Version 2!!!

Presented by Missy Dappen, MS OTR/LOctober 15, 2009

Overview

• Developed by Cheryl (not Carole) Hall, an OT with 25 years experience in geriatrics and phys dys

• Includes– Glossary*– Treatment Guides for Therapists

• BADLs• IADLs• By Diagnosis

– ADL/IADL Handouts– Education Handouts– References

Treatment Guides

• List of problems that could interfere with activity

• Interventions– Rehabilitate problem– Compensatory strategy– Adaptive technology/assistive devices– Environmental modifications/adaptation– Task modification

• Related handouts*

Treatment Guides: ADLs

• Bathing and Showering

• Dressing• Feeding• Functional

Communication

• Functional Mobility

• Grooming and Oral Hygiene

• Toileting

Treatment Guides: IADL

• Clothing Care• Health

Management• Light

Housework• Managing

Finances• Meal Prep and

Clean Up• Medication

Routine• Shopping and

Community Mobility

Treatment Guides by Diagnosis• Adhesive capulitis• Alzheimer’s disease• Amputation of the lower limb• ALS• Biceps tendonitis• Breast cancer• Cancer• Cardiac surgery• Carpal tunnel syndrome• Cubital tunnel syndrome• Depression• Diabetes• Elbow fracture• Essential tremor• Extreme obesity• Fall risk• Frail elderly• Hip fracture & replacement• Knee replacement

• Low vision

• Multiple sclerosis

• Myocardial infarction

• Osteoarthritis

• Osteoporosis

• Parkinson’s disease

• Peripheral neuropathies

• Post-polio syndrome

• Pressure ulcer

management

• Pulmonary disease

• Renal disease

• Rheumatoid arthritis

• Rotator cuff tendonitis

• Scleroderma

• Shoulder fracture

• Shoulder hand syndrome

• Shoulder impingement

• Shoulder joint replacement

• Spinal cord injury

• Spinal stenosis- cervical

• Spinal stenosis- lumbar

• Spinal surgery – cervical

• Spine surgery- lumbar

• Stroke/CVA

• Urinary incontinence

• Vertebral compression fracture

• Wrist fracture

ADL Handouts

• Bathing– Equipment– Tips– Grab bar placement

• Dressing– Equipment– Tips– Alternative techniques

• Dressing using 1- handed techniques

• Feeding- equipment

• Functional Communication: Improving usability of computer

• Functional Mobility-– Tub, bed and chair

transfers including equipment

– Bed mobility• Grooming/Oral Hygiene-

equipment• Toileting

– Equipment– Tips

ADL Handouts- Examples

Above: Wheelchair to tub bench transfer; Top Right: Caregiver assisted log roll to side of bed; Bottom Right: Adaptive equipment for feeding

IADL Handouts

• Health Management- making and keeping appointments

• Meal Prep and Clean up– Equipment– One handed– Using wheelchair– Using walker

• Medication Routine- resources

IADL Handouts- ExamplesIADL Handouts- Examples

Above: Managing kitchen tasks from wheelchair; Top Right: One handed meal prep; Bottom Right: Tips for making and keeping appointments

Educational Handouts

• Amputation of Lower Leg

• Cardiopulmonary

• Low Vision

• Neurological

• Orthopedic

• Safety

• Other

Educational Handouts- Examples

Above: Positioning in bed- right side affects; Top Right: Deep breathing exercises; Bottom Right: Fall Prevention

Exercise Handouts

• Elbow, Forearm, Wrist• Cardiopulmonary• General• Hand• Mastectomy• Parkinson’s• Shoulder• Stroke- right sided/left sided

Exercise Handout- Examples

Above: Theraband exercises; Top Right: Weight bearing exercises- right side affected;Bottom Left: Upper body reciprocal exercises

Also available from Cheryl Hall…

• OT Toolkit blog- started October 7, 2009: http://ottookit.blogspot.com/

• Topics so far have included– What is OT?– Promoting OT– SOAP Notes– Treatment Goals– Medicare Reimbursement Guidelines

OT Toolkit will be available on office computers or take the flashdrive out of Missy’s deskdrawer and save a copy to your desktop. The file is labeled “ottoolkit_v2.pdf”

Thanks!