Rehab FOR Flashcards
What are the assumptions of rehab FOR
- pt. can regain independence using compensation when underlying deficits can’t be restored
- motivation for independence can’t be separated from volitional and habitual systems
- motivation for independence can’t be separated form environmental context
- a minimal level of cognition and emotional skills is required to make independence possible
- Clinical reasoning should take a top-down approach
What are areas of function for the rehab FOR
ADL’s/self-care
Work
Leisure
What is the eval for this FOR similar to
OTPF
What other assessments can you utilize in the Rehab FOR
Home assessment
w/c assessment
leisure assessment
work assessment
What Do you always do in the rehab FOR for interventions
identify the underlying performance skills that the pt. is unable to complete
What are the 7 intervention areas
Adaptive devices UE orthotics Environmental modifications W/C modifications Ambulatory devices adapted procedures safety education
What is the rationale behind using adaptive devices
Compensation for lose of ROM/strength
What do you do to determine pt.’s need and device
observe pt.’s performance
What are advantages of using adaptive devices
increase independence
therapy/task success
decrease safety concerns
easy to use/understand
What are disadvantages of using adaptive devices
can be used too soon
still need to have cognitive & perceptual skills to use
need to have device at all times to be successful
stigma
many don’t use after discharge
What are examples of adapted devices
reacher long handle sponge sock aide cane built up handles shoe horn
What is the rationale for using UE orthotics
compensation for weak muscles
*may see partnered w/ adapted devices
What are UE orthotics
items to support or correct something
may use to mobilize, immobilize, prevent, or correct deformity, postural problems
What is the OT role in the team
may create
may train pt.
What are the two different kinds of orthotics
distal
proximal
What is an example of a distal orthotic
universal cuff
What is an example of a proximal orthotic
brace
splint
mobile arm support
What are advantage of using UE orthotics
can eliminate gravity
allow for functional movt.
What are disadvantages of UE orthotics
limited motion/movt. skin breakdown adds bulk more expensive need help putting it on and off stigma not attractive most not meant to use heavy objects
What is the rationale for using environmental modifications
promote independence by providing access, safety, and energy conservation, work simplification, and joint protection
What are advantages to environmental modifications
be in home longer stay at job typically not items involved increases accessibility and safety may allow you to do something you couldn't do
what are the disadvantages of using environmental modifications
can be really expensive can be dangerous for others must consider other individuals aren't always generalizable to all settings may require a lot of space have to get other people on board
What are the 3 factors that must be present when considering w/c modifications
- must facilitate transfers, allow for proper positioning, and address architectural barriers that are present
- be cautious of their cognitive skills (can hey propel, can they use power)
- Transportation of objects while in w/c (what do they need w/ them, can they manage them)
What are advantages of using w/c modifications
increase mobility, independence in mobility
may increase comfort, proper position, strength
possibly decrease stigma
Disadvantages of using w/c modifications
stigma self-conscious hard to transport, bulky not all accessible places skin breakdown socially-lower when talking to people can be expensive
What is the rationale behind using ambulatory devices
to reduce weight bearing in LE
provide wider BOS
support unstable LE jts
substituting for loss of a limb
what are examples of ambulatory devices
cane
walker
What are advantages of using ambulatory devices
increase safety
more portable
increase mobility
still using muscles and proprioception as opposed to w/c
What are disadvantages of using ambulatory devices
takes motivation, willingness to use may not have enough cog. ability fatigue requires use of UE Slower mode of transportation
what is the rationale behind adapted procedures
substitute for lost motion
provide stability
use reflex inhibiting patterns to inhibit spasticity
conserve energy and simplify work
Examples for substitutes for lost motion
hemi-dressing shoulder flexion to open prosthetic device hook arm on w/c for stability to learn tenodesis
How does adapted techniques provide stability
elbow hook for SCI
sliding body to maintain contact to provide stability
What are adapted procedures
accomplishing a task by changing, modifying, altering things
What are examples of conserving energy and simplifying work
rest breaks work simplification not working through pain prioritizing activities avoid/alternate stressful positions
What are advantages of using adapted procedures
not as noticeable
can become auto w/ practice
inexpensive/free
promote independence
What are disadvantages of using adaptive procedures
frustration
tasks may take longer
may be unwilling/difficult to learn
need to have cog. ability
What is an important part of discharge planning
safety education
Examples of why safety precautions my be diagnosis specific
body mechanics
safe transfers
precaution
sensory loss
Advantages of safety education
prevent accident/injury
may be discharged to LRE
What are disadvantages of safety education
may not be followed
need some cog ability
requires change of habit
requires them to be apart of it
What does the rehab for do
provide compensation when restoration is not appropriate
Rehabilitation refers to
return to ability
