Social determinants of health are factors of social and economic circumstances that individuals find themself in that affect their health in many different ways. These are made up of where you live, work, and how you choose to spend your time. These factors can be a result of life decisions or the individual can be born in to these factors from no fault of the individual at all. Social determinants of health can affect our nervous systems in many ways. The first one that comes to mind for me is how stress from living in certain conditions will cause heavy amount of cortisol to be released. High levels of cortisol can lead to numerous negative effects on the body.
I think the requirements for professional development and service hours is very beneficial to students. It forces the students to get into a routine of seeking out opportunities to continue their learning and development as a practitioner. It also encourages students to give back to the community and help those in need.
Friday, June 12, 2020
Tuesday, June 9, 2020
OT430: blog 7
It is important to make sure a client's assistive devices are fitting correctly. A practitioner should always make sure the assistive device is correctly fitted to ensure the safety and stability of the client. If the devices is not properly fitted to the client this could lead to further injury.
In order to fit a client for a cane a client needs to look at a few things. The hand grip should be at the level of the ulnar styloid wrist crease, or greater trochanter of the femur. The elbow should have around 20°- 30° of flexion. The client should not have any shoulder elevation. A practitioner should assess and make sure the client has good stability since a cane is the least stable device that can be used.
When fitting for axillary crutches the location of the hand grip should be the same as the cane. This would be at the level of the ulnar styloid wrist crease, or greater trochanter of the femur. The elbow should have close to the same amount of flexion around 20°- 30°. The axillary rest should be 5 cm below the floor of the axilla and there should be no shoulder elevation in the client.
Fitting for a Lofstrand crutch is very similar. The hand grip should be the same as the cane and axillary crutches. This would be at the level of the ulnar styloid wrist crease, or greater trochanter of the femur. The elbow should have close to the same amount of flexion around 20°- 30°. The arm cuff should wrap around the proximal forearm.
Platform walkers are much of the same. The same measurements as the other assistive devices should be used.
A rolling walker should be measured to ensure proper weight distribution for the client. The same measurements for the crutches and cane should be taken. A rolling walker should be used for clients who struggle to pick up a standard walker.
In order to fit a client for a cane a client needs to look at a few things. The hand grip should be at the level of the ulnar styloid wrist crease, or greater trochanter of the femur. The elbow should have around 20°- 30° of flexion. The client should not have any shoulder elevation. A practitioner should assess and make sure the client has good stability since a cane is the least stable device that can be used.
When fitting for axillary crutches the location of the hand grip should be the same as the cane. This would be at the level of the ulnar styloid wrist crease, or greater trochanter of the femur. The elbow should have close to the same amount of flexion around 20°- 30°. The axillary rest should be 5 cm below the floor of the axilla and there should be no shoulder elevation in the client.
Fitting for a Lofstrand crutch is very similar. The hand grip should be the same as the cane and axillary crutches. This would be at the level of the ulnar styloid wrist crease, or greater trochanter of the femur. The elbow should have close to the same amount of flexion around 20°- 30°. The arm cuff should wrap around the proximal forearm.
Platform walkers are much of the same. The same measurements as the other assistive devices should be used.
A rolling walker should be measured to ensure proper weight distribution for the client. The same measurements for the crutches and cane should be taken. A rolling walker should be used for clients who struggle to pick up a standard walker.
Monday, June 1, 2020
OT430: Joe Harbor Transfers
The order for restoring confidence in mobility is as follows from first to last: bed mobility, mat transfer, wheelchair transfer, bed transfer, functional ambulation for ADL, toilet and tub transfer, car transfer, functional ambulation for community mobility, and community mobility and driving. For the most part the order is what I expected. I am not sure I could justify changing the order of any of these. I think the hierarchy is in this sequence because professionals researched different orders and found this to be the most effective. I think each steps builds on the step before it in small increments and this is the logical sequence from the hospital bed to return to normal mobility. I observed most of this sequence in my limited time in a hospital inpatient facility. The occupational and physical therapist worked together to make sure each patient was being properly assisted, trained on the proper techniques, provided with the appropriate equipment, and informed on the importance of mobility before being discharged. I agree with the this approach and feel it is the best possible order, however I think as therapist we should be willing and ready to adjust this hierarchy on a client to client basis cause not every client is the same.
Subscribe to:
Posts (Atom)