Ethical Dilemmas In Occupational Therapy

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On 11/8/16 I met with Mr. Sutter. He remains in Lapeer Regional rehabilitation. Mr. Sutter is weight bearing with the cam boot and a walk. He was able to ambulate 130 feet with contact guard. He was able to climb 2 steps with bilateral railing. Mr. Sutter is concerned about getting into his home, he reports the back steps are cinder blocks and have no railing. He reports he has grab bars in his bathroom, but even before the accident he fell and was concerned about that. He has another home that he would like to modify but doesn’t have any immediate plans. I assured him that the physical, occupational therapist is working with the doctors to determine what he will need when he is released. I spoke with MSW Jennifer Titsworth and relayed these concerns. She will address at the next team meeting. I have asked for the prescriptions to be provided as soon as possible to allow for ordering.

Mr. Sutter has been home since 11/11/16. A friend Sally has been providing
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Sutter at the office of orthopedic surgeon Dr. Olenyn. Mr. Sutter arrived in a wheelchair with Sally. He has the ortho boot on the right leg. The incisions have healed. X-ray taken showed that healing is continuing. Dr. Olenyn wants Mr. Sutter to continue with physical therapy. The therapist is allowed to remove the boot but he needs to continue to wear it. At the next appointment on 12/19/16 he will evaluate if Mr. Sutter can go to a brace. He was also instructed to follow any home exercise program given to him by the therapist. Mr. Sutter denied any pain. Dr. Olenyn asked Mr. Sutter if he used a walker before the accident. Mr. Sutter confirmed that he used a walker or crutches before the accident. Attendant care, replacement services, and transportation were renewed. The attendant care hours were decreased to 4 hours per day. Mr. Sutter understands that he paid for help before the accident so the goal is to decrease to that level again. He said he

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