1. What are your first thoughts when you hear Harris’ goals?
Ans: Harris’ goals are unrealistic at this stage secondary to injury he has suffered which is T3 complete spinal cord injury and resultant paraplegia. Paraplegia is defined as complete paralysis of lower extremities and possible trunk region as well (Spinal Injury Network, n.d.).
2. What do you say in response?
Ans: I will educate Harris’ on his injuries to increase insight to his deficits. I will handle situation very delicately. I will also make sure that he is aware of his strengths and functional limitations at this time to ensure safety.
3. What are Harris’ problem areas?
Ans: Harris’ problem areas are as follows: right UE in full arm cast, right LE in cast from the toes distal to the knee, no sensation on bilateral lower extremities, no sensation in his buttocks, Impaired sensation in inferior trunk region, NO AROM in BLEs, neck stiffness, slight edema in the right digits at the MCP to DIP joints, multiple bruises, abrasions, decreases sitting balance, poor strength, poor posture and alignment, non-ambulatory, non-weight bearing on the right leg, total bathing assistance for back, buttocks and legs, max A for LB dressing, incontinent bowel, …show more content…
If he hesitates or disagrees, I will educate him on occupational therapy goals to improve his daily living skills for independent living and decreasing care giver burden. Adls will be completed in AM in bed with set up secondary to poor sitting balance and trunk control at this point. Harris will be notified prior. During AdL session, I will explain that he will be performing as much as he can, therapist will help only if assistance is required. This will help therapist observe his areas of limitations. AE training may also occur to complete LB bathing and dressing. One hand bathing/dressing technique will be completed secondary to full arm cast on right upper
Ans: Harris’ goals are unrealistic at this stage secondary to injury he has suffered which is T3 complete spinal cord injury and resultant paraplegia. Paraplegia is defined as complete paralysis of lower extremities and possible trunk region as well (Spinal Injury Network, n.d.).
2. What do you say in response?
Ans: I will educate Harris’ on his injuries to increase insight to his deficits. I will handle situation very delicately. I will also make sure that he is aware of his strengths and functional limitations at this time to ensure safety.
3. What are Harris’ problem areas?
Ans: Harris’ problem areas are as follows: right UE in full arm cast, right LE in cast from the toes distal to the knee, no sensation on bilateral lower extremities, no sensation in his buttocks, Impaired sensation in inferior trunk region, NO AROM in BLEs, neck stiffness, slight edema in the right digits at the MCP to DIP joints, multiple bruises, abrasions, decreases sitting balance, poor strength, poor posture and alignment, non-ambulatory, non-weight bearing on the right leg, total bathing assistance for back, buttocks and legs, max A for LB dressing, incontinent bowel, …show more content…
If he hesitates or disagrees, I will educate him on occupational therapy goals to improve his daily living skills for independent living and decreasing care giver burden. Adls will be completed in AM in bed with set up secondary to poor sitting balance and trunk control at this point. Harris will be notified prior. During AdL session, I will explain that he will be performing as much as he can, therapist will help only if assistance is required. This will help therapist observe his areas of limitations. AE training may also occur to complete LB bathing and dressing. One hand bathing/dressing technique will be completed secondary to full arm cast on right upper