Interventions for ADLs multiple areas of impairments Flashcards
what is important to monitor during low endurance ADL interventions?
vital signs and MET levels
what is incoordination?
loss of precise smooth
movements and can result from central nervous system disorders
how may incoordination/poor dexterity present?
ataxia
dysmetria,
dyssynergia
dysdiadochokinesi
tremors,
involuntary movements
what is poor dexterity?
loss of fine and
dynamic manipulation, and motor
coordination skills
what may Occupational therapy interventions focus on for incoordination and poor dexterity?
- Stabilizing body as much as possible by sitting during ADL activities,
- Bearing weight on UEs,
- Holding UEs close to body, or
- Using splints to stabilize selected joints to improve clients’ extremity control
what are examples of Adaptive Equipment for Incoordination & Poor Dexterity?
weighted cuff
Anti-slip mat, weighted
utensil, covered lid with
straw
Extended straw
what is hemiplegia
Loss of use of one UE or one body side
what are some ADL techniques for those with hemiplegia?
- Teach one-handed techniques to
facilitate ADL independence. - Cognitive–perceptual disorders (common
with stroke) may affect learning and
information retention. - Apraxia—motor perception disorder
(common in stroke
what do Occupational therapy interventions focus on for Loss of Use of One Upper Extremity or One Side of Body?
- Teaching effective techniques that also protect less functional side of body
- Positioning items on unaffected side for maximum ease of ADL performance
- Teaching specific sequences of
techniques for alternative approaches to tasks - Provide adaptive equipment as neede
what do OT interventions
focus on for LE amputations?
- Identifying most stable and safe positions for activities
- Teaching sequencing for safe and
efficient accomplishment of ADL’s
what is considered low vision?
visual acuity of 20/70 or
worse in better eye that is not correctable through surgery, pharmaceuticals, glasses, or contact lenses
what can vision loss include?
- Blurred vision,
- Lost sight in certain visual fields,
- Blind spots called scotomas,
- Tunnel vision, low contrast sensitivity
- Lack of glare modulation
what do OT interventions focus on for those with low vision?
compensatory strategies including:
- Use of residual vision,
- Modifying environment, and
- Using adaptive equipment.
what should OTs do for those with substantial vision loss?
refer to professional colleagues specializing in services
to low vision/blind
what is the Recommended OT intervention sequence for low vision?
- Maximize visual functioning
* Refer to eye doctors,
* Then identify and use remaining best vision for compensation. - Modify task or environment to enhance performance
- Modify tasks or environments to reduce or eliminate visual performance.
- Eliminate tasks or ask caregivers to
complete tasks
