What do you mean by "limited bi-lateral LE's"?.? Can she move them at all?? If she has no control in her LEs at all I would do the following:
1) Find out what the patient's?damage is and the possible?recovery potential by calling the surgeon's office. 2)Teach and train?her to compensate through the use of slide board and sit pivot transfers until swelling in her back goes down and hopefully function in her LEs returns. 3) Teach and train occupations from the wheelchair level until? hopefully more?function in her LEs return.. 4) DME and AE recommendations Chris Nahrwold MS, OTR -----Original Message----- From: Ron Carson <[email protected]> To: [email protected] Sent: Fri, 16 Jan 2009 6:42 am Subject: [OTlist] How About This? Scenario: Home health patient with incomplete paraplegia from a spinal surgery. Exact nature of damage is unknown as is the patient's recovery potential. The patient wishes to carry out her daily routine using a walker, as she did prior to her surgery. The patient has strong UE, weakened trunk and limited use of her bi-lateral LE's. Prior to her surgery, she ambulated with a walker and was totally independent. As her OT, what might be your treatment with this patient? Thanks, Ron -- Ron Carson MHS, OT www.OTnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected]
