I completed my long term rehabilitation rotation at the Baylor Institute for Rehabilitation (BIR) in Dallas. The patient that I was assigned to accompany was a 73-year-old Caucasian male. TK was transferred on March 9, 2010 from Medical City of Dallas Hospital following his craniotomy secondary to a Cerebral Vascular Accident (CVA) that occurred on February 28, 2010. He was also has a history of Hypertension (HTN). As I approached TK he was resting in bed with his head elevated watching TV. I asked the client if this would be an appropriate time to interview him. At first he was hesitant but after a few questions he became responsive during the rest of the interview process. TK was well groomed. Half of his hair had been shaved off with a c-shaped wound on his scalp. The hair he did have was brushed nicely to the side. His hygiene appearance showed he was clean shaven and wore a clean gown. When asked him if he knew why he was here at BIR and he stated because he had a stroke. During my observation it did not appear that his CVA had caused any damage to his cognitive skills however his motor skills were affected. TK has left sided weakness. I observed that it affected his muscles on his left side causing his head to turn to the right. The physical therapist (PT) would slowly turn his head and massage the contracted muscles, they would tape the muscle to prevent it from contracting for his head to stay center.
The cognitive function of this client was determined using the Mini-Mental State Exam (MMSE). The exam was conducted before his physical therapy treatment and he was cooperative throughout the exam. He received twenty six of the thirty points allowed for this exam. TK scored five points for being able to accurately ...
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...de teaching to the patient and family signs and symptoms of complications of CVA to report to the health care provider (HCP). Such as risk for deep vein thrombosis (DVT) and Pneumonia. Teach PT ways to move affected extremity to prevent injury. Encourage the PT after periods of exercise to surround himself in an relax full environment to facilitate recuperation. Keep a voiding diary to establish a voiding pattern and to void at prescribe intervals to assist PT in adapting a new toileting schedule. Teach the PT to consciously hold urine until the schedule toileting time to improve muscle tone. To improve PT’s self esteem teach his wife to praise PT’s progress towards reaching goals. Have wife participate in setting realistic goals to achieve higher self esteem. Monitor for situations that trigger low self esteem to help him in coping strategies. (Lewis, 2007)
The patient presented with common signs of compartmental syndrome. The interventions suggested to the staff at the hospital were not fully completed. The interventions given during the case presentation consisted of assessing the six Ps, swelling, and vital signs. I took the vital signs of the patient and the nurse recorded them in their system. The patient’s blood pressure was not within normal limits, so the blood pressure completed manually. The manual blood pressure was still elevated. An increase in blood pressure can indicate pain, swelling, and impaired blood flow to the extremities. When I was with the nurse, she sent the patient for an x-ray. Furthermore, the nurse should have then assessed what the patient has been doing and done education with the patient to elevate the leg above his heart. Many people do not know the scientific rationale and positioning of elevating the extremity above the heart. The nurse should have also assessed the patients expectation of pain relief, since his current medication (Ibuprofen) was not working to his expectations. This is when we left the floor; therefore, I was not able to discuss the patient care with the nurse. The nurse simply asked the patient about some of the six Ps of compartmental syndrome and did not complete the assess...
...so discuss making a exercise plan that will work for the patient, and will not cause him/her any pain. If all of the correct measures are taken, and the patient is taking care of themselves, they can prevent more serious complications from occurring. They must know that they are serious complications from one not taking care of themselves, or living a unhealthy life style. It does involve a lifelong commitment to change. Medication will help, but one must also be willing to change.
Keith, T. Z., Kranzler, J. H., & Flanagan, D. P. (2001). What Does the Cognitive Assessment
Client is a 78-year-old Haitian Creole-speaking male with a history of diabetes, edema, hypertension and seizures. Client was treated for respiratory failure at an inpatient hospital facility. Client was transferred from the inpatient hospital facility to Miami Jewish Health Systems for inpatient short-term care rehabilitation. Client appears average height, slender and weighs approximately 178 lbs. Client has a clean-shaven head, facial stubble, and appears to be stated age. Client is dressed in a hospital gown, with normal grooming and hygiene. Client appears relaxed
Park, Jung M., Angela R. Fertig, and Paul D. Allison. "Physical and Mental Health, Cognitive
Rehabilitation has been described as a secondary goal of incarceration. The concept of rehabilitation was not adapted until the 1870s as delegates in Cincinnati encouraged the reformation of prisoners. Rehabilitation remained a primary goal of incarceration for nearly one hundred years, until the 1970s. It was then that Americans began to reject the notion of rehabilitation. With a shift away from rehabilitation, Americans adopted punishment, deterrence, and incapacitation as the primary goals of imprisonment. It can be argued that there was a shift away from rehabilitation due to high recidivism rates; however, it becomes questionable whether or not offenders were continuing to commit crime because they were not given adequate support and
Throughout the country there are approximately 2 million inmates in state, federal and private prisons. California has the highest incarceration. So what will we do to reduce this rate? This is where society looks into rehabilitation for these inmates, hoping to free some space within the prison systems. The advantage and disadvantage of rehabilitation in the community compare to incarceration.
The MSE was developed from the work of Karl Jaspers, designed to comprehend a client’s perception through the client’s description and observation (Tancredi, 1987). The examination includes objective observation of the clinician and subjective descriptions that are given by the client. The exam follows several domains including, appearance, behavior, mood and affect, speech, cognition, thoughts, perception, and insight and judgment (Tancredi, 1987). In the domain of appearance, useful cues can determine the client’s lifestyle, daily living skills, and quality of self-care. For example, their grooming, clothing, or hygiene can indicate whether they combed they hair brushed their teeth or are wearing the same clothes for multiple days. This can be a symptom of cognitive decline in the client. In the next domain, behavior is examined to assess the client’s verbal and nonverbal communication. This can include facial expressions, body language and gestures, eye contact, posture, psychomotor activity, and anxious behavior. All of which can reveal a lot about the client’s emotional state or attitude, which can also be a sign for cognitive
Rehabilitation is an action to restore a person's health and normal life through therapy and training exercise after they been imprisoned or ill. Does U.S. prisons institutions of rehabilitation model the definition of rehabilitation? These institutions were to prepare prisoners to rejoin society as a new citizens. However, many prisons do not lead up to that which led to the civil war in 1861 to 1865. Civil War was about slavery not prisons institutions, but many would argue that prisons were another place for slavery. Prior to the Civil War, U.S. prison institutions were not a place of rehabilitation for prisoners, the initial goal were to rehabilitate prisoners, but it did not rehabilitate prisoners. Many prisoners become ill in prison
Group therapy is considered one of the most resourceful forms of therapy. The benefits to group therapy can be both cost-effective and a great means of support (Corey, Corey & Corey, 2014). The process of experiencing ideas and viewpoints expressed by your peers allows group members to become more susceptible to the counseling procedure. Group counseling also helps individuals to feel a sense of belonging due to similar situations and experiences shared by the group. The sense of support from group members can be an excellent means towards developing long-lasting relationships and developing communication skills needed to move forward during the counseling phase. In this paper, I will discuss my experiences throughout the group-counseling phase.
Therapy Analysis The purpose of this paper is to examine the efficacy of my work as a co-therapist during the fifth session with the simulated couple Katy and Michelle. I will discuss our therapy agenda and the goals we hope to attain during the session. It is prudent to begin by giving a brief outline of the couple’s present problem and the patterns of dysfunction that I have identified within their relationship. In my opinion, it is the therapist’s job to recognize patterns and behaviors that disrupt the intimate bond between the partners.
With the substantial increase in prison population and various changes that plague correctional institutions, government agencies are finding that what was once considered a difficult task to provide educational programs, inmate security and rehabilitation programs are now impossible to accomplish. From state to state each correctional organization is coupled with financial problems that have depleted the resources to assist in providing the quality of care in which the judicial system demands from these state and federal prisons. Judges, victims, and prosecuting attorneys entrust that once an offender is turned over to the correctional system, that the offender will receive the punishment in which was imposed by the court, be given services that aid in the rehabilitation to those offenders that one day will be released back into society, and to act as a deterrent to other criminals contemplating criminal acts that could result in their incarceration. Has our nations correctional system finally reached it’s critical collapse, and as a result placed or American citizens in harm’s way to what could result in a plethora of early releases of inmates to reduce the large prison populations in which independent facilities are no longer able to manage? Could these problems ultimately result in a drastic increase in person and property crimes in which even our own law enforcement be ineffective in controlling these colossal increases of crime against society?
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
Rehabilitation in the community can either be a good thing or a bad thing depending on how the person looking at it, some people may say its good because they get to get out of jail faster and get help in trying to get a job and maintain that job. And some people can say its bad because they get out of jail to soon and risk the possibility of him or her going back to there ways and committing another crime because the temptation is still there. Through out this essay I will be talking about how the rehabilitation can benefit the community and how it can also put people in danger even though the offender is being monitored by a care taker.