Occupational Therapy Evaluation Client: Michael Marshall Referring MD: Dr. William P Hitchcock DOB: 11/10/1970 Diagnosis: Central Cord Syndrome Incomplete Spinal Cord Injury Age: 45 years Address: 130 Rancho Santa Fe, Oceanside -92069 Date of Evaluation: November 20, 2015 Date of Onset: 42 years REASON FOR REFERRAL:…
Patient selection criteria to be used if interferential stimulation was prescribed anyway included pain ineffectively controlled due to diminished effectiveness of medications; pain ineffectively controlled with medications due to side effects; history of substance abuse; significant pain from postoperative conditions limit the ability to perform exercise programs/physical therapy treatment; or unresponsive to conservative measures. The patient has a chronic injury since 02/20/15 and the treatment to date includes medications, PT and home exercises. The patient reported neck pain and right upper extremity numbness, tingling and weakness. However, the documentation submitted for review does not indicate the failure of conservative treatment (e.g, repositioning, heat and medications).…
Mr. Miller has been on consistently high doses of Morphine even 5 years after the Kyphoplasty. He smokes, his age, he is overweight, his constant usage of high levels of opioids, and he is not overly physically active, these issues will impair healing and recovery. The Official Disability Guidelines for a cervical strain or Whiplash is 25 to 34 days to recovery. PLAN/ RECOMMENDATIONS 1. Contact Mr. Miller every 2 to 4 weeks.…
CRNAs provide a form of anesthesia to countless different types of procedures from a massive open heart surgery to an epidural or spinal block. They work in a very wide variety of situations, but two procedures a nurse anesthetist may perform several times a day would be epidurals and intubations. An epidural is normally given to a woman who is in labor. With this particular type of anesthesia, the patient will stay awake. Before having the the epidural inserted, the patient’s lower back will be sanitized.…
On the other hand, Vaso and his colleagues interpreted the results not only based on their study, but also referred to a thorough comparison between these two alternative hypotheses, which enhanced the reliability of their conclusion3. Nevertheless, in this study, the observations for blacebo controlled trials did not meet the accepted criteria due to practical reasons, which left the effect duration of spinal and intraforaminal blocks an open question awaiting further…
Preventing Falls in Acute Rehab Unit: Safe Patient Discharge is a Priority Introduction of Concept Preventing falls of all patients is the first priority of acute rehab unit. Stroke and traumatic brain injury patients are at higher risk due to cognitive impairment and weakness on the affected side after the stroke and fall. Patients forget their limitation of mobility and try to move independently without realizing their weakness after the stroke and ends up in falling and suffer more injury. Patients’ safety is the highest priority. Joint Commission’s National Patient Safety Goal 2009, ‘Fall Reduction Program’ (2014) stated every health care organization’s fall prevention program is expected to include all patient care settings and populations.…
What type of senses are lost when a person has a spinal cord injury? What does this injure in the peripheral nervous system? In class we have learned many things involving the peripheral nervous system. We have learned about injuries, nerves, and how things flow.…
A person who has a spinal cord injury on average experience higher levels of distress and lower levels of life contentment equaled to the general population. Individual ability to adapt to an SCI vary from person to person, but eventually most people will adjust well to their condition. Spinal cord injury is an immense assault on the mind as well it is to the body. Image being active and independent then suddenly you lose the independence due an accident. You lose the ability to control bowel and bladder, sexual and other bodily functions.…
EAPs frequently reflect the ideals from the NATA Position Statement as they are seen as the “Gold Standard” in the profession. In the case of an acute cervical spine injury “selective immobilization” is conducted. This essentially clears the…
1. Damage control principles in critical care The role of Intensive care unit in the poly-trauma context encompasses patient management and organ support; in other words, on-going physiology resuscitation. The goals of critical care are recognition and treatment of complications which ensue as a result of primary injuries (1st hit) as well as prevention, identification and management of iatrogenic injury (2nd hit). Permissive hypotension, hemostatic resuscitation and damage control surgery are the tools used in trauma-bay resuscitation.…
Welcome to our website and thank you for stopping by. Icon Medical Centers provides the residents in and around Miami Beach with an array of medical and rehabilitation services. We treat individuals who have been injured in a variety of accidents, including: motor vehicle accidents, at work and while participating in recreational activities. We have two locations available near Miami Beach, Fla.: One is in Miami and the other is located in Hollywood.…
Summary, The conclusion as to whether the leg immobilizer was purchased for the heart catherization lab was, yes. The leg immobilizer does reduce the amount of personnel costs. These costs are the largest part of most operating budgets for organizations (Finkler, Jones, & Kovner, (2013). For those that have not worked in a pediatric heart catherization lab, the radial artery is too small to access.…
Being that the athlete cannot respond, your examination is more cautious because you do not know the extent of their injury. The athlete should not be moved around and you should not use excessive force or smelling salts to attempt to wake them up. When palpating to feel for gross deformities or bleeding, be brief but accurate to gage the severity. For example, if the athlete has massive bleeding and isn’t breathing, CPR should not be performed because it can make to bleeding worse. Being that the injury has been classified, asking the athlete about the history of the injury is not needed and stabilizing the athlete is your first priority.…
In this assignment, I will use the Gibbs reflective cycle (1998) to reflect on the situation that taken place during my clinical placement to help me to improve and utilise my skills and knowledge from that experienced. • Describe what happened I was assigned in Surgical Ward at Westmead Hospital for two weeks. I was endorsed to one of the Registered Nurses to be my mentor. I was told by my mentor nurse to help her to shower one of her patients.…
Prevention of Inpatient Falls Patient falls remain the most common adverse event in acute care facilities, with 2%-15% of hospitalized patients reported to fall at least once. Falls can lead to pain, loss of function, fear of further falls and even death (Tanaka, Sakuma, Ohtani, Toshiro, Matsumura, & Morimoto, 2012). An increased focus is being placed on inpatient falls because of morbidity, mortality, increased cost of care, and lack of reimbursement (Cumbler, Simpson, Rosenthal, & Likosky, 2013). The National Database of Nursing Quality Indicators (NDNQI) defines a fall as “an unplanned descent to the floor with or without injury to the patient” (Miake-Lye, Hempel, Ganz, & Shekelle, 2013).…