Thanks Beth. I am opening the lecture with a case study. In fact here
is the text from the first 5 slides:
1 =============================================
Martha: A Case Study
History:
90 y/o female
s/p CVA (approximately 10 years) with mild residual affects
Generalized weakness
Decreased endurance
Diffuse pattern of extremity pain
HTTN
Severe anxiety
Evaluation:
Decreased strength in bi-lateral LE
Pain in right LE, secondary to “injury” while standing from toilet
Decreased endurance
Dependent for most ADL’s.
Requires mod – max assist with transfers
Non-ambulatory
Prior Level of Function:
Previously ambulated with RW, short distances
Transferred independently
2 ================================================
Martha’s Goals:
1. Donn/doff underwear safely and independently
2. Safely ambulate to/from bathroom with a RW
3. Independently and safely bathe self using adaptive equipment
3 ================================================
Martha’s Treatment
Starting from day 1, the patient began working on standing from
bedside.
9/1/08, standing with a RW for 13 secs and 32 secs
9/3/08, standing for 25 secs
9/5/08, standing 35 secs, 38 secs and after much prompting, over 2
minutes.
4 ================================================
Treatment, continued
9/15/08, two steps inside her RW
9/19/08, 4 steps inside her walker
9/22/08, 5-7 steps advancing walker with mod assist
9/24/08, ambulated 25 feet and min A. to advance walker
5 ================================================
Treatment, continues
9/29/08 Independently doffed underwear (Goal #1)
Ambulated with RW to toilet.
First time in over 3 months patient has used “regular” toilet (Goal #2)
10/10, sat on tub transfer bench.
3 months since doing this. (Goal #3)
================================================
I am following up the case with the theory behind why and how both the
patient identified and progressed to her goals. This is the case
study that I posted earlier today.
The majority of the presentation is really definitions and
values/beliefs about occupation, occupational performance and
patient-centered treatment.
I'm a little concerned that it's too esoteric, but students MUST have
knowledge before they can apply that knowledge, right????
Again, I'm hoping to "plant a seed" in student's minds that will later
develop.
Ron
--
Ron Carson MHS, OT
----- Original Message -----
From: ehthiers <[EMAIL PROTECTED]>
Sent: Sunday, October 12, 2008
To: [email protected] <[email protected]>
Subj: [OTlist] Guest Lecture at COTA Program, but not sure..
e> Ron,
e> Remember to have time to do an exercise regarding the topic, make in take,
e> how do you pick activities relating to occupation and occupational
e> performance in different settings. Relate it to doing... Less talk more
e> problem solving.
e> Elizabeth Thiers, OTR/L
e> FECTS
e> [EMAIL PROTECTED]
e>
--
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