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Occupational Therapy : PDF
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Added on 2021-06-14
Occupational Therapy : PDF
Added on 2021-06-14
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Running head: OCCUPATIONAL THERAPYOCCUPATIONAL THERAPYName of the StudentName of the universityAuthor’s note
OCCUPATIONAL THERAPY1Case scenario 1Introduction of self- After positioning the patient up the bed, the interview should be initiatedwith the introduction of the occupational therapist to the patient with warm greetings. Afterestablishing a rapport with the patient, the occupational therapist might enquire about any type ofphysical difficulties that the patient is facing.L- An elderly patientI- The occupational therapist.T- Pulling the patient up from the edge of the bed.E- An acute medical wardThe techniques and the reasonSliding sheets are useful in turning the patient or moving up the bed or providing bedbath to the client. The slide sheets work by reducing the friction and hence less force is requiredfor moving the clients. The techniques initiates with placing of the slide sheet, grabbing the end of the slide sheetfor pulling the patient. Moving and handling techniquesThe body of a patient may slide when the person is in bed for a long time. While pullingup the patient to the bed, an occupational theorist should assess the patient medically before
OCCUPATIONAL THERAPY2trying an attempt to lift him/ her. Verbal prompts should be carried out with the person beforeassisting the person to get up or before lifting the person. It should be remembered that the goalis to pull up the patient and not lift (Kennedy et al., 2012). Placing of the slide sheetIt is necessary to place a bed sheet between the slide sheet and the skin to reduce thefriction between the skin and the slide sheet and thus maintain the skin integrity. It is necessary to keep the edges of the slide sheet to the edge of the bed as a guide.In case the bed is large then larger slide sheets are recommended. The clients should be rolled to their sides pulling and straightening the sheet on the other side. Itis recommended to keep a pillow or a soft support to prevent the patient from banging their head.Removing the slide sheetThe slide sheet has to be removed after the patient has been moved up. While removing it theslide sheets should be tucked to from one side and then the bottom sheet is removed first fromthe other side. The slide sheets have to be applied beneath with the buttocks up as the thighs willnot be in contact with the loose mattress. It should be ensured that the client foot are not in thebed linin. The patient’s ankle should be held firmly for anchoring the feet to the mattress. Theclient should be asked to push upwards by using their feet, ensuring that their buttocks are notlifted from the bed. The slide sheets should be grabbed at the upper back and hips of the patient on the side ofthe bed. Putting one leg forward the weight should be given on the back leg and on the count of
OCCUPATIONAL THERAPY3three the occupational therapist should full the sheets towards the head of the bed. The wholething should be repeated unless the person gets the right position. Initial interview with Mr. WhiteMr. White is 83 year old New Zealand European elderly patient. Care should be taken whileinteracting, to maintain the dignity of the patient. It has to be understood that Mr. White’shearing disability and physical burden is withdrawing him from social interaction with hisfriends. Due to which the patient might feel depressed hence it is necessary to provide aconducing environment before the interview. The following questions can be asked in the interview-How are you feeling currently Mr. White?How much are you having difficulty in hearing me?Do you face difficulties to do your daily chores?Are you having difficulties in walking?Are you bale to maintain your personal hygiene?Do you face difficulties while bending?After the conduction of the interview the therapist can educate the patient or the patient’sfamily with some physiotherapies that can be practiced at home.
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