Hi all. Here are my 2 cents... Assuming she can learn new information, teaching her new startegies could work. You have a good opportunity for restoration/adaptation and compensatory approaches... If she can not learn, ( Allen levels 4 ish), adaptation of environment to elimminate hazards, changing the most prevalent tasks she falls during, to be done by/with someone else... signs posted by cupboards that she may want to reach for to remind of doing something safer...rearranging her closets to have things at a safer plane... pictures of her doing something safer to cue to imitate the action Share the rtesults... Carmen
From: "Christi Vicino" <[EMAIL PROTECTED]> Reply-To: OTlist@OTnow.com To: <OTlist@OTnow.com> Subject: Re: [OTlist] Functional Mobility Training Date: Tue, 4 Sep 2007 12:09:59 -0700 >How to recover from a fall .... Once on the ground how do you proceed >to get up.... > > >Christi >-----Original Message----- >From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On >Behalf Of Ron Carson >Sent: Tuesday, September 04, 2007 11:26 AM >To: Christi Vicino >Subject: Re: [OTlist] Functional Mobility Training > >What is a fall recovery program?? > >----- Original Message ----- >From: Christi Vicino <[EMAIL PROTECTED]> >Sent: Tuesday, September 04, 2007 >To: OTlist@OTnow.com <OTlist@OTnow.com> >Subj: [OTlist] Functional Mobility Training > >CV> Hi Ron... > >CV> I know you have thought of everything...but I love throwing things >CV> around in hopes something will spark a thought that was not >covered.... > >CV> Since she is pretty with it... Have you considered a fall recovery >CV> program.... And slipping in a demonstration of you loosing your >CV> balance under a variety of circumstances...(including furniture >walking).... >CV> Sometimes seeing things in action can click.... And then have her >CV> interact and simulate similar circumstances with mats in place??? > > >CV> Christi Vicino > > >CV> -----Original Message----- >CV> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On >CV> Behalf Of Ron Carson >CV> Sent: Tuesday, September 04, 2007 9:49 AM >CV> To: Christi Vicino >CV> Subject: Re: [OTlist] Functional Mobility Training > >CV> Hello Christ: > >CV> I have explained these to her. I have pointed out to her when she >CV> loses balance because she reached for something. I have repeatedly > >CV> shown her how she may misreach for something (visual changes) or the > >CV> item may move or she will have a LOB, but she is adamant about >CV> holding on to objects when they are in reach. > >CV> This is a tough case! I love it!!! > >CV> ----- Original Message ----- >CV> From: Christi Vicino <[EMAIL PROTECTED]> >CV> Sent: Tuesday, September 04, 2007 >CV> To: OTlist@OTnow.com <OTlist@OTnow.com> >CV> Subj: [OTlist] Functional Mobility Training > >CV>> The things that she is grabbing hold of may not be stable enough to > >CV>> provide assist in sustaining her balance. > >CV>> She may not always make appropriate choices of what to grab onto >CV>> especially when a loss of balance occurs. > >CV>> "Furniture Walking" alters her center of gravity when ambulating >CV>> and > >CV>> does not encourage the muscles that need to be strengthened by >CV>> walking with the appropriate posture to strengthen and make her a >CV> safe walker. > > >CV>> Christi > >CV>> -----Original Message----- >CV>> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On > >CV>> Behalf Of Ron Carson >CV>> Sent: Tuesday, September 04, 2007 8:38 AM >CV>> To: OTlist >CV>> Subject: [OTlist] Functional Mobility Training > >CV>> Hello All: > >CV>> I've been working with a geriatric friend/patient who is asking > >CV>> me a question that I can not convincingly answer. > >CV>> This 90 y/o patient is about 6 years s/p CVA with residual >CV>> visual / balance deficits. She has fallen twice this year fracturin >CV> both hips. > >CV>> She previously walked without any AD put had difficulty with >CV> balance. >CV>> She is very determined to return to functional mobility with a >cane. > >CV>> She has progressed from a 4-wheel walker (which is unsafe because > >CV>> she used it incorrectly (very impulsive)) to a cane. But >CV>> needs additional mobility training. Here's the problem. > >CV>> When she walks, she continually grabs doorways, handles, cabinets, >CV> etc. >CV>> She does NOT need these but feels more stable with them. I have >CV>> stressed that she needs to be consistent with her mobility and >CV>> walk in the same manner. But she asks me "why not use them if they >CV> are there"? > >CV>> I need help trying to explain to her that it's best if she not >CV>> rely on cabinets, doorways, etc for mobility. But I can't provide a > >CV>> satisfactory answer as to why? > >CV>> Any suggestions? > >CV>> Thanks, > >CV>> Ron > >CV>> -- >CV>> "... as a profession that offers unique services that are ideally >CV>> suited to meet the health, participation, and quality of life >CV>> needs of people of all ages, occupational therapy is >CV>> well-positioned to succeed and flourish in the 21st century." [Fred > >CV>> Somers, AJOT, April, 2005, p. 127] > >CV>> "The part of convalescence that I found most profoundly >CV>> humiliating > >CV>> and depressing was [OT]... I was reduced to playing with >CV>> brightly > >CV>> colored plastic letters ... like a three-year-old..." [AJOT, >CV> April, 2005, p. >CV>> 231] > > >CV>> -- >CV>> Options? >CV>> www.otnow.com/mailman/options/otlist_otnow.com > >CV>> Archive? >CV>> www.mail-archive.com/otlist@otnow.com > >CV>> ******************************************************************* >CV>> * >CV>> **** >CV>> ************** >CV>> Enroll in Boston University's post-professional Master of Science >CV>> for OTs Online. Gain the skills and credentials to propel your >CV> career. >CV>> www.otdegree.com/otn >CV>> ******************************************************************* >CV>> * >CV>> **** >CV>> ************** > > >CV> -- >CV> Options? >CV> www.otnow.com/mailman/options/otlist_otnow.com > >CV> Archive? >CV> www.mail-archive.com/otlist@otnow.com > >CV> ******************************************************************** >CV> **** >CV> ************** >CV> Enroll in Boston University's post-professional Master of Science >CV> for OTs Online. Gain the skills and credentials to propel your >career. >CV> www.otdegree.com/otn >CV> ******************************************************************** >CV> **** >CV> ************** > > > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/otlist@otnow.com > >************************************************************************ >************** >Enroll in Boston University's post-professional Master of Science for >OTs Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >************************************************************************ >************** > >-- >Options? > www.otnow.com/mailman/options/otlist_otnow.com > >Archive? > www.mail-archive.com/otlist@otnow.com > >************************************************************************************** >Enroll in Boston University's post-professional Master of Science for OTs >Online. Gain the skills and credentials to propel your career. >www.otdegree.com/otn >************************************************************************************** Get a FREE small business Web site and more from Microsoft® Office Live! -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
