Myoelectric prosthesis 392. Phantom Sensation (Pain): Detailed sensations of the limb Constant or intermittent (P.1154) Cramping, squeezing, relaxed, numb, tingling, painful, moving, stuck, shooting, burning, cold, hot or achy. 393. Pre-Prosthetic OT Wound care/hygiene Limb shaping and shrinkage (wrapping) Desensitization of residual limb A/PROM of all residual joints Knee ext board Mm site testing for myoelectric Assistive devices Self-care and functional mobility Emotional support 394. Immediate Post Surgical Fitting UE prosthesis is applied IMMEDIATELY after the amputation. Dressing is applied with plaster and split hook is applied "Golden Period" = 1st 30 days to lower prosthetic rejection rate and decrease phantom limb sensation 395. Sensory Deficits & Interventions Some are the result of amputation- but these are NOT exclusive to post amputation. Hypersensitivity Loss of sensibility 396. Hypersensitivity Increased sensory pain Experience of pain/discomfort from a typically non-noxious stimuli (allodynia) Diagnoses: Amputation site, CRPS, surgical sites, thalamic syndrome 397. Desensitization
TX for hypersensitivity Provide sensory input to hypersensitive area Elicit habituation FIRST assess sensory input that is noxious, then work to increase pt. tolerance to that noxious stimuli. 398. Mandy Case Study OPHII Scale Occupational identity is not fully formed Developed interests and recognizes the need to fulfill her current obligations Competence: limited past achievements & feelings that she has failed in life roles 399. Mandy Case Study WRI Scores Strengths in the areas of interests and taking responsibility Personal causation = weak due to limited work history and job loss Lack of routine 400. Mandy's Case Study narrative slope: Illustrates the stagnation in the majority of her life with an attempt to move from her circumstances. 401. OPHI-II Occupational identity Occupational Competence Occupational Setting 402. WRI Personal causation Values Interests Roles Habits Environment 403. Mandy Case Study LTGs Identify recovery meetings to support work schedule Create resume Obtain kitchen sanitation certification
Access services from local organization to effectively communicate Demonstrate understanding of her rights in employment (ADA) 404. OT Intervention for Mandy Case Study Identify resources for recipes, Increase job duties Address different strategies of communication Establish appropriate boundaries with family Money management Validate feelings Identify positive outcomes Accommodate pace 405. Non-adherent Behavior Manifestation: Actively or passively refusing to follow recommendations or orders. -Pt. may not show up for apt -Pt. feels as if he/she doesn't need help 406. Underlying Meaning of non-adherent Actively or passively refusing to follow recommendations or orders. Lack of understanding Communication barriers Side effects, complications Conflict with provider 407.
You've reached the end of your free preview.
Want to read all 66 pages?
- Spring '17