Ron Carson <[EMAIL PROTECTED]> wrote: > Not what you mean by "stemming".
Aha - that's just Danish for doing "push up" for pressure reliefs etc - my mistake - I thought it was international:-) > Solid seat?? Not necessarily but my concern with an > open > seat is that > she will not be able to "clear" her bottom across the > opening. Makes sense - but some holes for drainage might be useful. Wouldn't water flow from the bench to the floor else? (I don't know a thing about US bathrooms, but I guess the floor isn't well drained since you go for the tub and not the shower wheelchair...). Oh - grab bars placed strategically may assist with balance while leaning for cleaning down there. You can always hang towels on them later on:-) > She just does not have the strength and/or strategy to > clear > her bottom > UNLESS she has elevated hand rests. For example, she > can > clear her > bottom while sitting in her w/c by using the arm rests. > But > she can not > clear her bottom while sitting on a solid surface with no > armrests. Not sure if I'm stating the obvious here, but many (most?) people need to bend over very significantly to clear the bottom - a push-up doesn't do it. We really gotta find a way for you to see those videos! I noticed the "JGNI" videos run in quicktime format on my computer, and that they take a looong time to load. And then "Shaun" on Windows media player. The video formats are MPG and WMV - maybe you could download another player to run them if you're on a mac or something? > She does have a shower wheelchair but no roll-in > shower. > MONEY is an > issue as there is no insurance. > > One thing that I know is that she is determined to be > independent. I think she will be. With her level it'd take serious complications to not be. But it may take time - even years for certain things. (example being cleaning yourself up after a bowel accident.) > I have previously worked with a couple people who are s/c > injury and now > live independently in the community. I'm considering > asking if > they will > take a trip with me to the patient's home. Wow, Ron - you're one committed OT! Guess that's what's meant by rehab without walls! > I am also going to consult with a DME specializing in > lightweight w/c's > to see about getting the patient out of her cumbersome > power > w/c. Important step - I believe she'll also find that very helpful with her weight issues. > So much to work on!! Yeah - an SCI sort of affects everything. And all those "things" are so interconnected, that it's hard to chose limited therapy goals to work on. I believe you made fine choices - the results of which will rub off on other important things. Often bowels and bladder management is the center which everything turns around, but I guess she has reasons for not involving you much in that part - and what you are doing will eventually benefit her independence with that too, so kudoes for working as client centered as you do!! susanne -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
