The subjective examination of the patient revealed a behavior of avoidance of activities. The balance and overall functional mobility were affected due to activity limitation. The history of depression further compounded the problem. Physical therapy examination revealed deficits in dynamic balance and gait deficits affecting the ability to perform safe ambulation, transfers, activities of daily living and self-care. The FRT score of 6 inches indicated limited mobility and decreased dynamic balance (Weiner et al., 1992). The TUG score of 20 secs was more than the normal cut off score (13.5 secs) for the age of the patient (Shumway-cook et al., 2008). The general cut- The MFES score of 4 indicates a significant fear of falling. The patient was …show more content…
The intervention for the patient included balance training and cognitive -behavioral therapy (CBT) to address the balance deficits and fear of falling. The plan of care for home health physical therapy services for the patient included 2 visits per week for 4 weeks for a total of 8 visits. The patient was seen for 7 visits. The patient cancelled one visit in the 2nd week of intervention due to a family outing. As part of the balance exercises activities involving manipulation of base of support and surfaces, challenging the postural reactions and reach outs were done. The balance program is explained in detail in table 2 The first two weeks involved balance exercises challenging static and dynamic balance with minimal use of assistive device. The progression in week three and week four involved integration of balance exercises with functional activities such as reaching for the top drawer in the kitchen, picking up stuff from the floor, side walking while working at the kitchen counter top. The patient did follow a home exercise program involving exercises for hip flexors, quadriceps, gastrocnemius, hip abductors, ankle plantar flexors and dorsi flexors. The HEP was done for 2 times a day on non-therapy days and 1 time a day during therapy
During the interview, the Physical Therapist I conferred with was very thorough and straightforward in his responses to the questions that were given. I decided to interview another one of my mother’s fellow co-workers, Mr. Stephen Chan, considering his new experiences in the Physical Therapy field. I met with Mr. Stephen Chan at the Kaiser Permanente Outpatient Orthopedic Clinic that is located in Union City. The essential subject matters that we discussed consisted of his Major and Minor in college, the Residency Program that he takes part in, variations of attitudes, and advantages in the workforce.
STEIN, F., SODERBACK, I., CUTLER, S., LARSON, B., 2006. Occupational therapy and ergonomics. Applying ergonomic principals to everyday occupation in the home and at work. London: Whurr Publishers.
The National Patient Safety Goal (NPSG) for falls in long term care facilities is to identify which patients are at risk for falling and to take action to prevent falls for these residents. (NPSG.09.02.01). There are five elements of performance for NPSG: 1. Assess the risk for falls, 2. Implement interventions to reduce falls based on the resident’s assessed risk, 3. Educate staff on the fall reduction program in time frames determined by the organization, 4. Educate the resident and, as needed, the family on any individualized fall reduction strategies, and 5. Evaluate the effectiveness of all fall reduction activities, including assessment,
Case conceptualization and treatment planning is used by therapist to assist in determining a client’s diagnosis, goals, and treatment plan that is most effective in determining the issues surrounding the clients diagnosis. It is crucial that the client’s treatment plan is specific to the individual, is relational and appropriate to the needs of the client.
The patient, LL, is a twenty four year old female who was diagnosed with obsessive-compulsive disorder five years ago. Around the ago of eighteen, LL started to experience many symptoms of obsessive-compulsive disorder. She had just started her freshman year at a local college and moved into the dorms with a random roommate. LL was constantly washing her hands and grossed out by the germs, so she came to realize she had a phobia of germs. She would begin sweating and having major anxiety when people went to shake her hand or her roommate would touch her food or any of her things. LL started skipping class and isolating herself in her room in order to avoid contact with other people. When her grades dramatically declined,
During testing, most patients are found to need correction in all 14 balance tests, depending on the ailment the patient complains of and how well they react to the muscle correction will tell whether or not further treatment is needed. The physical aspect of the therapy, despite the name and basic principles, is not the only aspect required for optimal results. One must also report lifestyle and diet changes ranging from daily stress levels to pat...
My field of interest once I graduate from WCU is physical therapy. This care specialty uses biomechanics, manual and exercise therapy, electrotherapy, and various other therapy techniques to remediate injuries and impairments, as well as promote mobility. There are several types of physical therapy, including orthopedic, pediatric, geriatric, neurological, pulmonary, and cardiovascular. The field of physical therapy was established in Britain during the late 19th century. Then, in 1921, Mary McMillan established the American Women’s Physical Therapeutic Association, which later became the American Physical Therapist Association.
I have dreamed of becoming a physical therapist since I was a child. A few of my family friends are physical therapists and it was just something that really interested me. Although some would think that a Physical Therapists career is smooth sailing, healthcare professionals challenge a series of regulatory and ethical issues in the modern varying practice settings. I grew up wanting to help people in some type of way, but after researching more about physical therapy I found out that doing what’s best for someone such as a patient is often manipulated and, at times, compromised. Clients are manipulated by other factors, including rules or guidelines linked
Resident maintained functional ROM /strength in the in key upper and lower extremity joints and muscle groups. Bilateral knee extension lag approximately -10 degrees. Bilateral hamstrings and calf muscle tightness noted. Right shoulder muscle strength maintained at 3+/5, Rest of the muscle groups in the upper extremity maintained strength 4/5 and 4-/5 in the bilateral lower extremities. She has good sitting balance, decreased standing and walking balance. Resident transfers safely with 2 person assist (pivot) using walker. Resident able to walk short distances with
Purpose of this seventy-six item assessment is to identify strength and deficits in performing self- care tasks. It assists the OT practioner in setting goals for the rehabilitation process, records progress, and states the level of recovery of function (OTA faculty, 1935).
When taking steps to analyze and apply intervention strategies for falls, we must examine the factors that cause these occurrences. There are numerous reasons that falls occur, such as intrinsic and or extrinsic risk factors. Intrinsic risk factors for falls may be due to changes that are part of the normal aging process and acute or chronic conditions. According to Zheng, Pan and Hua et al. (2013), about 35-45 percent of individuals who are usually older than 65 years and other 50 percent of the elderly individuals report cases of fall every year. Extrinsic factors are those related to physical environment such as lack of grab bars, poor condition of floor surfaces, inadequate or improper use of assistive devices (Currie). Patient falls is not an easy thing to eliminate. With many clinical challenges, there’s no easy answer to the challenges posed by patient falls; howe...
“Actually I am like defence. And I know that I am a average student, I didn’t have good capacity for the Btech, (Self Analysis) IDP 2 to us sam...
For patients with no musculoskeletal contraindications, vestibular rehabilitation therapy may be prescribed. This will include a series of head movement exercises to address the dizziness; these help the patient adapt through continued exposure to the stimulus. Physical therapists may also prescribe balance retraining exercises to restore balance, strength and coordination. Therapy usually continues for up to six weeks and includes exercises for the patient to complete at home to aid rehabilitation (Vestibular Disorders Association 2013, p. 5).
Physical therapy is a fun and exciting healthcare profession that helps people. It is all about helping other people who have problems with their body, muscles, joints and other parts of their body. Patients includes accident victims and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy. Physical therapy will perform an evaluation of your problem or difficulty. They evaluate your problem by performing tests and measures to assess the problem. These tests includes muscle strength, joint motion, sensory and neurological, coordination, balance, observation, palpation, flexibility, postural screening, movement analysis, and special tests are designed for a particular problem. Next, they develop a treatment plan and goals and then manage the appropriate treatment to aid in recovery of a problem or dysfunction. Physical therapists are able to treat their patients by using many different treatments depending on the type of injury. Some of the treatments are electrical stimulation, hot and cold packs, infrared and ultrasound to reduce swelling or relieve pain. These treatments are used to help decrease pain and increase movement and function. Therapeutic exercises instructions will help restore strength, movement, balance, or skill as a guide towards full functional recovery. Physical therapy provides "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility. They will focus on basic skills such as getting out of bed, walking safely with crutches or a walker, moving specific joints and muscles of the body. Physical therapists treatment includes patient education to teach them how to deal with a current problem and how to prevent the problem in the future. Such documentation is used to track the patient's progress, and identify areas requiring more or less attention. They encourage patients to use their own muscles. Their main goal is to improve how an individual functions at work and home.
Physical therapists are health care professionals that provide therapeutic services to their patients who have temporary or chronic physical conditions that were caused from injury or disease. Physical therapist also provided therapeutic services to patients after they have gone through surgery to help them gain back mobility and manage their pain. They can also work in preventive care by promoting healthy life styles and instructing individual patients or groups on preventing injury by using exercises that stretch and strengthen muscles. To help their patients try to recover they use massage techniques, wellness plans, and different types of equipment. When a physical therapist sees a patient for the very first time they must do an examination, evaluation, diagnosis, and then put together a physical intervention to start the rehabilitation process. They also work as a team with other health care professionals to help with their patients needs. Physical therapist can really make a difference in their patient’s lives by not only providing therapeutic services but also encouraging and motivating them so they can get better. The main goals of physical therapist are to help their patients retain or gain back lost physical mobility, eliminate or reduce pain, increase productivity and help promote a healthy life style so patients can have a better quality of life and become more independent.