What is this great website you are speaking of???
As for FOR I am a student right now but my guess would be REHABIlitaiton, MOHO,
Dynamic interactional approach - graded tasks...
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On Sat, 4 Aug 2001 22:2:27 - Fowler Katherine wrote:
>
>Mr. Silva,
>
>I have had the wonderful experience of developing a cardiac rehab
>program during my internship some years ago. I worked as a cardaic monitor
>tech on a cardiac floor for many years before completing my OT schooling and
>through my associations with cardiopulmonary physicians and staff, some creative
>exercise protocols were collaborated and initiated. For example:
>upper/lower extremitiy exercises are initiated in the semi reclined (fowlers)
>position to decrease cardiac exertion while increasing the blood flow.
>Exercises are slowly increased in repetition and the position is increased to a
>full seated position as the patiet gains strength and endurance. Vital
>signs should be monitored at all times and exercises graded accordingly. I
>hope this is helpful.
>
>K Fowler, OTR/L
>
>
>----- Original Message -----
>
>From: mr silva
>
>To: [EMAIL PROTECTED]
>
>Sent: 8/4/2001 6:44:57 PM
>
>Subject: why is no one writing?
>
>
>
>
>I wonder if maybe people aren't writing because the
>topics tend to be very deep, and may not be a reflection of what practitioners
>want to discuss. For example, when I joined, what I hoped I would find,
>and what I unfortunately haven't found, is an exchange of treatment ideas for a
>variety of disabilities/conditions our patients have, and ways to improve our
>technical skills. As I'm saying this, however, I do have to ask the group
>a "deeper" question. So, I'd like to start dialogues in 2 different
>directions. The first is something I really need, asap, as I've got a
>student coming soon and a form to fill out. The second dialogue, however,
>is of far more interest to me. Here goes:
>
>
>
>1. I've got a Level 1 student coming sooooon,
>and the school wants to know what Frames of Reference I am using. Now, I
>really hesitate to ask this question of you all, as I really, really do no want
>to get into philosophical discussions. I'm leaving these issues to the
>theorists. I presume Ron is rolling is eyes right now - I'm really not
>picking on you Ron - but I don't want to get into a discussion about this - I
>just need some fast, quick help. I work in home health with a variety of
>paitents with a variety of conditions. Can anyone tell me what Frames of
>Reference they use in this type of setting?
>
>
>
>2. How about we talk about an area that is
>one of my favorite directions for OT to go into - pulmonary rehab. For the
>longest time, I really didn't have a good handle on how to treat these patients,
>beyond energy conservation. But a couple of years ago, I found this
>fabulous website (see attachment above) and which has specific treatment ideas
>for various conditions - one of the best OT websites around, I believe. I
>used this site as a springboard for doing further reading and research into this
>condition, and it has totally changed the way I work with patients, and has
>really made me a much more effective practitioner. Now, whenever I work
>with a patient with a pulmonary (and often cardiac) diagnosis, I give them an
>information packet, rich with information, and especially teach them to really
>listen to what their bodies are telling them (by way of symptoms) and to act
>accordingly. For example, if they are cognitively intact, we discuss SOB -
>what makes them SOB, what makes it worse, better, etc, so they can really start
>thinking about it. Very often, they have been SOB for so long, they don't
>think about it, and only notice it when it is really bad. However, they
>can make real changes in their lives if they recognize the early stages of
>SOB, and learn to "nip it in the bud" right away before it gets worse, by
>performing proper breathing techniques. We then discuss the Levels of SOB
>(I've whittled the levels down to 3 is it is much more user friendly for the
>elderly) and teach how to apply them. We actually practice many different
>ADLs and leisure activities, teaching the patient self-monitoring skills, until
>they can control their breathing, without my intervening. I can't tell you
>what a powerful difference this has made in patients lives, and it was all
>through this website, jumpstarting ideas and getting me excited about
>possibilities.
>
>
>
>This is what I hope this forum will produce - a
>real dialogue ideas. What do you all think? In exchange for sharing
>this wonderful website with you, please, please, please, help me with #1 -
>Frames of Reference - please, please, please!!!
>
>Donna
>
>
>
>
>--- Fowler Katherine
>
>--- [EMAIL PROTECTED]
>
>--- EarthLink: It's your Internet.
>
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