Date post: | 01-Jan-2016 |
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Fay J. Tripp, MS, OTR/L, CDRSDepartment of Occupational Therapy and Physical Therapy
Duke University Medical Center
Increase awareness of: ways to save your energy to put you in control of
what you do.
ways to reduce the effect of tremors during function.
adaptive devices and techniques to increase self-care and home responsibilities and safety.
possible visual changes that may occur.
driving safety issues related to movement and process delays.
Limit the amount of work you do
Plan ahead
Plan rest breaks
Be an efficiency expert
Organize your storage spaces
Use assistive devices to increase independence and safety
Stabilize your forearm or elbow
Wear wrist support braces
Use weighted utensils or weights
Hold items with a “fist” grip
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Gently apply pressure to muscles
Gently move wrist side to side
When writing, print in large letters using lined paper with wrist brace
With computer work,use a forearm support system
Bathing Tub seat or bench
Bathing Grab bars
Adaptive devices
Bathroom Use and Hygiene higher commode seats grab bars care aids
Dressing Seated position
Adaptive devices
Grooming and Hygiene Tremor control▪ Wrist brace▪ Forearm support
Adaptive devices ▪ large, long handled
devices▪ electric razor▪ nail care
Eating Tremor reduction ▪ wrist brace▪ forearm
support▪ fist grip
Assistive devices▪ large handled,
tubing ▪ weighted utensils▪ rocker knives▪ long straws▪ no spill mugs
Cooking and Kitchen Work Assistive devices▪ utensils▪ cutting boards▪ jar openers▪ can openers
“Personal domain” care Home care tasks Workshop needs
“Personal domain” care Outdoor maintenance
Leisure Skills Safety first Alternate interests
Writing and Computer Work Forearm stabilization Forearm support Micrographia▪ Begin good habits early▪ Used lined paper▪ Print in large letters▪ Incorporate strategies to
reduce tremor
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Vision Changes
Double Vision (Diplopia) impaired movement control eye muscle fatigue decreased tracking together,
alignmentColor perception Contrast sensitivity
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Vision Changes
Blurriness due to dry eyesDecreased eye blink rateEye discomfortProgressive patternCan impair motor functioning Blepharospasm
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Possible changes that may affect safety Physical ability and reaction time▪ Response rate▪ Freezing
Attention Multi-tasking ability Judgment
Possible changes that may affect safety Visual skills▪ Acuity
▪ Depth perception
▪ Peripheral vision
▪ Perception
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NC Department of Motor Vehicles Medical Review Group▪ Physician Medical Form▪ Optometric Evaluation▪ Occupational Therapy Evaluation ▪ Clinical evaluation: physical, visual, cognitive skills▪ Behind the wheel evaluation: licensed driver
instructor
Referral to DMV Medical Review Group▪ At time of license renewal▪ Physician based▪ Motor vehicle incident occurrence
Questions?