Occupational Therapy

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Journal

Pt. 1Dx.F/79CVA with ® hem paresis on dominate side.

LTG.Pt. to safely perform self care tasks and functional mobility
with SBA.

STG.1. Pt. to improve (B) UE AROM and functional strength demonstrated by ® shoulder abd. 50%, ® shoulder flexion
45 degrees, ® elbow flexion 105 degrees, ® elbow extension
-42 degrees.

2. Pt. to safely transfer to all functional surfaces with SBA.

3. Pt. to improve standing bal. to F+

4. Pt. to perform UB ADLs with min A. (may require assistive
technology)

ActivitiesVarious Thera band exercises to increase UE strength. This will
increase functional strength, flexion, extension, and also aid
pt. with safely transferring.
Cones to be passed behind head from one hand to the other. This will aid shoulder flexion, extension, and ROM to help perform
UB ADLs.
Standing at sink. This will improve standing tolerance, and bal. to
aid in goal of standing bal., transfers, and to perform ADLs.
Teach safety techniques for transferring. This will aid in
performing safe transfers.
Teach proper technique for using adaptive equipment. This will
aid in successful use of adaptive aids.

Pt. 2Dx. F/67Osteoarthritis and overall muscle weakness.

LTG.Increase Pt. strength, bal., and ADLs to reach max. level
of func. (I).

STG. 1. Pt. to increase UE strength to 4/5.

2. Pt. to increase UB ADL functioning to 5.

3. Pt. to transfer safely to all functional surfaces with SBA.

4. Pt. to increase functional activity tol. to 15 min. with 1 RB.

ActivitiesVarious exercises with 1lb. weight to increase strength. This
will help increase UB functioning, help to increase safety in transfers, ADL functioning, and improve overall muscle
strength in UB.
Hand bike. This will increase tol., UE flexion and extension,
and help improve ADL functioning.
Standing at sink. This will improve standing tolerance, and bal. to
aid in goal of standing bal., transfers, and to perform ADLs.
Teach safety techniques for transferring. This will aid in
performing safe transfers.
Pegboard. This will help fine motor movement in hands to assist
in ADL functioning.
ROM arc. To improve ROM, to assist in ADL functioning.

Pt. 3Dx.F/91Acrocallosal Syndrome (ACS) and overall muscle weakness.

LTG.Pt. will safely perform ADLs, IADLs, and functional mob. with
modified (I).

STG.1. Pt will safely transfer to all functional surfaces with mod (I).

2. Pt. to improve standing bal. to F+, static/dynamic.

3. Pt to improve functional activity tol. demonstrated by standing
10 min. while participating in therapeutic activity.

4. Pt to perform toileting taks with mod (I).

5. Pt. will safely perform IADLs with SBA.

ActivitiesStanding at sink. This will improve standing tolerance, and bal. to
aid in goal of standing bal., transfers, and to perform ADLs.
Teach safety techniques for transferring. This will aid in
performing safe transfers.
Repetition of activities. This will aid someone with ACS in successful learning of new techniques for transferring and safety.
Toilet transfers. This will help in gaining independence for toileting.
Simulate washing dishes. This will aid in standing bal. combined with a functional activity.
Thera band exercise. This will increase UB strength to aid in safe transfers.

Pt. 4Dx.F/87COPD, and overall muscle weakness.

LTG.Increase Pt. strength, tol, bal. to reach max functional (I) of ADLs.

STG.1. Pt. to increase activity tol. to 15 min. with 1 rest break.

2. Pt. will perform UB ADLs with min A.

3. Pt to increase (B) shoulder flex. strength to 3+.

4. Pt. to increase LB ADLs to mod A.

5. Pt. to perform functional transfers with good safety.

Activities...
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