I would refer pt to neuro-optometrist for specific diagnostics, continue
treating the areas you identified via objective tests and depending on the
prognosis given by the n-optometrist, initiate either restoration, compensatory
retraining and/or adaptation of environment to maximize performance in
occupationally relevant routines. I use the AOTA practice guideline quite a bit
just to make sure I'm not skipping details re: intervention strategies.
Good luck. I'm sure you will do a great job
Carmen
----- Original Message -----
From: Ron Carson<mailto:[EMAIL PROTECTED]>
To: AOTA Gerontology List<mailto:[EMAIL PROTECTED]>
Sent: Tuesday, January 17, 2006 6:09 AM
Subject: [OTlist] Help with low-vision patient
Hello All:
I just began treating a man who has vision changes secondary to a very
recent stroke. He has an obvious left field cut and visual processing
deficits, as evidenced by the Motor Free Visual Perceptual Test, Trail
Making tests, client reports, and observations. He is unable to read and
has difficulty with safe ambulation. The patient is very wealthy, lives
in a VERY large home but is currently staying with his mother.
I am at a loss for what is my best course of action with this client. I
have only little experience working with low-vision and most of it has
been on having client's perform practical exercises to remediate their
vision deficits. I know that vision changes may remediate on their own.
I have done quite a bit of reading over the past week but I still feel
unsure of the best course of action. I want to ensure that I am doing
the best for this patient, so:
1. Should I refer to a vision specialist?
a. If so what type and how do I find one in my area
2. Should I continue treating using practical application techniques
3. Other options?
Thanks,
Ron C.
x-posted
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