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Version 2!!!
Presented by Missy Dappen, MS OTR/LOctober 15, 2009
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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
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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*
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Treatment Guides: ADLs
• Bathing and Showering
• Dressing• Feeding• Functional
Communication
• Functional Mobility
• Grooming and Oral Hygiene
• Toileting
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Treatment Guides: IADL
• Clothing Care• Health
Management• Light
Housework• Managing
Finances• Meal Prep and
Clean Up• Medication
Routine• Shopping and
Community Mobility
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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
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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
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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
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IADL Handouts
• Health Management- making and keeping appointments
• Meal Prep and Clean up– Equipment– One handed– Using wheelchair– Using walker
• Medication Routine- resources
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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
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Educational Handouts
• Amputation of Lower Leg
• Cardiopulmonary
• Low Vision
• Neurological
• Orthopedic
• Safety
• Other
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Educational Handouts- Examples
Above: Positioning in bed- right side affects; Top Right: Deep breathing exercises; Bottom Right: Fall Prevention
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Exercise Handouts
• Elbow, Forearm, Wrist• Cardiopulmonary• General• Hand• Mastectomy• Parkinson’s• Shoulder• Stroke- right sided/left sided
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Exercise Handout- Examples
Above: Theraband exercises; Top Right: Weight bearing exercises- right side affected;Bottom Left: Upper body reciprocal exercises
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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
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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!