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Rehabilitation Plan

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Therapeutic Interventions in Rehabilitation of Patients with Cerebrovascular Accidents and Total Hip Arthroplasty at Phoebe Home Allentown

Phoebe Home Allentown (PHA) is one of the facilities of Lehigh Valley Phoebe Ministries group that provides a variety of residential options to meet the needs of senior adults depending on level of disabilities and diverse lifestyle preferences. The cohesive work of the healthcare team at PHA short-term rehabilitation unit provides a wide spectre of rehabilitation services of physical, occupational, and speech therapy. PHA specialize in orthopaedic and neurologic conditions, joint replacement, medical and post surgical rehabilitation, pain management, and speech dysfunctions. Due to the fact …show more content…

The rehabilitation team meets on a daily basis to discuss the progress and plan of care of every patient in the unit. The facility’s comprehensive rehabilitation team has developed and implemented the Neurocognitive Engagement Therapy (NET) program that is based on the on-site research of rehabilitation and quality of life of patients with various cognitive impairments. The primary concern of the facility’s healthcare team is each patient’s stage of cognitive impairment which can result in the orthopaedic conditions or fractures. During the clinical experience the majority of patients seen were the patients with hip fractures, total hip arthroplasty (THA) surgeries, and patients suffering from cerebrovascular accidents (CVA). The physical therapy interventions consist primarily of therapeutic exercise, gait training, and the use of physical agents such as electrical stimulation and short wave diathermy therapy. The focus of physical therapy is not limited to primary concerns of rehabilitation and regaining functionality from a …show more content…

The patients were instructed in the safe use of assistive devices, appropriate step sequence and safe foot placement. The focus was to keep the instructions simple, clear and precise while using no more than five words to remember. Since each CVA patient is different, the approach to the interventions was chosen to meet the specific demands of each individual. For example, a patient “A”, a 90-year old female who was previously admitted to the short-term rehabilitation unit and recovering from the left middle cerebral artery accident and right hemiplegia, was refusing to use standard walker and utilized the hemi walker. The patient was alert, had no sign of cognitive impairment, and strived for achievement. However, she was devastated by the thought of the long recovery process and required constant motivation. The rehabilitation interventions included strengthening and endurance exercises (pelvic tilts, hip abduction and flexion) on the plinth, the use of an Omnicycle in neuro-muscular re-eduation and symmetry mode with biofeedback training; ProStretch to engage the muscles involved in normal gait; transfers and gait

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Dana Wong Case Summary

599 Words | 3 Pages

Dana Wong is a seventy-year old female who had an ischemic stroke, and is entering our care facility after a seven-day stay at Mercy North Medical Center. The stroke has left her in a wheel chair with decreased mobility on the left side, slurred speech, and relaxed features. The referral came from Dr. Parker on September 12, 2015, which was four days after her admission in the hospital, and request that Mrs. Wong undergo two months of physical, occupational, and speech therapy before she returns to her home at Green Meadows, an assisted care living facility. Dr. Parker noted that Mrs. Wong can benefit from our services, and believes that she can make an adequate recovery, because she is determined to maintain her independent lifestyle. Mrs. Wong has full coverage from Blue Cross Blue Shield, who has agreed to pay for her stay at the facility for a maximum of two months.

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Sanctuary Bellbrook Case Study

645 Words | 3 Pages

Sanctuary Bellbrook is a nursing home that provides a home for older adults in comorbidities conditions. The goal is to make sure residents staying here are in a safe and hazardless environment with the right assistance provided. Resident LJ, born on August 2, 1921 was admitted to Sanctuary Bellbrook due to her right fracture pelvic from a fall. The SPICES tool is used to find actual and potential problems the resident may be experiencing. With the tool, our objective is to establish interventions to reduce risk of injury LJ may be vulnerable to and provide the best care .

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Unit 23 P4

533 Words | 3 Pages

There are ranges of specialists who work on the rehabilitation team, each member of the team has a goal to help patient with a focus of promote QOL. The Case Managers are will be the primary contact person, with whom patient and family/caregiver can direct raise matters and ask for information. It is advised that a neuropsychologist should conduct a cognitive and behavioural/emotional assessment. Cognitive include perception and awareness, orientation, memory, though processing, problem solving, personality and decision making. Behavioural/emotional include emotional status, mood changes, adjustment difficulties, personality changes, inappropriate sexual behaviour, motivation level, substances misuse, depression, anxiety and psychosis.

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Occupational Therapy Profession Paper

374 Words | 2 Pages

In order for Monti to make effective progress and reach potential outcomes selecting and implementing appropriate assessments and treatment strategies is vital. A key element in the occupational therapy profession is using a holistic approach to treating to enhance quality of life. Therefore, during the evaluation process the implementation of one assessment will not target all the skill areas Monti is deficient in. Additionally, when treating the body as whole it is important to analyze how Monti interacts and completes the task by observing motivation, body position, movement patterns, coordination, attention, sensory processing functions, visual functions and awareness within his environment. After the completion of the evaluation process

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Fall Prevention

289 Words | 2 Pages

This is reviewed with any change in patient status, a fall, and/or quarterly. Patients, depending on screening, might receive services from physical therapy (PT), occupational therapy (OT), nutritional services, bed/chair alarms, floor mats, medication adjustment, and change in room to closer to the nurses’ station, or other services. All at risk patients are easily identifiable by notation on wrist band, footwear, room and equipment signage, in the electronic medical record, and on any paper records. The fall rate of patients at SAVAHCS continues to be at or slightly below the benchmark, but our goal is to have zero falls. The intervention not fully utilized at this hospital, that does show promise in the literature, is the post-fall huddle.

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The CMOP-E Model

1670 Words | 7 Pages

Mrs Jones physical shows she had a hip operation thereby causing her pain, reducing her mobility and access to her occupation and engagement. Additionally she has difficulty in weight bearing on her right leg due to her operation and experiencing muscle weakness causing her limited endurance and strength when walking and transferring. Cognition: It was documented the patient experienced post-operative confusion, memory loss, difficulty following and understanding post hip surgery caution. Affective (mood): Patient experienced low mood and lacks confidence walking due to her illness, this has impacted on her emotion.

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Pain Management Case Study In Nursing

2189 Words | 9 Pages

Therapy programme will include strengthening, balance training and endurance training. Dietitian will also have a role to play to ensure adequate nutrition and education on proper diet to patient. Prior to discharge a home assessment would be conducted by the occupational therapy and recommendation will be given on necessary modification (5, 7). Functional activity training will also be incorporated to mimic home environment and achieve patient’s need and goals. Patient will also be given a home exercise programme and referred to community rehabilitation team for follow-up (6).

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PICT Analysis Nursing

1065 Words | 5 Pages

We are aware that not all interventions prevent falls, however the emphasis is placed on the staff knowledge and understanding of the factors that contribute to a resident falling. There are barriers that are created because of the lack of education of staff, the reduced empowerment of residents, and the failure to have a sustainable fall management program in place. It is very imperative that the nurse providing care develop a holistic understanding of each resident that he/she is providing care for. This concept of understanding will allow the proper interventions to be established, and will allow the residents to have participation of their direct care. The Joint Commission (2015) recommend that “each facility implement an individualized program that is centered around implementing interventions specific to each resident, population and setting.”

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Patient Falls Prevention

1050 Words | 5 Pages

Through evaluation of currently UTMB policy and recent policy guidelines, no new additions to the policy were identified. Rather, recommendations to increase compliance and ease staff load were identified. These recommendations include increased collaboration with physical therapy to increase equipment availability, early identification of therapy needs with a patient and increased compliance with daily exercise programs. As the cost of falls has been identified as billions of dollars, an economical decision should be made in order to increase supply of walkers available on the units. The aim of these recommendations is to increase compliance with activities to increase patient strength and balance as this has been shown, as a part of a multi-intervention policy, to decrease falls in acute care

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Patient Falls Assessment

691 Words | 3 Pages

(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent

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Describe Brain Injuries

680 Words | 3 Pages

Describe brain injuries that are: Mild – Mild brain injuries can be reversible and the individual may make a full recovery. The individual may not have acquired loss of consciousness or only lose consciousness for no more than a few minutes. They may receive rehab and physio treatment that can correct their injury to improve their well-being. Moderate – The individual will lose consciousness for longer periods of time and may need longer to recover. Some symptoms may stay with the individual and they may not recover from them.

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Reflection On Long Term Care Experience

1201 Words | 5 Pages

It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).

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My Experience At Healthsouth Rehabilitation Hospital Of Largo

725 Words | 3 Pages

Over the course of this semester’s clinical rotation, I set out to try to achieve a better sense of what being a nurse in the rehabilitation setting meant. Shortly after, I found out that the objectives of rehabilitation meant safety- not only for the patient, but also for the nurse as well. While working with mainly with geriatrics this semester, emphasis was placed on, but not limited to: fall precautions, maintaining open airways, and in general, prevention of nosocomial infections. During active interventions to

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Occupational Therapy Essay

1105 Words | 5 Pages

Disease and Occupation is about occupation throughout a lifespan, and the human disease process (University of Southern Indiana, 2023). Psychosocial and Cognitive Strategies examine theoretical framework, application of purposeful activities, and occupations used as therapeutic interventions (University of Southern Indiana, 2023). Fundamentals of Occupational Therapy helps with rehabilitation in: listening, reading, writing, and speaking for occupational therapists (University of Southern Indiana, 2023). For Occupational Therapy Theory and Clinical Reasoning, University of Southern Indiana states, “This course presents development and application of theoretical constructs, practice models, and frames of reference that relate to the profession of occupational therapy.” Physical Disabilities/Ortho is the course covering etiology, prognosis of developmental and cognitive disabilities, acute and chronic diseases, and traumatic injuries (University of Southern Indiana, 2023).

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Physical Therapy Essay

1711 Words | 7 Pages

Jeffrey Eubanks J17002346 February 7, 2018 Physical Therapy Physical therapy is a career that will always be needed throughout society; it helps the human body rebuild physical function in people that have been injured, have birth defects, or any other reasons. People who have been in accidents or have disabling conditions such as low-back pain, arthritis, heart disease, fractures, head injuries and cerebral palsy turn to physical therapists, commonly called PTs, for help. These health care professionals use an assortment of techniques, called modalities, to reestablish function, improve movement, relieve pain and avoid or limit lasting physical disabilities in their patients. There are certain education requirements to become one, just like

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