Group items tagged Patient - SSU MOT 6691 & 6692

"Many Doctors Who Diagnose Alzheimer's Fail to Tell The Patient." - 0 views

The short media clip on npr.org discussed that many families of Alzheimer's patients feel as if they are not being served as well as they should be because these patients are not being told by thei...

started by harrisn2 on 19 Nov 15 no follow-up yet

In Depth Review of the Multiple Errands Test (MET) - Stroke Engine - 0 views

www.strokengine.ca/...met_indepth

assessments inpatient care ADL function

shared by alliejpeugh on 14 Nov 16 - No Cached

alliejpeugh on 14 Nov 16

This test could be used in acute care. This assessment offers a hospital version (MET_HV) that would be appropriate in the VA setting. This test was developed for use with a wider range of participants than the original version; it has more concrete rules, simplification of task demands and space provided on the instruction sheet for the patient to record the information they were to collect. There are 12 separate subtasks within four sets of simple tasks. These four task sets are as follows: 1. The patient must complete six specific errands (purchase 3 items, use the phone, collect and envelope from reception and send a letter to an external address), 2. The patient must obtain and write down four items of designated information (e.g. the opening time of a shop on Saturday), 3. The patient must meet the assessor outside of the hospital reception in 20 minutes after the test had begun and state the time, 4. The client must inform the assessor when he/she finishes the test. The test cannot be administered to patients confined to bed due to the nature of the questions. The test would be difficult to complete on patients instructed to only get up with help as they would have to have a nurse available at the time they need to meet some of the task requirements. Both validity and reliability have been established for this test for various populations (see citation for specifics).

<div class="cArrow"> </div><div class="cContentInner">This test could be used in acute care. This assessment offers a hospital version (MET_HV) that would be appropriate in the VA setting. This test was developed for use with a wider range of participants than the original version; it has more concrete rules, simplification of task demands and space provided on the instruction sheet for the patient to record the information they were to collect. There are 12 separate subtasks within four sets of simple tasks. These four task sets are as follows: 1. The patient must complete six specific errands (purchase 3 items, use the phone, collect and envelope from reception and send a letter to an external address), 2. The patient must obtain and write down four items of designated information (e.g. the opening time of a shop on Saturday), 3. The patient must meet the assessor outside of the hospital reception in 20 minutes after the test had begun and state the time, 4. The client must inform the assessor when he/she finishes the test. The test cannot be administered to patients confined to bed due to the nature of the questions. The test would be difficult to complete on patients instructed to only get up with help as they would have to have a nurse available at the time they need to meet some of the task requirements. Both validity and reliability have been established for this test for various populations (see citation for specifics). </div>

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Minimal Forces to Move Patients - 0 views

Health care workers who have patient transfer duties are at risk for back injury. Transferring patients between beds and gurneys is a rigorous pulling task that requires back, leg, and arm strength...

http:__ajot.aota.org_article.aspx?articleid=1862346

started by nicarobe88 on 08 Nov 15 no follow-up yet

Psychosocial needs of Clients - 0 views

I found this article rather interesting because I have been treating two cancer patients within the last few weeks of my rotation. This study examined patient satisfaction with treatment-planning a...

started by courtneycoe on 07 Aug 15 no follow-up yet

Antipsychotic drugs & Dementia - 0 views

When researching Alzheimer's/Dementia I saw there were a lot of sources on what the disease is and its path, behaviors, and tips for caregivers. While researching, I found an article that discusses...

started by harrisn2 on 19 Nov 15 no follow-up yet

Hand Function, Experienced Pain, and Disability After Distal Radius Fracture - 0 views

ovidsp.tx.ovid.com.proxy01.shawnee.edu/...ovidweb.cgi

Occupational therapy

shared by werringj on 11 Aug 16 - No Cached

werringj on 11 Aug 16

During the past 12 weeks at my site, I had the opportunity to work with many patients who had experienced distal radius fractures and were coming to therapy post surgery. This article discusses patients pain level, grip strength, pinch strength, and ROM following therapy 12 months out. Patients almost reached the same ROM in the treated hand that they did in the uninjured hand. Also, patients had increased grip and pinch strength. The interesting finding was that at 12 months, patients reported decreased pain, however between the 12-24 months there was increased pain at rest and during activity. The article discusses multiple patients having pain due to a volar locking plate as fixation. However, patients who did have the plate removed had significant pain and were not as satisfied with the result either at 12 to 24 months following surgery. I found this interesting because most of my patient's who would come to me for therapy would continue to complain about pain and decreased ROM throughout our sessions. Educating patients on their limitations due to the plate and learning more about how to help individuals with a plate in the volar aspect of the arm is key to helping them

<div class="cArrow"> </div><div class="cContentInner">During the past 12 weeks at my site, I had the opportunity to work with many patients who had experienced distal radius fractures and were coming to therapy post surgery. This article discusses patients pain level, grip strength, pinch strength, and ROM following therapy 12 months out. Patients almost reached the same ROM in the treated hand that they did in the uninjured hand. Also, patients had increased grip and pinch strength. The interesting finding was that at 12 months, patients reported decreased pain, however between the 12-24 months there was increased pain at rest and during activity. The article discusses multiple patients having pain due to a volar locking plate as fixation. However, patients who did have the plate removed had significant pain and were not as satisfied with the result either at 12 to 24 months following surgery. I found this interesting because most of my patient's who would come to me for therapy would continue to complain about pain and decreased ROM throughout our sessions. Educating patients on their limitations due to the plate and learning more about how to help individuals with a plate in the volar aspect of the arm is key to helping them</div>

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Educational and psychosocial needs of patients with chronic disease: A survey of prefer... - 0 views

http://onlinelibrary.wiley.com/doi/10.1002/art.1790030103/full There is increasing interest in better defining and meeting the non-medical needs of patients with chronic diseases, such as rheumato...

started by kfesemyer on 08 Aug 17 no follow-up yet

Understanding the Transition to Community Living After Discharge From an Acute Care Hos... - 2 views

This study offers a glimpse into the concerns and frustration therapy has during the discharge phase of acute care and what therapy can do to help aid patients with post acute management of their o...

Acute Care Hospital Patient Needs Transition Discharge

started by anthonyroscoe on 10 Aug 16 no follow-up yet

Adhesive taping vs. daily manual muscle stretching and splinting after botulinum toxin ... - 1 views

content.ebscohost.com/ContentServer.asp

shared by allisonlarison on 09 Aug 16 - No Cached

allisonlarison on 09 Aug 16

In my rotation, we have treated a few stroke patients after BTX-A injections using splinting and a few other treatment methods. This article discovers the comparison of adhesive taping vs. daily manual muscle stretching and splinting after injections. A single-blind randomized control trail with 70 patients was conducted with patients experiencing wrist and finger flexor muscle spasticity post-stroke. After receiving the injections, patients were randomly divided into two groups. Group A consisted of adhesive taping. Adhesive taping is first placed on forearm and fingers and left for 10 days with daily checks. The tape provides traction on hypertonic muscles. Group B consisted of patient's receiving manual muscle stretching of injected muscles for 30 min and passive articular mobilization of wrist and fingers to maintain muscle length. Custom palmar splints with made for each patient and positioned for maximum stretching. Outcome measures used to to measure spasticity consisted of the Modified Ashworth scale, related disability with Disability Assessment Scale and finger positions at rest. At the end of the trial, it was discovered that patient in Group A, adhesive taping, had a significantly decrease in spasticity scores. Some limitations included lack of placebo group and longer follow-up data.

<div class="cArrow"> </div><div class="cContentInner">In my rotation, we have treated a few stroke patients after BTX-A injections using splinting and a few other treatment methods. This article discovers the comparison of adhesive taping vs. daily manual muscle stretching and splinting after injections. A single-blind randomized control trail with 70 patients was conducted with patients experiencing wrist and finger flexor muscle spasticity post-stroke. After receiving the injections, patients were randomly divided into two groups. Group A consisted of adhesive taping. Adhesive taping is first placed on forearm and fingers and left for 10 days with daily checks. The tape provides traction on hypertonic muscles. Group B consisted of patient's receiving manual muscle stretching of injected muscles for 30 min and passive articular mobilization of wrist and fingers to maintain muscle length. Custom palmar splints with made for each patient and positioned for maximum stretching. Outcome measures used to to measure spasticity consisted of the Modified Ashworth scale, related disability with Disability Assessment Scale and finger positions at rest. At the end of the trial, it was discovered that patient in Group A, adhesive taping, had a significantly decrease in spasticity scores. Some limitations included lack of placebo group and longer follow-up data.</div>

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Occupational Therapy for Patients With Acute Lung Injury: Factors Associated With Time ... - 0 views

started by mflower on 09 Aug 16 no follow-up yet

Early mobilization improves functional outcomes in critically ill patients - 0 views

This study is a randomized control trial looking at early mobility with patients in the ICU. While in the ICU patients are often immobile, sedated, and are prone to loss strength, become weak, and ...

started by mflower on 12 Aug 16 no follow-up yet

Is early mobilization safe and more effective than usual care in promoting recovery and... - 0 views

https://www.aota.org/-/media/Corporate/Files/Practice/EvidenceExchange/Approved-CAPs/RDP/Schweickert-Chacon-Baker.pdf This document outlines a research article much like we did in Jim's class. It ...

started by kelseyanne44 on 10 Nov 15 no follow-up yet

Psychosocial Needs of ICU Patients - 0 views

http://occupational-therapy.advanceweb.com/Web-Extras/Online-Extras/Life-After-the-ICU.aspx Over the course of the last few weeks, I have treated patients in the ICU. I felt overwhelmed at first b...

started by kelseyanne44 on 25 Oct 15 no follow-up yet

SURGICAL TREATMENT AND REHABILITATION OF TRIGGER THUMB AND FINGER - 1 views

The aim of the study was to evaluate the results of surgical treatment and rehabilitation of patients with trigger thumb and finger. In 40 patients, comprising 30 women and 10 men aged 26 to 64, a ...

started by cassyschulte on 01 Aug 17 no follow-up yet

http://www.tbims.org/combi/ils/ils2012b.pdf - 0 views

www.tbims.org/...ils2012b.pdf

assessments inpatient care

shared by alliejpeugh on 14 Nov 16 - No Cached

alliejpeugh on 14 Nov 16

This assessment is based on observation of a patient in a more natural environment/setting and looks at if they initiate expected activities such as, turning off appliances, closing doors when they leave, doing dishes, prepping dinner.. etc within 15 min of expected time. This is looked at and recorded each day of the week. In acute care this is just not very applicable, as we don't watch patients all day, every day of the week and the Vets are in an unfamiliar setting where they likely won't initiate such activities even if cognition is unimpaired. Even the activities that do occur in the hospital setting, such as eating lunch, don't apply very well because the score is acquired by adding up how they did each day of the week and it is not very practical to see a patient every day for the entirety of their lunch for a week straight. This may be a nice assessment for the nursing home to use in some instances.

<div class="cArrow"> </div><div class="cContentInner">This assessment is based on observation of a patient in a more natural environment/setting and looks at if they initiate expected activities such as, turning off appliances, closing doors when they leave, doing dishes, prepping dinner.. etc within 15 min of expected time. This is looked at and recorded each day of the week. In acute care this is just not very applicable, as we don't watch patients all day, every day of the week and the Vets are in an unfamiliar setting where they likely won't initiate such activities even if cognition is unimpaired. Even the activities that do occur in the hospital setting, such as eating lunch, don't apply very well because the score is acquired by adding up how they did each day of the week and it is not very practical to see a patient every day for the entirety of their lunch for a week straight. This may be a nice assessment for the nursing home to use in some instances. </div>

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Occupational Therapy's Role in Preventing Acute Readmissions - 1 views

This article suggests that case management can play a role in preventing acute readmissions, and that OT can also play a role in this. I liked this article because it aligns with what I have experi...

started by mflower on 10 Aug 16 no follow-up yet

Reducing Hospital Readmissions: Lessons from Top Performing Hospitals - 2 views

Patient readmission is commonly seen at the Cleveland clinic and I found this to be an interesting read into understanding how hospitals might do things different to reduce patient readmission. T...

Patient Readmission Community Care Health System

started by anthonyroscoe on 10 Aug 16 no follow-up yet

Evidence-Based Approach to Treating Lateral Epicondylitis Using the Occupational Adapta... - 0 views

ajot.aota.org/article.aspx

shared by allisonlarison on 11 Aug 16 - No Cached

allisonlarison on 11 Aug 16

Lateral epicondylitis, also known as tennis elbow, is one of the most commonly treated diagnoses we treat in the hand clinic I am currently placed for my level II rotation. This article aims to look at treating these patients with evidence-based practice and the occupational adaptation model. The occupational adaptation model is a process of adaptively responding to occupational challenges, through internal adaptations and preparations for adaptations to future occupational challenges. As occupational therapists, this model allows us to find ways for patients to continue mastering their occupations in their own unique way. In hand therapy evaluations, for lateral epicondylitis, a major focus is discovering many biomechanical measurements such as ROM, pain, sensation, strength and components of functioning. This article tells us that we should also be incorporating the OA model and discovering the client's occupations and challenges associated with those. This allows us to incorporate some occupation-based activities into the patients' treatment plans. Hand therapists should be finding ways to incorporate the psychosocial aspect of occupational therapy with the biomechanical aspects. The author explains that studies have shown that patients receiving combination of therapeutic exercise with ADL activities demonstrated statistically significant improvements in all measured parameters (pinch strength, total active range of motion, opposition, etc,) compared to groups only receiving therapeutic exercises. There is a challenge in hand therapy to bridge the gap between mechanical expectations with the holistic, client centered care of occupational therapy. In conclusion, therapist must work to educate other practitioners and work toward a blend of occupation-based and biomechanical-based treatments when working with lateral epicondylitis patients and other hand therapy patients.

<div class="cArrow"> </div><div class="cContentInner">Lateral epicondylitis, also known as tennis elbow, is one of the most commonly treated diagnoses we treat in the hand clinic I am currently placed for my level II rotation. This article aims to look at treating these patients with evidence-based practice and the occupational adaptation model. The occupational adaptation model is a process of adaptively responding to occupational challenges, through internal adaptations and preparations for adaptations to future occupational challenges. As occupational therapists, this model allows us to find ways for patients to continue mastering their occupations in their own unique way. In hand therapy evaluations, for lateral epicondylitis, a major focus is discovering many biomechanical measurements such as ROM, pain, sensation, strength and components of functioning. This article tells us that we should also be incorporating the OA model and discovering the client's occupations and challenges associated with those. This allows us to incorporate some occupation-based activities into the patients' treatment plans. Hand therapists should be finding ways to incorporate the psychosocial aspect of occupational therapy with the biomechanical aspects. The author explains that studies have shown that patients receiving combination of therapeutic exercise with ADL activities demonstrated statistically significant improvements in all measured parameters (pinch strength, total active range of motion, opposition, etc,) compared to groups only receiving therapeutic exercises. There is a challenge in hand therapy to bridge the gap between mechanical expectations with the holistic, client centered care of occupational therapy. In conclusion, therapist must work to educate other practitioners and work toward a blend of occupation-based and biomechanical-based treatments when working with lateral epicondylitis patients and other hand therapy patients.</div>

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Effects of a Safe Patient Handling and Mobility Program on Patient Self-Care Outcomes - 0 views