Holy Name Medical Center in Teaneck, NJ is the facility I chose to observe an Occupational Therapist in their routine daily setting. The facility has provided the communities and families of northern New Jersey with compassionate medical and nursing care, continued technological advances, and an environment of healing dedicated to the needs of each individual patient. Holy Name hospital was founded and sponsored in 1925 by the Sisters of St. Joseph of Peace, Holy Name Medical Center has evolved into a comprehensive 361- bed acute care medical center, yet they still recall their community Medical Center roots by demonstrating a level of personalized care lost in many of today's long and short term medical care facilities. The Holy Name Hospital Occupational Therapy Department sees an array of patients ranging from rehabilitation in fractures and strokes to hands and shoulders. The patient who I observed had a wrist fracture, which was obtained by falling down a flight of stairs. The patient was attending treatment sessions in order to obtain full range of motion in the wrist and get back to normal ways of living. The activities selected for rehabilitation were isometric strengthening with theraputty and a wooden stick. The first exercise was chosen to help build strength by applying pressure onto an object, which helped in activating the wrist. Repetition of this exercise would eventually assist patient in getting back to simple daily activities such as gardening or hammering a picture to the wall. The next exercise was the wrist bar supination/pronation. This exercise was to help the patient build endurance in a different angle holding a wrist bar. The wrist bar is an object that has 2 portions, one on the top and one on the bottom, both can move laterally and contra laterally depending on the exercise chosen. The exercise I viewed using the wrist bar was turning the injured wrist while stabilizing the top portion of the bar with the strong wrist. Another exercise given to the patient was using a flex bar for strengthening grip, pronation, and bi lateral activity. The flex bar is a rigid green rubber bar with a circular circumference. The patient was told to hold the bar and flex it both upwards and downwards and asked to let the therapist know if any pain occurred. This was another activity given to the patient to help with grip and strength in the wrist. The patient had no complaints while doing this exercise. This exercise was beneficial to patient’s request to resume simple daily activities of gardening, as it was the same movement if patient had to break big twigs or pull weeds. Being the patient did not have any complaints after exercise it showed progress on the injured wrist. The last therapeutic activity was putting blocks into a bowl, which worked on enhancing grip and pronation. This exercise was also used to also help with stabilization and build endurance, so if the patient were to be using the wrist for extended periods of time, the wrist would take longer to fatigue. The areas addressed were of a biomechanical approach. The therapist prescribed supination/pronation exercises to help with strengthening, endurance, and increasing range of motion. The purpose of increasing range of motion was to help the patient establish independent daily living. The patient wanted to be able to put clothes on by themselves, cook, and do outdoor activities. The focus the therapist had was on improving limitations on activities. The patient had mentioned how they had had trouble putting on certain articles of clothing as well as trouble with other daily activities such as cooking, cleaning, driving and other outdoor activities. The therapist’s technique was to engage the patient in exercises and activities that would gradually implement improvement that the patient was able to see and feel. The therapist gave the patient homework assignments with theraputty to help with grip, strengthening, and range of motion. The patient...
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