She has both vestibular and visual changes secondary to her previous CVA.
Normally a walker would be the best choice but she refuses to use one in public (i.e. Church) and she refuses to use it safely. I have shown her correct usage and she has demonstrated correct usage, but her caregiver reports that she is unsafe with I'm not there. ----- Original Message ----- From: Joanne Seng <[EMAIL PROTECTED]> Sent: Tuesday, September 04, 2007 To: [email protected] <[email protected]> Subj: [OTlist] Functional Mobility Training JS> Another reason is that she may be in a place where she can not rely on JS> furniture for stability. JS> I would also wonder about visual/vestibular problems or issues JS> Joanne JS> -----Original Message----- JS> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf JS> Of Ron Carson JS> Sent: Tuesday, September 04, 2007 11:42 AM JS> To: Joan Riches JS> Subject: Re: [OTlist] Functional Mobility Training JS> Joan, I should have mentioned that she does have new learning issues. JS> But this is not a learning issue. She is very smart and very set in her JS> ways. If things don't make sense she won't do them. And I respect that JS> about her! Like I said, she is a good friend and I know he well. JS> She will only NOT use furniture if it makes sense to her. Does that make JS> sense? <smile> JS> Ron JS> ----- Original Message ----- JS> From: Joan Riches <[EMAIL PROTECTED]> JS> Sent: Tuesday, September 04, 2007 JS> To: [email protected] <[email protected]> JS> Subj: [OTlist] Functional Mobility Training JR>> Hi Ron JR>> Do the ACLS. This description screams cognitive deficit to me JR>> massively complicated by physical disability. I would venture a JR>> guess based on your description but I don't want to set you up. Joan JR>> -----Original Message----- JR>> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On JR>> Behalf Of Ron Carson JR>> Sent: Tuesday, September 04, 2007 9:38 AM JR>> To: OTlist JR>> Subject: [OTlist] Functional Mobility Training JR>> Hello All: JR>> I've been working with a geriatric friend/patient who is asking JR>> me a question that I can not convincingly answer. JR>> This 90 y/o patient is about 6 years s/p CVA with residual JR>> visual / balance deficits. She has fallen twice this year fracturin both JS> hips. JR>> She previously walked without any AD put had difficulty with balance. JR>> She is very determined to return to functional mobility with a cane. JR>> She has progressed from a 4-wheel walker (which is unsafe because JR>> she used it incorrectly (very impulsive)) to a cane. But JR>> needs additional mobility training. Here's the problem. JR>> When she walks, she continually grabs doorways, handles, cabinets, etc. JR>> She does NOT need these but feels more stable with them. I have JR>> stressed that she needs to be consistent with her mobility and JR>> walk in the same manner. But she asks me "why not use them if they are JS> there"? JR>> I need help trying to explain to her that it's best if she not JR>> rely on cabinets, doorways, etc for mobility. But I can't provide a JR>> satisfactory answer as to why? JR>> Any suggestions? JR>> Thanks, JR>> Ron JR>> -- JR>> "... as a profession that offers unique services that are ideally JR>> suited to meet the health, participation, and quality of life JR>> needs of people of all ages, occupational therapy is JR>> well-positioned to succeed and flourish in the 21st century." [Fred JR>> Somers, AJOT, April, 2005, p. 127] JR>> "The part of convalescence that I found most profoundly humiliating JR>> and depressing was [OT]... I was reduced to playing with brightly JR>> colored plastic letters ... like a three-year-old..." [AJOT, April, JS> 2005, p. JR>> 231] JR>> -- JR>> Options? JR>> www.otnow.com/mailman/options/otlist_otnow.com JR>> Archive? JR>> www.mail-archive.com/[email protected] JR>> ******************************************************************** JR>> ******** JR>> ********** JR>> Enroll in Boston University's post-professional Master of Science JR>> for OTs Online. Gain the skills and credentials to propel your career. JR>> www.otdegree.com/otn JR>> ******************************************************************** JR>> ******** JR>> ********** JR>> No virus found in this incoming message. JR>> Checked by AVG Free Edition. JR>> Version: 7.5.485 / Virus Database: 269.13.5/988 - Release Date: JR>> 9/4/2007 JR>> 9:14 AM JR>> JR>> No virus found in this outgoing message. JR>> Checked by AVG Free Edition. JR>> Version: 7.5.485 / Virus Database: 269.13.5/988 - Release Date: JR>> 9/4/2007 JR>> 9:14 AM JR>> JS> -- JS> Options? JS> www.otnow.com/mailman/options/otlist_otnow.com JS> Archive? JS> www.mail-archive.com/[email protected] JS> **************************************************************************** JS> ********** JS> Enroll in Boston University's post-professional Master of Science for OTs JS> Online. Gain the skills and credentials to propel your career. JS> www.otdegree.com/otn JS> **************************************************************************** JS> ********** -- 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 **************************************************************************************
