I would ask the patient what is important to her first of all. Does she have a 
caregiver or help? Does she want to be able to do all of her ADLs? What are her 
goals?
If left up to me without any further information, I would probably focus on 
adaptive techniques for ADLs, independence with transfers, mobility in the 
home, social participation.
Audra Ray, OTR/L


--- On Fri, 1/16/09, Ron Carson <[email protected]> wrote:

From: Ron Carson <[email protected]>
Subject: [OTlist] How About This?
To: [email protected]
Date: Friday, January 16, 2009, 3:42 AM

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


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