Trauma Induced Ch 31 Flashcards
(50 cards)
Post-Trauma Occupational Therapy Interventions
Preparatory methods
Purposeful activity/ Occupation-based intervention
Education
Caregiver grieving —> caregiver education —> multidisciplinary teamwork —> Therapeutic relationships
Post-traumatic scope of care
Care is focused on survival and basic medical
recovery
Child is often sedated
Child’s crucial occupations are rest and sleep
ICU
OT goals of ICU
Contracture prevention
➢ Ulcer prevention
➢ Pain management
➢ Safety
➢ Introduce family to condition
OT interventions of ICU
➢ Stretching
➢ Soft tissue mobilization
➢ Splinting
➢ Bed positioning
Increased medical stability.
Increased interaction with environment.
Intervention strives to promote homeostasis and
prevent secondary injury.
Pain management—does pain interfere with
functional progress?
May be the longest phase of inpatient care.
Acute care setting
OT goals of Acute Care
Resume available
motor functions
➢ Build tolerance to
activity
➢ Actively engage child
➢ Build rapport
➢ Provide in-depth
education on condition
OT interventions of Acute Care
➢ Bedside sitting
➢ Transfers
➢ Preferred activities
Medical stability is established.
Therapy can be provided in a structured, twice
daily sessions of all needed disciplines.
Focus is to facilitate independence.
Prepare for transition to home.
Generally the most “intense” phase of care for
the child and family.
Multidisciplinary teamwork is crucial for a
successful discharge.
Inpatient rehab
OT goals of inpatient rehab
➢ Adequate preparation
for transition home
➢ Increase
independence in self-
care skills
➢ Facilitate continued
progress toward prior
level of functioning
➢ Communicate with
other disciplines
OT intervention of inpatient rehab
➢ Begin balance
between restorative
and adaptive
approaches
Care becomes the primary responsibility of the
family for the first time.
This is often when reality sinks in and families
begin a stage of acute grief.
Progress toward independence pivots on family
priorities and values.
Outpatient Rehabilitation and Community Reintegration
OT goals for Outpatient Rehabilitation and Community Reintegration
➢ Identify family priorities
and values
➢ Clearly identify
differences between
current and premorbid
status
➢ Identification of
appropriate community
resources
OT intervention for Outpatient Rehabilitation and Community Reintegration
➢ Client-centered
interview
➢ Self-management
strategies to empower
the family and child
Incidence of pediatric spinal cord injury
➢ 1.99 times per 100,000 children
➢ Approximately 0.002%
➢ ~1455 new injuries per year
➢ < 4% of all spinal cord injuries
Gender discrepancy of pediatric SCI
➢ Boys are twice as likely to experience SCI than girls.
Traumatic causes of pediatric SCI
➢ Motor vehicle accident
(primary)
➢ Violence
➢ Falls
➢ Sports injury
Medical causes of pediatric SCI
➢ Spinal tumor
➢ Spinal procedure
➢ Disease process
Pediatric SCI
Can be at any spinal
level.
Young children are
more likely to have an
upper cervical injury
more than other age
groups.
Pediatric SCI—Therapeutic Overview
Major impairments are in motor function.
Motor return will not occur for complete injuries
but is possible for incomplete.
Main focus of therapy is to regain independence
in self-care skills and functional mobility.
It is essential to instruct care and injury
prevention for nonfunctional limbs in order to
maintain overall heath.
Preparatory methods for SCI in ICU
• Bed positioning
• ROM
• Pain management via collaboration
Purposeful activities for SCI in the ICU
Communication via adapted call lights
Education in SCI in the ICU
Introductory info
Pressure area prevention
Autonomic dysreflexia
Preparatory methods for SCI in acute care
• ROM
• Splinting
• Tone management via collaboration
• Orthostatic hypotension management
