Clinical Toolbox for Geriatric Care 2004 Society of Hospital Medicine 1 of 7 PHYSICAL SELF-MAINTENANCE SCALE (ACTIVITIES OF DAILY LIVING, OR ADLs) In each category, circle the item that most closely describes the person's highest level of functioning and record the score assigned

More information

REFERRAL GUIDANCE COMMUNITY DENTAL SERVICES. Version 1: From April 2015 onwards.

REFERRAL GUIDANCE COMMUNITY DENTAL SERVICES. Version 1: From April 2015 onwards. REFERRAL GUIDANCE COMMUNITY DENTAL SERVICES Version 1: From April 2015 onwards. INTRODUCTION The remit of Bridgewater Community Dental Services is to provide the following services: Adult and Children

More information

STATE COLLEGE OF FLORIDA OCCUPATIONAL THERAPY ASSISTANT PROGRAM

STATE COLLEGE OF FLORIDA OCCUPATIONAL THERAPY ASSISTANT PROGRAM STATE COLLEGE OF FLORIDA OCCUPATIONAL THERAPY ASSISTANT PROGRAM OTH 2261C OCCUPATIONAL THERAPY SKILLS AND TECHNIQUES II (AS) LEC. LAB CR 2 3 3 COURSE DESCRIPTION: This course was designed to provide an

More information

Module Goals. An Introduction to Seating and Positioning for Individuals Who Use Assistive Technology. To answer the following questions:

Module Goals. An Introduction to Seating and Positioning for Individuals Who Use Assistive Technology. To answer the following questions: An Introduction to Seating and Positioning for Individuals Who Use Assistive Technology Aileen Costigan, MSc-OT Communication Sciences and Disorders The Pennsylvania State University fac3@psu.edu Module

More information

Occupational therapy after stroke

Occupational therapy after stroke Call the Stroke Helpline: 0303 3033 100 or email: info@stroke.org.uk Occupational therapy after stroke This guide explains how occupational therapy can help your recovery and rehabilitation after a stroke.

More information

Zody s Ergonomic Features and Adjustments

Zody s Ergonomic Features and Adjustments Zody s Ergonomic Features and Adjustments by: Teresa A. Bellingar, Ph.D. Ergonomic standards and guidelines recommend several working postures sitting while reclining, upright, or in forward tilt; standing

More information

Dependence to Adaptive Independence Colm I. Roe, LPTA/CBIS

Dependence to Adaptive Independence Colm I. Roe, LPTA/CBIS Dependence to Adaptive Independence Colm I. Roe, LPTA/CBIS Objectives Define the most common causes of spinal cord injuries Review the incidence of spinal cord injuries Outline the costs of spinal cord

More information

The Importance of Skin Examination. following Spinal Cord Injury

The Importance of Skin Examination. following Spinal Cord Injury The Importance of Skin Examination following Spinal Cord Injury An individual who sustains a spinal cord injury (SCI) has a lifetime of increased susceptibility to skin problems, including pressure ulcers

More information

Functional Ability Screening Tools for the Clinic

Functional Ability Screening Tools for the Clinic Functional Ability Screening Tools for the Clinic Shelley Hockensmith,, P.T., NCS Objectives Review screening tools for physical or functional ability including Five Times Sit to Stand, Walking Speed,

More information

Caring Sheet #17: Safety After Hip Surgery: Tips for Preventing Complications By Ben Atchison, PhD, OTR, FAOTA

Caring Sheet #17: Safety After Hip Surgery: Tips for Preventing Complications By Ben Atchison, PhD, OTR, FAOTA : : Tips for Preventing Complications By Ben Atchison, PhD, OTR, FAOTA Introduction Dementia can increase a person s chances of breaking a hip. After surgery on the hip there is an increased risk of further

More information

SPINAL CORD MEDICINE HANDBOOK FOR PATIENT AND FAMILY. Skin Care

SPINAL CORD MEDICINE HANDBOOK FOR PATIENT AND FAMILY. Skin Care SPINAL CORD MEDICINE HANDBOOK FOR PATIENT AND FAMILY Skin Care Frazier Rehab and Neuroscience Center 220 Abraham Flexner Way Louisville, Kentucky Copyright 2007 (866) 540-7719 (Toll Free) (502) 582-7495

More information

Hong Kong Sheng Kung Hui Lok Man Alice Kwok Integrated Service Centre

Hong Kong Sheng Kung Hui Lok Man Alice Kwok Integrated Service Centre Hong Kong Sheng Kung Hui Lok Man Alice Kwok Integrated Service Centre COMMUNITY FALL AND FRACTURE PREVENTION COMMUNITY FALL AND FRACTURE PREVENTION Katherine K.L. Wong 15 th April, 2007 Acknowledgement

More information

How to Save Your Energy

How to Save Your Energy How to Save Your Energy Sometimes people have trouble doing the things they want to do because they are too tired or have shortness of breath (SOB). Being over tired and/or having SOB can be caused by

More information

Acute to Rehab Spinal Cord Injuries Anna Brown CNC, Certificate SCI Nursing, Grad Dip Rehabilitation Studies, La Trobe

Acute to Rehab Spinal Cord Injuries Anna Brown CNC, Certificate SCI Nursing, Grad Dip Rehabilitation Studies, La Trobe Acute to Rehab Spinal Cord Injuries Anna Brown CNC, Certificate SCI Nursing, Grad Dip Rehabilitation Studies, La Trobe Victorian Spinal Cord Service Austin Health SCI Acute to Rehab Let the rollercoaster

More information

Two 85 year olds enjoying their life on a Horseless Carriage tour - 3 years post stroke

Two 85 year olds enjoying their life on a Horseless Carriage tour - 3 years post stroke Stroke Rehabilitation: New Strategies for Recovery Gary Abrams MD UCSF/San Francisco VAMC U.S. Stroke Facts Stroke is 3 rd leading cause of death and leading cause of disability 730,000 new strokes/year

More information

How to disseminate the Acute Care for Elders (ACE) model of care beyond one unit

How to disseminate the Acute Care for Elders (ACE) model of care beyond one unit How to disseminate the Acute Care for Elders (ACE) model of care beyond one unit Roger Wong, BMSc, MD, FRCPC, FACP Clinical Professor, Division of Geriatric Medicine Associate Dean, Postgraduate Medical

More information

University of Groningen. Functional outcome after spinal cord injury Schonherr, Marleen C.

University of Groningen. Functional outcome after spinal cord injury Schonherr, Marleen C. University of Groningen Functional outcome after spinal cord injury Schonherr, Marleen C. IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it.

More information

National Cancer Action Team. Rehabilitation Care Pathway Poor Mobility and Loss of Function

National Cancer Action Team. Rehabilitation Care Pathway Poor Mobility and Loss of Function National Cancer Action Team Rehabilitation Care Pathway Poor Mobility and Loss of Function Diagnosis & Care Planning Assess respiratory status especially in people with preexisting respiratory disease

More information

Spinal Cord Injury Fact Sheet

Spinal Cord Injury Fact Sheet TIRR Memorial Hermann is a nationally recognized rehabilitation hospital that returns lives interrupted by neurological illness, trauma or other debilitating conditions back to independence. Some of the

More information

FRAZIER REHAB INSTITUTE SCOPE OF THE BRAIN INJURY PROGRAM

FRAZIER REHAB INSTITUTE SCOPE OF THE BRAIN INJURY PROGRAM FRAZIER REHAB INSTITUTE SCOPE OF THE BRAIN INJURY PROGRAM Introduction to Frazier The Frazier Rehab Brain Injury Program provides comprehensive services to the individual who has experienced a brain injury

More information

Table 2B: Summary of Select Screening and Initial Assessment Tools for Vascular Cognitive Impairment in Stroke Patients (Updated 2014)

Table 2B: Summary of Select Screening and Initial Assessment Tools for Vascular Cognitive Impairment in Stroke Patients (Updated 2014) Table 2B: Summary of Select Screening and Initial s for Vascular Cognitive Impairment in Stroke Patients (Updated 2014) Recommended First Line Screening and s Montreal Cognitive (MoCA) The MoCA is available

More information

"#$%!&%'()#*+,-#!./,#0+1!

#$%!&%'()#*+,-#!./,#0+1! ! 5860 LABATH AVENUE, ROHNERT PARK, CA 94928 (707) 545-DOGS (3647) (707) 545.0800 FAX WWW.BERGINU.EDU! "#$%!&%'()#*+,-#!./,#0+1!! 23$04!5'6!7'%!5'6%!,0+#%#(+!,0!8#,09!:$+*3#;!))/,*$+,'01!?#;,*$/!@,(+'%5!A'%:1!$0;!B#%-,*#!&%'-,;#%!%#7#%#0*#!7'%:C!

More information

WELCOME TO DUBOIS NURSING HOME

WELCOME TO DUBOIS NURSING HOME For additional information or to schedule a tour, please contact our Admissions Coordinator at (814) 375-9100. WELCOME TO DUBOIS NURSING HOME We want your experience at our facility to be a pleasant one.

More information

An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial

An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial open access An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial Catherine M Sackley, 1 Marion F Walker, 2 Christopher

More information

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Lower back pain. Physiotherapy Department

Patient information leaflet. Royal Surrey County Hospital. NHS Foundation Trust. Lower back pain. Physiotherapy Department Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Lower back pain Physiotherapy Department Lower back pain This leaflet is intended for people who have been diagnosed with generalised

More information

Shoulder Surgery Discharge Instructions

Shoulder Surgery Discharge Instructions Note: This information is provided for general educational purposes only. Because every individual is different, these instructions will not apply to every patient. Only your doctor can tell you what is

More information

Pressure Ulcers Learning Session 2

Pressure Ulcers Learning Session 2 Pressure Ulcers Learning Session 2 Gillian O Brien Advanced Nurse Practitioner Tissue Viability Naas General Hospital Pat Mc Cluskey Advanced Nurse Practitioner Wound Care Cork University Hospital Group

More information

Ability and Skill Retraining with Task-Oriented Intervention to Improve Functional Independence in Persons with Stroke

Ability and Skill Retraining with Task-Oriented Intervention to Improve Functional Independence in Persons with Stroke Eastern Kentucky University Encompass Online Theses and Dissertations Student Scholarship January 2013 Ability and Skill Retraining with Task-Oriented Intervention to Improve Functional Independence in

More information

ALTRU HEALTH SYSTEM Grand Forks, ND STANDARD GUIDELINE

ALTRU HEALTH SYSTEM Grand Forks, ND STANDARD GUIDELINE ALTRU HEALTH SYSTEM Grand Forks, ND STANDARD GUIDELINE Title: BACLOFEN PUMP PROGRAM (INTRATHECAL) Issued by: Physical Medicine and Outpatient Therapy Date: 6/99 Reviewed: 2/17 Revision: 2/11 Page: 1 of

More information

NATIONAL REHABILITATION HOSPITAL (NRH) THE SPINAL CORD SYSTEM OF CARE (SCSC) PROGRAMME INPATIENT SCOPE OF SERVICE

NATIONAL REHABILITATION HOSPITAL (NRH) THE SPINAL CORD SYSTEM OF CARE (SCSC) PROGRAMME INPATIENT SCOPE OF SERVICE NATIONAL REHABILITATION HOSPITAL (NRH) THE SPINAL CORD SYSTEM OF CARE (SCSC) PROGRAMME INPATIENT SCOPE OF SERVICE NATIONAL REHABILITATION HOSPITAL SCOPE OF SERVICE FOR THE SPINAL CORD SYSTEM OF CARE PROGRAMME

More information

CURRICULUM VITAE Carien Sabey Occupational Therapist

CURRICULUM VITAE Carien Sabey Occupational Therapist CURRICULUM VITAE Carien Sabey Occupational Therapist Tel: 07500199479 Email: carien@steppingstones-ot.co.uk Address: Newark Steading, Crocketford, Dumfries, DG2 8QT PROFILE I have 10 years post graduate

More information

Physical & Occupational Therapy

Physical & Occupational Therapy In this section you will find our recommendations for exercises and everyday activities around your home. We hope that by following our guidelines your healing process will go faster and there will be

More information

Rehabilitation/Geriatrics ADMISSION CRITERIA. Coordinated Entry System

Rehabilitation/Geriatrics ADMISSION CRITERIA. Coordinated Entry System Rehabilitation/Geriatrics ADMISSION CRITERIA Coordinated Entry System Table of Contents Rehabilitation and Geriatric Service Sites 3 Overview of Coordinated Entry System...4 Geriatric Rehabilitation Service

More information

Table S3: Summary of articles that investigated the reliability of the FIM

Table S3: Summary of articles that investigated the reliability of the FIM Table S3: Summary of articles that investigated the reliability of the FIM Reference Sample and Setting Description Results Dallmeijer et 533 participants living al., 2005 independently at home Daving

More information

Maternity Information Leaflet

Maternity Information Leaflet Maternity Information Leaflet Recovery following your Caesarean Section This leaflet provides information to help you recover following a Caesarean Section (CS) birth. Recovery after a CS may take a little

More information