She will only allow minor changes to her environment. She will not allow grab rails. When she came home from rehab, her sister made her use a bedside commode over the toilet. But, if company was present, the BSC had to removed!!
----- Original Message ----- From: Laura Obara <[EMAIL PROTECTED]> Sent: Tuesday, September 04, 2007 To: [email protected] <[email protected]> Subj: [OTlist] Functional Mobility Training LO> She sounds like a spunky lady. LO> I would continue to give her the same message/concerns and hopefully- LO> it would eventually sink in. I am sure you tried a little humor with her LO> saying she is too attached to her house that she has to touch LO> everything;-) LO> Brainstorming..... LO> Will she open to having you re arrange her living situation? Remove LO> furniture, door, she doesn't need, etc. Would she be open to using grab LO> bars along side the wall instead of using doorknobs, cabinet, drawer, LO> etc? Trying to remember what is in home depot/lowes stores that could LO> be used to help ...you could change the knobs for the door and cabinet LO> knobs. LO> Good luck.... LO> Laura Obara, OTR/L LO> Occupational Therapy LO> Chicago Read Mental Health Center LO> 4200 North Oak Park Avenue LO> Chicago, IL 60634 LO> 773.794.3759 TTY LO> 773.794.3760voice/tty LO> 773.794.3772 Fax LO> [EMAIL PROTECTED] >>>> [EMAIL PROTECTED] 9/4/2007 11:42 AM >>> LO> Joan, I should have mentioned that she does have new learning LO> issues. LO> But this is not a learning issue. She is very smart and very set in LO> her LO> ways. If things don't make sense she won't do them. And I respect LO> that LO> about her! Like I said, she is a good friend and I know he well. LO> She will only NOT use furniture if it makes sense to her. Does that LO> make LO> sense? <smile> LO> Ron LO> ----- Original Message ----- LO> From: Joan Riches <[EMAIL PROTECTED]> LO> Sent: Tuesday, September 04, 2007 LO> To: [email protected] <[email protected]> LO> Subj: [OTlist] Functional Mobility Training JR>> Hi Ron JR>> Do the ACLS. This description screams cognitive deficit to me LO> massively JR>> complicated by physical disability. I would venture a guess based LO> on your JR>> description but I don't want to set you up. Joan JR>> -----Original Message----- JR>> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On LO> Behalf JR>> 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 LO> me a JR>> question that I can not convincingly answer. JR>> This 90 y/o patient is about 6 years s/p CVA with residual LO> visual / JR>> balance deficits. She has fallen twice this year fracturin both LO> hips. JR>> She previously walked without any AD put had difficulty with LO> balance. JR>> She is very determined to return to functional mobility with a LO> cane. She JR>> has progressed from a 4-wheel walker (which is unsafe because she LO> used JR>> it incorrectly (very impulsive)) to a cane. But needs LO> additional JR>> mobility training. Here's the problem. JR>> When she walks, she continually grabs doorways, handles, cabinets, LO> etc. JR>> She does NOT need these but feels more stable with them. I have LO> stressed JR>> that she needs to be consistent with her mobility and walk in the LO> same JR>> manner. But she asks me "why not use them if they are there"? JR>> I need help trying to explain to her that it's best if she not LO> rely on JR>> cabinets, doorways, etc for mobility. But I can't provide a LO> satisfactory JR>> answer as to why? JR>> Any suggestions? JR>> Thanks, JR>> Ron JR>> -- JR>> "... as a profession that offers unique services that are ideally LO> suited JR>> to meet the health, participation, and quality of life needs of LO> people JR>> of all ages, occupational therapy is well-positioned to LO> succeed and JR>> flourish in the 21st century." [Fred Somers, AJOT, April, 2005, p. LO> 127] JR>> "The part of convalescence that I found most profoundly LO> humiliating and JR>> depressing was [OT]... I was reduced to playing with brightly LO> colored JR>> plastic letters ... like a three-year-old..." [AJOT, April, LO> 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>> LO> **************************************************************************** JR>> ********** JR>> Enroll in Boston University's post-professional Master of Science LO> for OTs JR>> Online. Gain the skills and credentials to propel your career. JR>> www.otdegree.com/otn JR>> LO> **************************************************************************** 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: LO> 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: LO> 9/4/2007 JR>> 9:14 AM JR>> LO> -- LO> Options? LO> www.otnow.com/mailman/options/otlist_otnow.com LO> Archive? LO> www.mail-archive.com/[email protected] LO> ************************************************************************************** LO> Enroll in Boston University's post-professional Master of Science for LO> OTs Online. Gain the skills and credentials to propel your career. LO> www.otdegree.com/otn LO> ************************************************************************************** -- 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 **************************************************************************************
