Re: [OTlist] double vision
;> -- >> Options? >> www.otnow.com/mailman/options/otlist_otnow.com >> >> Archive? >> www.mail-archive.com/otlist@otnow.com >> >> >> >> -- >> Options? >> www.otnow.com/mailman/options/otlist_otnow.com >> >> Archive? >> www.mail-archive.com/otlist@otnow.com >> -- >> Options? >> www.otnow.com/mailman/options/otlist_otnow.com >> >> Archive? >> www.mail-archive.com/otlist@otnow.com >> >> >> >> -- >> Options? >> www.otnow.com/mailman/options/otlist_otnow.com >> >> Archive? >> www.mail-archive.com/otlist@otnow.com -- Message: 2 Date: Fri, 13 Feb 2009 18:46:03 -0500 From: Charles Sullivan Subject: [OTlist] 6 weeks of function? To: OTlist@OTnow.com Message-ID: <25108604.20090213184...@otnow.com> Content-Type: text/plain; charset=iso-8859-1 Hey Diane...What do you mean by 6 wks of function?? "Been there six weeks and everything revolves around function." -- Message: 3 Date: Sat, 14 Feb 2009 09:12:49 -0500 From: "Diane Randall" Subject: Re: [OTlist] 6 weeks of function? To: Message-ID: Content-Type: text/plain; charset="us-ascii" I just meant that I have only been there for six weeks and I feel I have been taught to focus on funtional activites for the entire time I have been there. ( I was responding to Ron's experience with a PTA who said he had not witnessed OT's doing anything functional just UE exercises.) -Original Message- From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]on Behalf Of Charles Sullivan Sent: Friday, February 13, 2009 18:46 To: OTlist@OTnow.com Subject: [OTlist] 6 weeks of function? Hey Diane...What do you mean by 6 wks of function?? "Been there six weeks and everything revolves around function." -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Message: 4 Date: Sat, 14 Feb 2009 11:23:21 -0500 From: "Diane Randall" Subject: [OTlist] Double vision To: Message-ID: Content-Type: text/plain; charset="iso-8859-1" My supervisor is just finishing up an eval on a patient who has double vision secondary to brain surgury. Has anyone had a patient with this particular deficit and can offer ideas on compensation strategies to perform adls/safe functional mobility. etc? Thanks -- Message: 5 Date: Sat, 14 Feb 2009 15:38:31 -0500 From: Ron Carson Subject: Re: [OTlist] Double vision To: Diane Randall Message-ID: <1823330140.20090214153...@otnow.com> Content-Type: text/plain; charset=windows-1252 The only compensation that I know of for double vision is patching one eye. Of course, there are complications associated with patching. Ron - Original Message - From: Diane Randall Sent: Saturday, February 14, 2009 To: otlist@otnow.com Subj: [OTlist] Double vision DR> My supervisor is just finishing up an eval on a patient who has double DR> vision secondary to brain surgury. Has anyone had a patient with this DR> particular deficit and can offer ideas on compensation strategies to perform DR> adls/safe functional mobility. etc? Thanks DR> -- DR> Options? DR> www.otnow.com/mailman/options/otlist_otnow.com DR> Archive? DR> www.mail-archive.com/otlist@otnow.com -- Message: 6 Date: Sat, 14 Feb 2009 22:02:45 + (UTC) From: bbh1...@comcast.net Subject: Re: [OTlist] The Saddest OT Statement I've Ever Heard To: OTlist@OTnow.com Message-ID: <190487452.1531551234648965974.javamail.r...@sz0065a.emeryville.ca.mail.comc ast.net> Content-Type: text/plain; charset=utf-8 What was the book??? I DO try to focus my tx around? the patient's needs/desires.? Remediating underlying issues often DOES involve balance and strengthening, especially when you are working with the elderly whose main concern when coming into tx is debilitation and weakness.? Anxiety is also often?a barrier as well as motivation - do they really want to do for themselves or have they succombed to the cultural prejudice of "you're old and so you just can't do as much anymore."? The goals I work on with people are often pretty basic - can you dress, wash and toilet on your own, and is it safe to do so.? Productivity is a HUGE issue.? If I have to see 12 patients in a day, most of whom have an average of 50 minutes (their RUG level according to the Medicare system), I don't have much time to plan individual tx's.? Regardless, I really try to do this, contrived activities and all.? Filling up 50 minutes of tx time when you have to work multiple patients and save time for documentation is a c
Re: [OTlist] Double vision
I tend to hold off on the neuro - optometrist straight away as generally there are significant changes in the first couple of weeks if the patient is given exercises etc. Practicing focusing and scanning task, one eye at a time and then the 2 together etc. The changes often alter what the neuro-optometrist would do and may even resolve the situation. I spent a lot of time working with our neuro-optometrist and do call him in for advice on complicated patients.Sue D > From: ehthi...@earthlink.net> To: OTlist@OTnow.com> Date: Sun, 15 Feb 2009 20:55:41 -0500> Subject: Re: [OTlist] Double vision> > Besthing to do is find a neuro optometrist. Let them help the person first.> I know we work with developmental/ neuroptometrists in our area. First see> if they can correct for it, prisms, special patiching, etc. Does the person> get it all the time? Is it just from vision or also from vestibular issues?> > Elizabeth Thiers, OTR/L> FECTS> ehthiersfe...@earthlink.net> > > > -Original Message-> > From: otlist-boun...@otnow.com > > [mailto:otlist-boun...@otnow.com] On Behalf Of Ron Carson> > Sent: Saturday, February 14, 2009 3:39 PM> > To: Diane Randall> > Subject: Re: [OTlist] Double vision> > > > The only compensation that I know of for double vision is > > patching one eye. Of course, there are complications > > associated with patching.> > > > Ron> > > > - Original Message -> > From: Diane Randall > > Sent: Saturday, February 14, 2009> > To: otlist@otnow.com > > Subj: [OTlist] Double vision> > > > DR> My supervisor is just finishing up an eval on a patient who has > > DR> double vision secondary to brain surgury. Has anyone had > > a patient > > DR> with this particular deficit and can offer ideas on compensation > > DR> strategies to perform adls/safe functional mobility. etc? Thanks> > > > > > > > DR> --> > DR> Options?> > DR> www.otnow.com/mailman/options/otlist_otnow.com> > > > DR> Archive?> > DR> www.mail-archive.com/otlist@otnow.com> > > > > > --> > Options?> > www.otnow.com/mailman/options/otlist_otnow.com> > > > Archive?> > www.mail-archive.com/otlist@otnow.com> > > --> Options?> www.otnow.com/mailman/options/otlist_otnow.com> > Archive?> www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Double vision
It depends on why there is the double vision. Often the picture can be offset by changes in musculature of one eye vs another or by difficulty with convergence. You need to determine which by examination. Then you need to have a direct plan to address these issues. Depending on where the difficulty is you can consider partial patching with the Transpore tape to get a single picture. I would use this for times when it is essential to decrease the double vision but not 100% as you need to also look at trying to remediate the problem not just compensate for the difficulties. So a compbination of patching and eye exercises would be initially where I would start. The situation generally resolves in a short period of time post surgery if you follow the above. If not then I would have the patient follow up with a neuro-optometrist who has significant experience in working with these types of patients. I see this problem regularyly (as in at least 1 -2 weekly) after stroke or brain injury. Sue D > From: spark...@rcn.com> To: OTlist@OTnow.com> Date: Mon, 16 Feb 2009 08:08:53 -0500> Subject: Re: [OTlist] Double vision> > Thank you. I believe the double vision is a direct result of the surgery. I> will have to talk to my supervisor. thanks> > -Original Message-> From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]on> Behalf Of ehthiers> Sent: Sunday, February 15, 2009 20:56> To: OTlist@OTnow.com> Subject: Re: [OTlist] Double vision> > > Besthing to do is find a neuro optometrist. Let them help the person first.> I know we work with developmental/ neuroptometrists in our area. First see> if they can correct for it, prisms, special patiching, etc. Does the person> get it all the time? Is it just from vision or also from vestibular issues?> > Elizabeth Thiers, OTR/L> FECTS> ehthiersfe...@earthlink.net> > > > -Original Message-> > From: otlist-boun...@otnow.com> > [mailto:otlist-boun...@otnow.com] On Behalf Of Ron Carson> > Sent: Saturday, February 14, 2009 3:39 PM> > To: Diane Randall> > Subject: Re: [OTlist] Double vision> >> > The only compensation that I know of for double vision is> > patching one eye. Of course, there are complications> > associated with patching.> >> > Ron> >> > - Original Message -> > From: Diane Randall > > Sent: Saturday, February 14, 2009> > To: otlist@otnow.com > > Subj: [OTlist] Double vision> >> > DR> My supervisor is just finishing up an eval on a patient who has> > DR> double vision secondary to brain surgury. Has anyone had> > a patient> > DR> with this particular deficit and can offer ideas on compensation> > DR> strategies to perform adls/safe functional mobility. etc? Thanks> >> >> >> > DR> --> > DR> Options?> > DR> www.otnow.com/mailman/options/otlist_otnow.com> >> > DR> Archive?> > DR> www.mail-archive.com/otlist@otnow.com> >> >> > --> > Options?> > www.otnow.com/mailman/options/otlist_otnow.com> >> > Archive?> > www.mail-archive.com/otlist@otnow.com> > > --> Options?> www.otnow.com/mailman/options/otlist_otnow.com> > Archive?> www.mail-archive.com/otlist@otnow.com> > > > --> Options?> www.otnow.com/mailman/options/otlist_otnow.com> > Archive?> www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Double vision
Thank you. I believe the double vision is a direct result of the surgery. I will have to talk to my supervisor. thanks -Original Message- From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]on Behalf Of ehthiers Sent: Sunday, February 15, 2009 20:56 To: OTlist@OTnow.com Subject: Re: [OTlist] Double vision Besthing to do is find a neuro optometrist. Let them help the person first. I know we work with developmental/ neuroptometrists in our area. First see if they can correct for it, prisms, special patiching, etc. Does the person get it all the time? Is it just from vision or also from vestibular issues? Elizabeth Thiers, OTR/L FECTS ehthiersfe...@earthlink.net > -Original Message- > From: otlist-boun...@otnow.com > [mailto:otlist-boun...@otnow.com] On Behalf Of Ron Carson > Sent: Saturday, February 14, 2009 3:39 PM > To: Diane Randall > Subject: Re: [OTlist] Double vision > > The only compensation that I know of for double vision is > patching one eye. Of course, there are complications > associated with patching. > > Ron > > - Original Message - > From: Diane Randall > Sent: Saturday, February 14, 2009 > To: otlist@otnow.com > Subj: [OTlist] Double vision > > DR> My supervisor is just finishing up an eval on a patient who has > DR> double vision secondary to brain surgury. Has anyone had > a patient > DR> with this particular deficit and can offer ideas on compensation > DR> strategies to perform adls/safe functional mobility. etc? Thanks > > > > DR> -- > DR> Options? > DR> www.otnow.com/mailman/options/otlist_otnow.com > > DR> Archive? > DR> www.mail-archive.com/otlist@otnow.com > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Double vision
Thnak you ..I will pass this along. -Original Message- From: otlist-boun...@otnow.com [mailto:otlist-boun...@otnow.com]on Behalf Of cmnahrw...@aol.com Sent: Sunday, February 15, 2009 21:11 To: OTlist@OTnow.com Subject: Re: [OTlist] Double vision One?technique that I use is partial patching of the eye by using transpore tape (found in most nursing stations)? I simply place the tape on the medial aspect of the patient's pair of glasses.? This will compensate for the double vision but at the same time allow stimulation to the eye to prevent problems and lack of peripheral vision. Chris Nahrwold MS, OTR -Original Message- From: ehthiers To: OTlist@OTnow.com Sent: Sun, 15 Feb 2009 8:55 pm Subject: Re: [OTlist] Double vision Besthing to do is find a neuro optometrist. Let them help the person first. I know we work with developmental/ neuroptometrists in our area. First see if they can correct for it, prisms, special patiching, etc. Does the person get it all the time? Is it just from vision or also from vestibular issues? Elizabeth Thiers, OTR/L FECTS ehthiersfe...@earthlink.net > -Original Message- > From: otlist-boun...@otnow.com > [mailto:otlist-boun...@otnow.com] On Behalf Of Ron Carson > Sent: Saturday, February 14, 2009 3:39 PM > To: Diane Randall > Subject: Re: [OTlist] Double vision > > The only compensation that I know of for double vision is > patching one eye. Of course, there are complications > associated with patching. > > Ron > > - Original Message - > From: Diane Randall > Sent: Saturday, February 14, 2009 > To: otlist@otnow.com > Subj: [OTlist] Double vision > > DR> My supervisor is just finishing up an eval on a patient who has > DR> double vision secondary to brain surgury. Has anyone had > a patient > DR> with this particular deficit and can offer ideas on compensation > DR> strategies to perform adls/safe functional mobility. etc? Thanks > > > > DR> -- > DR> Options? > DR> www.otnow.com/mailman/options/otlist_otnow.com > > DR> Archive? > DR> www.mail-archive.com/otlist@otnow.com > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Double vision
One?technique that I use is partial patching of the eye by using transpore tape (found in most nursing stations)? I simply place the tape on the medial aspect of the patient's pair of glasses.? This will compensate for the double vision but at the same time allow stimulation to the eye to prevent problems and lack of peripheral vision. Chris Nahrwold MS, OTR -Original Message- From: ehthiers To: OTlist@OTnow.com Sent: Sun, 15 Feb 2009 8:55 pm Subject: Re: [OTlist] Double vision Besthing to do is find a neuro optometrist. Let them help the person first. I know we work with developmental/ neuroptometrists in our area. First see if they can correct for it, prisms, special patiching, etc. Does the person get it all the time? Is it just from vision or also from vestibular issues? Elizabeth Thiers, OTR/L FECTS ehthiersfe...@earthlink.net > -Original Message- > From: otlist-boun...@otnow.com > [mailto:otlist-boun...@otnow.com] On Behalf Of Ron Carson > Sent: Saturday, February 14, 2009 3:39 PM > To: Diane Randall > Subject: Re: [OTlist] Double vision > > The only compensation that I know of for double vision is > patching one eye. Of course, there are complications > associated with patching. > > Ron > > - Original Message - > From: Diane Randall > Sent: Saturday, February 14, 2009 > To: otlist@otnow.com > Subj: [OTlist] Double vision > > DR> My supervisor is just finishing up an eval on a patient who has > DR> double vision secondary to brain surgury. Has anyone had > a patient > DR> with this particular deficit and can offer ideas on compensation > DR> strategies to perform adls/safe functional mobility. etc? Thanks > > > > DR> -- > DR> Options? > DR> www.otnow.com/mailman/options/otlist_otnow.com > > DR> Archive? > DR> www.mail-archive.com/otlist@otnow.com > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Double vision
Besthing to do is find a neuro optometrist. Let them help the person first. I know we work with developmental/ neuroptometrists in our area. First see if they can correct for it, prisms, special patiching, etc. Does the person get it all the time? Is it just from vision or also from vestibular issues? Elizabeth Thiers, OTR/L FECTS ehthiersfe...@earthlink.net > -Original Message- > From: otlist-boun...@otnow.com > [mailto:otlist-boun...@otnow.com] On Behalf Of Ron Carson > Sent: Saturday, February 14, 2009 3:39 PM > To: Diane Randall > Subject: Re: [OTlist] Double vision > > The only compensation that I know of for double vision is > patching one eye. Of course, there are complications > associated with patching. > > Ron > > - Original Message - > From: Diane Randall > Sent: Saturday, February 14, 2009 > To: otlist@otnow.com > Subj: [OTlist] Double vision > > DR> My supervisor is just finishing up an eval on a patient who has > DR> double vision secondary to brain surgury. Has anyone had > a patient > DR> with this particular deficit and can offer ideas on compensation > DR> strategies to perform adls/safe functional mobility. etc? Thanks > > > > DR> -- > DR> Options? > DR> www.otnow.com/mailman/options/otlist_otnow.com > > DR> Archive? > DR> www.mail-archive.com/otlist@otnow.com > > > -- > Options? > www.otnow.com/mailman/options/otlist_otnow.com > > Archive? > www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
Re: [OTlist] Double vision
The only compensation that I know of for double vision is patching one eye. Of course, there are complications associated with patching. Ron - Original Message - From: Diane Randall Sent: Saturday, February 14, 2009 To: otlist@otnow.com Subj: [OTlist] Double vision DR> My supervisor is just finishing up an eval on a patient who has double DR> vision secondary to brain surgury. Has anyone had a patient with this DR> particular deficit and can offer ideas on compensation strategies to perform DR> adls/safe functional mobility. etc? Thanks DR> -- DR> Options? DR> www.otnow.com/mailman/options/otlist_otnow.com DR> Archive? DR> www.mail-archive.com/otlist@otnow.com -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
[OTlist] Double vision
My supervisor is just finishing up an eval on a patient who has double vision secondary to brain surgury. Has anyone had a patient with this particular deficit and can offer ideas on compensation strategies to perform adls/safe functional mobility. etc? Thanks -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com
