Tim Xu Tianma, Principal Occupational Therapist 1

THK Therapy ServicesTHK Therapy ServicesTHK Therapy ServicesTHK Therapy Services

Tim Xu Tianma, Principal Occupational Therapist 2

Speaker: Tim Xu Tianma / Speaker: Tim Xu Tianma / Speaker: Tim Xu Tianma / Speaker: Tim Xu Tianma / 徐天马

Principal Occupational Therapist / Principal Occupational Therapist / Principal Occupational Therapist / Principal Occupational Therapist / 首席职能治疗师

THK Therapy Services THK Therapy Services THK Therapy Services THK Therapy Services 太和观治疗中心

Tim Xu Tianma, Principal Occupational Therapist 3

THK Therapy ServicesTHK Therapy ServicesTHK Therapy ServicesTHK Therapy Services

Tim Xu Tianma, Principal Occupational Therapist 4

Why Home Assessment?为什么要做家居环境评估�Improve environmental safety for people with

disabilities 改善环境安全

�Improve safety for the caregivers改善看护者安全

�Ease the care with environmental set up and assistive devices 通过环境改善和使用辅助器具减轻看护负担

�More effective learning for caregivers 提供看护者更有

效的学习环境

�Maximize independence 提高独立性

Tim Xu Tianma, Principal Occupational Therapist 5

Tim Xu Tianma, Principal Occupational Therapist 6

Home VisitReferral

OT to discuss the Findings with the clients

OT to conduct Environmental

assessment

Prescription of assistive Devices (e.g. eSMF, etc)

Give recommendations For environmental modifications

(e.g. HDB EASE, etc)

OT to call theFamily member

Prior to visit

OT to confirm the appointment

Follow up with the envt mod& purchase of assistive devices

(e.g. eSMF, HDB EASE, etc)

Functional assessment & train the use of assistive devices at home

Case close

Refer to step Down care

Pre-visit

During visit

Post-visit

(Without Client)

Tim Xu Tianma, Principal Occupational Therapist 7

Home VisitReferral

OT to assess the client’s Activities of Daily Living

OT to conduct Environmental

assessment

Prescription of assistive Devices (e.g. eSMF, etc)

Give recommendations For environmental modifications

(e.g. HDB EASE, etc)

OT to call theFamily member

Prior to visit

OT to confirm the appointment

Follow up with the envt mod& purchase of assistive devices

(e.g. eSMF, HDB EASE, etc)

Functional assessment & train the use of assistive devices at home

Case close

Refer to step Down care

Pre-visit

During visit

Post-visit

(With Client)

Tim Xu Tianma, Principal Occupational Therapist 8

OT assessment 职能治疗评估

Physical 体能

Cognitive

认 知

Psycho-social 社 会 与

心 理

Self-care 生活自理

Work 工作

Leisure 休闲

Environment 环境

Tim Xu Tianma, Principal Occupational Therapist 9

Tim Xu Tianma, Principal Occupational Therapist 10

Tim Xu Tianma, Principal Occupational Therapist 11

Tim Xu Tianma, Principal Occupational Therapist 12

Cluttered pathway 杂乱的通道

�Before �After

Tim Xu Tianma, Principal Occupational Therapist 13

Cluttered pathway杂乱的通道

�Before �After

Tim Xu Tianma, Principal Occupational Therapist 14

Cluttered pathway 杂乱的通道

�Before �After

Tim Xu Tianma, Principal Occupational Therapist 15

Wiring and towel 电线和地毯

• Before • After

Tim Xu Tianma, Principal Occupational Therapist 16

Low Sofa / seat 座椅过低�Before �After

Tim Xu Tianma, Principal Occupational Therapist 17

Low bed 床过低�Before �After

Tim Xu Tianma, Principal Occupational Therapist 18

Community Environmental Hazards社区环境障碍

�Non lifting landing

Steps

Narrow common corridor

Tim Xu Tianma, Principal Occupational Therapist 19

Community Environmental Hazards社区环境障碍

�Public car park �Wet market

Tim Xu Tianma, Principal Occupational Therapist 20

Safe Community Environment安全社区环境�Improvement

Tim Xu Tianma, Principal Occupational Therapist 21

Safe Community Environment安全社区环境�Improvements

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Tim Xu Tianma, Principal Occupational Therapist 23

�HDB EASE 建屋发展局的乐龄易计划

�Grab bars, anti-slip floor treatment, ramp

Tim Xu Tianma, Principal Occupational Therapist 24

SMF年长者行动基金

Tim Xu Tianma, Principal Occupational Therapist 25

�Private vendors / contractors 私人商家或装修商

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5 6 7

9

8

10

11

12

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1 3

6

10

11

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2 4

5 7

9

8

12

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Limited activities

FallsFallsFallsFalls

Fear of falling

Weakened muscles

Decreased tolerance

Less mobility

Increased Risk of falls

Vicious Vicious Vicious Vicious CycleCycleCycleCycle

Tim Xu Tianma, Principal Occupational Therapist 30

减少活动

跌倒

恐惧感

肌力下降

耐力减退

行动不便

跌倒机率增加

恶性循环

Tim Xu Tianma, Principal Occupational Therapist 31

预防跌倒

Tim Xu Tianma, Principal Occupational Therapist 32

Participation!参与活动!

Tim Xu Tianma, Principal Occupational Therapist 33

Useful Resources�Smart Phone Apps 手机应用程序

Tim Xu Tianma, Principal Occupational Therapist 34

Useful Resources�Smart Phone Apps手机应用程序 (for Andriod system only)

Tim Xu Tianma, Principal Occupational Therapist 35

Useful Resources�Smart Phone Apps手机应用程序

Tim Xu Tianma, Principal Occupational Therapist 36

太和观老年康复与保健计划THK Rehabilitation & Wellness

Program for Seniors

64511813 / 64714270Email: therapy@thkmc.org.sg

Website: http://www.thkmc.org.sg/thk-therapy-services/