Journal Entry Today we started off busy during the morning. We had open hand clinic which included pts walking in and getting fitting for orthotics. While the OT was doing that I lead all clients’ activities! I enjoyed it, but it may have been more than I was supposed to do. I enjoyed this morning because it was super-fast and kept me occupied. It allowed for the day to go by quicker and abled me to have responsibilities that I will have once I start working. We had four clients at one time because two showed up later than their scheduled appointments. They all had shoulder and elbow injuries so we worked on a lot of ROM today. Question What is the ethical issue with having two or three clients in one hour? Observation I watched …show more content…
I enjoyed treating the pts although I was unable to pick and choice the activities which would have been extremely unethical. I think my confident level with this population of clients has increased a lot which as aloud me to open and learn so much about the clients and who they are as a pts. I was unable to lead an activity because I lead a lot of activities that morning, but they all were picked out by the therapist, but I could administrate it and correct the client to do the correct motion to get the maximum efficiency out of their effort. S.O.A.P. Note Background info: Pt is a 55 yr old African American female with a wrist fracture. She has been receiving OT for increasing wrist ROM. (S) Subjective She talked about how her wrist has been good since her last visit. Pt stated that she had been doing the home exercises that the OT had given her a couple of visits prior. The pt said that she “is done with OT after this visit because they have helped her reach her goals.” (O) Objective Pt range of motion in extension and flexion of the wrist was WNL, but her ulnar and radial deviation was a couple of degrees short. She completed all activities that were assigned to her WNL. (A) Assessment Pt is doing extremely well for the number of visits that she has received. This is because of her hard work at home which has contributed to her fast recovery. Her ulnar/radial deviation lacks because of the muscle tightness which could be loosened
She was unable to abduct (move her arms away from the middle of her body) her arms so we were concerned there was a dislocation in the shoulder joints since they have a shallow articulation (movement). She could pronate (turn her palms up) and supinate (turn her palms down) her palms, but her grip strength is
Circumstance: Ayden will maintain contact with medical team monthly. Ms. Smalls (MHP) and Mrs. Wigfall (MHS) discuss Ayden’s recent medical appointments and therapy. Action: MHS report Ayden will start physical therapy at an outside clinic. MHP and MHS discuss Ayden receiving all therapy at the same clinic to reduce several therapy appointments during the week. MHP and MHS review reports given since last week.
Activities at home and work worsen the pain. Numbness, tingling, and burning sensation are reported with increased pain throughout the week. The patient is requesting medication refills and reports limitations with gripping, grasping, pushing, pulling, and lifting 10 pounds. Activities of daily living are limited due to pain, as
In order for Monti to make effective progress and reach potential outcomes selecting and implementing appropriate assessments and treatment strategies is vital. A key element in the occupational therapy profession is using a holistic approach to treating to enhance quality of life. Therefore, during the evaluation process the implementation of one assessment will not target all the skill areas Monti is deficient in. Additionally, when treating the body as whole it is important to analyze how Monti interacts and completes the task by observing motivation, body position, movement patterns, coordination, attention, sensory processing functions, visual functions and awareness within his environment. After the completion of the evaluation process
Having the client actively engage in conversations and tasks throughout a session can help the client come to terms with their condition. Creating a safe environment and helping them work through psychosocial issues is part of the holistic approach of OT. Another pivotal form of therapeutic activity is preprosthetic assessment and treatment to helping a client adapt to a new prosthetic device. The first step is to address range of motion, scar management, desensitization issues, pain issues and independence training to prepare the client to wear a prosthetic device (Swanson,
Its main focus points is manual muscle test and evaluation. Professionals such as doctors, nurses, physical therapists, athletic trainers and personal trainers use this book to search a specific muscle in the body to find a correct test to evaluate a particular muscle. Each chapter offers an expanded treatment and exercise sections to be able to evaluate personal injuries or pains suffered from training. Each chapter goes over a particular section of the body starting out with chapter one being about posture to the last chapter being lower extremities. It explains each muscles purpose, preforming test and proper treatment of each muscle and muscle
Observing Hand Therapy was an eye opening experience. I found it interesting to see the different types of splints that can be made, wound maintenance, and the varying types of modalities that are used in therapy sessions. I loved being able to witness the progress the clients made every week. The emotional strength some of the clients had warmed my heart making me want to help more. I also witnessed the procedures therapists have to follow if they believe their client is not being honest about their diagnosis.
Physical Therapy Assistant is an interesting field; it is a job that helps individuals in need. I interviewed Lucero because she is currently working in the same field that I see myself working in the future. The interview took place on November 29th; it lasted an hour and a half. The interview was about me trying to understand more about my future life as a physical therapist assistant. The purpose of this interview was for me to envision if this is the profession that I want for myself, in the future.
Hi Jacob, Thank you for your overview. Your protocol seems a faster, accelerated protocol for someone with RTC and SLAP repair. Your patient had also SLAP repair 1 year ago right? What was his pain level before and after rehabilitation? And, how many visits (average) did he need to reach phase IV?
Primary diagnosis: Late effects of musculoskeletal and connective tissue injuries (Amputation). Secondary diagnosis: Affective/mood disorders. Rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr The claimant was a 34-year-old man.
The OT will look at how things may have changed for Taylor after a TBI and SCI and then recommends different ways to do tasks or provide modified equipment to support him to be independent as much as possible. This includes recognising levels of care and help needed to complete tasks. PT should conduct both the physical assessment and planning of physical therapy. They can assess and promotes mobility, movement, muscle strength, coordination, balance and stamina. PT can also provide information on walking aids, develop a fitness/mobility plan and provide training to Taylor’s family/caregiver.
It is a job that will always be needed, there will always be people that need help regaining their physical health to be able to walk again or maybe just be able to move their thumb again. Physical therapists have to run tests when a patient comes to the office. This is to make sure where and what about the type of injury. After the patients’ assessment, the physical therapist will setup a patient treatment plan in accordance with the written and signed prescription of the referring physician. Create PT treatment plans to improve or restore a patient’s mobility and reduce pain.
I learned that occupational therapy is not just about physical limitations, strength and endurance, but more about a client centered approach indicative of adaptations and interventions. An OT practitioner can assist clients in returning to an independent level of functioning by creating and developing activities that are meaningful to them. According to AOTA (2011) “The practice of occupational therapy means the therapeutic use of
If a patient has reached their goals but discontinuing intervention would result in a decrease in functional level, then continued care would be necessary. However, if the patient could sustain their functional level with or without intervention, the PT should terminate treatment to keep in line with the Guide to Professional Conduct, Principle 4.1.H, stating, “A physical therapist shall determine when a patient/client will no longer benefit from physical therapy services” and 7.1.D: “When a physical therapist’s judgment is that a patient will receive negligible benefit from physical therapy services, the physical therapist shall not provide or continue to provide such services if the primary reason for doing so is to further the financial self-interest of the physical therapist or his/her employer. A physical therapist shall avoid overutilization of physical therapy services.” PTs should only treat those in need of PT intervention and not waste resources on healthy
As a professional, one must adhere to the guiding principles defined by the professional association. Scope of Practice outlines the “notions of professional conduct, accountability and self- governance and expanded practice”. Scope of Practice summarizes “the range of roles and activities an individual registrant or licensee is permitted to undertake in the course of professional practice. These roles and activities are largely determined by professional education and practice competence along with factors in the practice context, such as demands on practitioners’ services and available resources” (Fealy 2005). Scope of Practice is based upon the “profession 's unique body of knowledge, supported by educational preparation, a body of evidence, and existing or emerging practice frameworks” (American Physical Therapy Association, 2015).