Date post: | 13-Jul-2015 |
Category: |
Health & Medicine |
Upload: | richard-kaplan |
View: | 347 times |
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ADLs (Activities of Daily Living) Improving FUNCTION Typically involves upper extremity function –
but not necessarily Function/ADLs are key, not necessarily Arms
Dressing Bathing Toileting◦ Transfers◦ Clothing Management◦ Bowel/Bladder Function
Eating Grooming Bed Mobility
Acute decline in function for any reason◦ Fracture◦ Weakness◦ Deconditioning◦ Pain◦ Loss of Body Part
Discharge Disposition◦ Home vs. Subacute Rehab (PCC) vs. Acute Rehab
(IRU)◦ Often OT is more critical than PT in this process
*** Early Referral is Extremely important If not referred Within first few weeks of an
upper extremity amputation, may never use prosthesis
Need to be interpreted by physician like any other diagnostic test
Measures of statistical validity important◦ Correlation of heart rate with effort◦ Rapid exchange grip test◦ Coefficient of Variation
If submaximal effort, may suggest minimum rather than maximum physical ability
Always a function of physical fitness Restrictions vs. Limitations
Are these appropriate referrals?◦ 29 Year Old Coal Miner acutely hospitalized after
traumatic leg amputation – Inpatient OT Evaluation for vocational training◦ 89 Year Old Widow who lives alone is hospitalized
for a stroke – OT referral for ADL Eval◦ 91 Year Old Widow in ER for non-surgical treatment
of Rotator Cuff Tear – Referred to OT to assess ER disposition