Neurodegenerative Conditions

Proper foot support with weight-bearing, equal weight distribution over ischial tuberosities, sitting upright with an erect spine, and a neutral to slight anterior pelvic tilt are all ways in which a client can position themselves

to promote balance and trunk control when reaching outside of their base of support and to enable proper weight-shifting________

Allen 1: Cue Required

-profound impairment-total assistance required

-respond to internal cues only

Allen 2: Cue Required

-severe impairment: Max A required-set the client’s room with familiar items from home

-awareness limited to own postural actions/proprioceptive cues

Allen 3:Cue Required

-Physical/tactile cues required

-repetitive actions demonstrated awareness of material objects

-short attention span

Allen 4:Cue Required

-visual and tactile cues, familiar activities

-goal directed

Allen 5: Cue Required

-Trial and error learning, supervision when learning something new

-Problem solving

Allen 6: Cue Required

Planned actions no cognitive deficit

upper motor neuron syndrome

demonstrate spasticity in face, neck, trunk, and limbs

impairment of cranial nerve VI

double vision.

reduce the pain and hypersensitivity to tactile stimulation.

The occupational therapy practitioner's first goal of intervention for complex regional pain syndrome is to

inability to verbally identify objects through visual input

agnosia

passive range of motion to prevent shortening and contractures of muscles.

Home exercise programs for a flaccid upper extremity initially should focus on

Energy conservation

is an important aspect in the treatment of client's with myasthenia gravis and should be integrated throughout all occupations.

Brushing

used as a preparatory activity for clients with hyperresponsiveness to tactile stimuli.

-all adaptive equipment is in the home

-creating a detailed follow-up plan

-coordinating any additional support services

The final step is to ensure a smooth transition from therapy by ensuring that

comfort care and positioning are most important to address until the disease stabilizes and the client moves into the plateau phase.

In the acute stages of Guillain-Barre syndrome,

-maintain comfort in bed, ROM, current level of functioning

-protect against bed sores

Guillain-Barre plateau phase

-recover physical abilities with symptoms decreasing

-rehab programs initiated

Guillain-Barre recovery phase

inability to identify and recognize objects using visual input.

Agnosia refers to the

-pacing, prioritizing activities

-use of AE equipment

-scheduling breaks

energy conservation

-changing thoughts, beliefs and behaviors to improve coping and function

-identify maladaptive thoughts, reframing beliefs, coping skills, stress and pain management

Cognitive behavioral therapy (CBT)

-improving performance through practice of meaningful, functional tasks

-repetition of real-world tasks, problem solving, feedback environmental modifications

task oriented approach

-aligning therapy with client’s values, goals and preferences

-collaborative goal setting, empowering client choice, individualized interventions

client-centered approach

Apraxia, visual inattention, and visual field loss

common deficits following CVA

-present toothbrush to client and ask client to use toothbrush

-gesture brushing teeth and ask client to imitate

-ask to demonstrate shing without razor present

When assessing apraxia, the occupational therapy practitioner will

compensation, modifications, and restorative strategies

Occupational therapy intervention approaches to address performance following a CVA.