-----Original Message-----
From: Claudia Cameron [mailto:[EMAIL PROTECTED]
Sent: Sat 3/12/2005 12:55 PM
To: [EMAIL PROTECTED]
Subject: RE: [NeuroPT ] Pathfinding/Wayfinding
Josh,
I like to assess pathfinding on the Unit and then assess in the hospital
and outside the facility. We look at one's ability to utilize environmental
cues (as most hospital hallways all look the same), do they rely on signs
for directional assist, use a directory or ask a passerby. It is not
unusual for a pt to look at a sign while ambulating down the hallway and
not process the info quickly enough to assist himself with pathfinding.
With visual processing deficits it is important to have the pt stop, read
the info aloud and then change directions if need be, otherwise they may
begin to wander around in hopes of finding something familar. I find
pathfinding outside a bit easier for pts who use landmarks (flag pole,
fountain, etc.), however the environment then becomes much busier. Having a
patient locate a specific location while working on street crossing does
present a difficult challenge as they need to divide their attention for
safety. It is important to assess street crossing and community ambulation
while on Rehab before ever stating that someone is at a "supervised" level.
PT and OT work on community level activities to determine level of
independence. I agree that one of the best places to assess safety, visual
processing, motor ability and attention/concentration is at the grocery
store. Sometimes just safely walking through the parking lot is harder than
the store itself.
I feel the decision for level of independence should be determined by the
clinical team as a whole (PT, OT, SLP) and assessed on several occasions.
If impairments are significant then follow-up services after acute Rehab
will be crucial; post-acute rehab vs. Home and Community Rehab.
Claudia Cameron, PT
Sam Karas Acute Rehab/Natividad Medical Center
Salinas, CA
> [Original Message]
> From: Josh Golden <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Date: 3/2/2005 12:43:07 PM
> Subject: [NeuroPT ] Pathfinding/Wayfinding
>
>
> We are trying to improve our evaulation and treatment of
pathfinding/wayfinding impairments. If anyone has any helpful info or
feels they can answer any of the below questions, we would appreciate it.
>
> 1. Is there an assessment, or formalized process that addresses
pathfinding and
> community safety? (Besides the Community Integration Program)
>
> 2. Which discipline(s) address pathfinding and community safety issues--
For
> example, when a patient is judged safe to leave the (inpatient rehab) unit
> wihtout supervision, who helps make the decision and how?
>
> 3. Do you have or know of any good pathfinding/wayfinding treatment
> plans or progressions that have been successful?
>
> Thank you,
>
****************************************************************************
***
> Josh Golden, PT (206) 731-5797 voice
> mail
> Inpatient Rehabilitation (206) 540-5283 pager
> Harborview Medical Center
>
****************************************************************************
***
>
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>
> Yahoo! Groups Links
>
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>
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