By Simon B. N. Thompson
This booklet is either an introductory textual content to the rehabilitation of stroke for pupil therapists and a reference textual content for certified therapists. The format of the publication displays those wishes with Chapters 1-4 assuming a minimum point of realizing of the cloth. those chapters supply an advent to the situation of stroke itself, the problern therapists face in assessing and treating stroke sufferers and healing ways in occu pational treatment. diagnosis of stroke can also be mentioned that is a subject matter taken up in later chapters concemed with specialist platforms. using microcomputers in occupational remedy is mentioned during the publication with specific connection with their direct position in the course of remedy. Chapters 5-7 imagine a better point of comprehend ing from the reader even if scholars will locate the cloth worthwhile as an perception into the paintings of the modern day therapist. bankruptcy five addresses the paintings performed within the zone of biofeedback; bankruptcy 6 introduces the concept that and makes use of of databases, and bankruptcy 7 discusses the flexibility of microcomputers, specially within the provision of specialist structures for the diagnosis of stroke.
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Score: Score as normal or impaired, specifying impairment. 4. 5. 6. 7. Interpretation: House: a. Lack of perspective and Iack of detail indicate low pre-morbid mentality or pathological brain damage; b. g. windows, or chimney detached from remainder of house, indicates agnosia; c. Drawing executed in interrupted lines may be due to apraxia; Clock: a. Numbers not all contained within clock face - general brain damage; b. Numbers on left side omitted neglect of left half of space. would give information necessary for a time-oriented stroke database system; Evaluation of the effectiveness of different therapeutic programmes with a well defined and standardized assessment of outcome; An effort to minimize record keeping and maximize information while still maintaining a simple way to visualize patient progress from initial evaluation through discharge and follow-up; Establishment of a standard method of charting that would allow for objective medical audit and provide information about the cost and effectiveness of medical care; Determination of whether or not there are significant differences in a patient's performance in various disciplines and if so, to document these differences.
Sensory function Loss of limb sensation affects voluntary movement in a number of ways with both exteroceptive and proprioceptive loss; 1. Exteroceptive loss. Lack of recognition by touch of shape, bulk and texture (otherwise known as asteriognosis ). g. a key. Localization of touch can be assessed by touching and asking the patient to point to the place where he/ she was touched (both unaffected and affected sides should be tested); 2. Proprioceptive loss. Lack of sense of joint position. The patient is asked to catch hold of the thumb of the affected hand, first with eyes open and then shut.
The patient's idea of priorities to be addressed may be different to the therapist's. For example, the therapist may think that dressing skills are of prime importance when the patient actually wishes to be independent in transfers to the commode even if it means remaining in night-wear. Therefore, it is crucial for the therapist to take the patient's views as paramount ensuring maximum motivation for the rehabilitation programme. 28 OCCUPATIONAL THERAPY ASSESSMENT Where do we assess? The three main places where the OT may assess the patient are: 1.