Mary's Questions and Concerns

Sabra Gibbens Sabra
Gibbens
Posted: Friday, February 5, 2010 @ 10:01
(edit) (delete)
Please feel free to use this discussion board to post answers to Mary's questions and concerns.

Posted Replies

Replied: Friday, February 5, 2010 @ 10:02
(edit) (delete)

Here is the information I received from Tammy, on of the OTs.

 

OTs commonly make home visits to do assessments and suggest modifications if necessary, especially those working in the community.

 

You guys are on the right track with adding handrails and getting rid of rugs since those present a great risk for tripping and falling. Some other possible bathroom equipment may include bath benches and shower mats.  I would also recommend rearranging frequently used items to the main floor to minimize the need for Mary to climb up and down the stairs.  E.g., have her bedroom and/or install a bathroom on the first floor.  Since the stairs seem to present a greater risk for future falls, having some visual cues from the environment may also be advisable.  E.g., put coloured markers against the height of each step.  To enhance safety when getting up from her bed or chair, a standing pole could be set in place for her to hold onto and assist with standing.  Flooring in the home should also be made level (no raised decks), if it isnt already.  Lighting in the home should also be assessed since inadequate lighting reduces visibility, thus contributing to the risk of falls.

 

For her fractured wrist, there are many adaptive equipment that can be prescribed for Mary to use until she recovers.  An OT may introduce these to Mary to practice with and see which works best for her.  For the issues that you described, there are adapted hooks to pull zippers or large ringed zipper toggles for easier pulling.  There are tools with rubber straps to wrap around jar lids for firmer grip or, instead of using jars, perhaps Mary can use plastic tupperware with easy-to-open lids.  Certain cutting boards are also adapted with a device (i.e. pegs) to hold the food down so that you can chop with just one hand.

 

Im not exactly sure when these issues should be addressed but I think it would likely be while Mary is in rehab, just before discharge and then continue to assess after she returns home.

 


Last updated: Friday, February 5, 2010 @ 10:02 by Sabra Gibbens.
Replied: Friday, February 5, 2010 @ 10:03
(edit) (delete)
Heres some more information I got from Mavia, the other OT consultant on our case.

So Tammy basically touched on some important aspects of OT which would be considered for Mary's case. However sometimes renovations can be costly and thus we may consider a comode for Mary if she would be seeping on the main floor. Other adaptive aids that were not mentioned could be a shower pole that could slide in right between her toilet and bathtub; we could recommend she purchases one that does not have to be bolted to the ceiling and floor (not good if she has to sell her house if she is trying to attract buyers); you can purchase these at shoppers home health care.
 
Also, an important aspect of her outpatient rehabilitation would be education. Educating Mary about falls prevention which would include encouraging Mary to exercise to remain physically active; ensuring she is aware of proper nutrition (we could lead her to the proper resources) to ensure she is eating a full balanced diet; this also can relate to what Tammy mentioned about  telling her about the risks in her home (e.g. rugs), and so on.
 
Another area that Mary may be referred to as an outpatient would be a hand therapy clinic where OT's work at muscle re-training and strengthening. Because she broke her wrist and will not be using it (for however long she wears a cast) she may need some rehabilitation after. Also within this area the OT can help Mary modify daily tasks while in the cast (which Tammy already mentioned like specific cutting boards and such).

Last updated: Friday, February 5, 2010 @ 10:03 by Sabra Gibbens.