Presentation on theme: "NAJMA ADAM DOW UNIVERSITY OF HEALTH SCIENCES/"— Presentation transcript:
1 NAJMA ADAM DOW UNIVERSITY OF HEALTH SCIENCES/ LECTURER OCCUPATIONAL THERAPYDOW UNIVERSITY OF HEALTH SCIENCES/PINE GROOVE REHABILITATION CENTERHILAL-E-AHMER
2 Help for people with Parkinson’s Occupational TherapyHelp for people with Parkinson’s
3 Now imagine this... Have you had a shower, Had breakfast with family, Take a moment to think of some of the things (occupations) you have done today to attend this lecture….Have you had a shower,Had breakfast with family,Driven a car?Before we start talking about Occupational Therapy I want to give you guys something to think about…Now imagine this...
4 HOW WOULD YOU… HAVE A SHOWER IF… You have rigidity in your muscles? You had poor balance?You couldn’t reach your arms up to your hair?Maybe an OT would…Recommend a seat for you to sit on.Work on activities to work on your balance.Install grab bars etc. to ensure safety.Standing vs. sittingImagine not being able to wash your hair. Maybe an OT would help you..work on strengthening your armsLook at other ways to wash your hair (resting arms on counter)
5 HOW WOULD YOU… HAVE BREAKFAST WITH FAMILY IF… You couldn’t hold a spoon/fork?You take a long time to finish your meal?You just couldn’t cope with getting out of bed?Maybe an OT would…Help you to regain movement and strengthRecommend a special forkOne handed-how will you use a knife?Memory strategies for events.Practice trials in community.Write out directions checklist to follow.One to one or group to focus on coping skills
6 HOW WOULD YOU… DRIVE A CAR IF… You were paralyzed from the waist down? You were fearful leaving the garage?You lost the use of your right hand?Maybe an OT would…Hand controlsWork on transferring into car and then placing wheelchair in carWork on breaking down tasks to accomplish smaller goalsSplint?Improve function in that handAdapt steering wheelMoving switches to where they can be movedSome function? Built up key, adapted knobs
7 HOW WOULD YOU… HAVE COME TO ATTEND THIS LECTURE IF… You had pain in your back?You heard voices in your head?You had tremors in your hands?May do a GRTWModify dutiesNew ways to lift thingsErgonomic assessmentCan they return to work?Strategies to overcome _____________Pain managementAdapting to a bigger graspModify the work areaSplint for pain relief
8 OCCUPATIONAL THERAPISTS …have the knowledge and the skills to help people overcome these and other barriers they may face in doing their everyday occupations!
9 What is an Occupational Therapist? Health Care Professionals who enable people to lead a more productive, satisfying, and independent life.
10 Who do Occupational Therapists work with? ChildrenAdolescentsSeniorsAdults
11 Where do Occupational Therapists work? HospitalsSchools/Special schoolsMental Health FacilitiesArmed forcesOld HomesPrivate ClinicsRehabilitation CentersCommunity Health CentersInsurance CompaniesClient HomesClient Work Places
12 THE ROLE OF OCCUPATIONAL THERAPIST FOR PEOPLE WITH PARKINSON’S INCREASE AND MAINTAIN INDEPENDENCE IN ACTIVITIES OF DAILY LIVING (ADL’s)INCREASE MOBILITY & CO-ORDINATION
13 Activities of Daily Living(ADL’s) Basic ADL’sInstrumental ADL’sSelf careFeedingGroomingDressingBathingPersonal hygieneToiletingInteraction with physical environmentPutting things away & getting things out of the closetTelephoningWritten communicationUsing paper money, checks or coinsUsing books, newspapers & entertainment equipmentsUsing public/private transportationLeisure activities
14 Firm seat with both feet on the floor with back supported. Clothing: Dressing:Warm & light room.Firm seat with both feet on the floor with back supported.Clothing:Easy to handle.Light weightwarm /stretchy fabricsEasily launderedCotton – or cotton – polyesterWide openingsAids:Elastic lacesShoe hornSlipper – socks
15 Eating :Begin meal slightly aheadof the rest of his familyEat little and oftenOne course of main meal atmidday2nd course on the eveningHalf filled mug(tremor)Aids:Padded /light weight cutleryPlate guardsNon slip matsWeighted bracelets (not too heavy)Mugs & cups with two enlarged handles
16 Correct positioning.It may be useful to reduce the distance between the hands and mouth e.g. raising the table or plate, or by positioning the patient so that his elbows can be used as a pivot in order to assist hand movement
17 Home Safety and Management Even floor.Non-slip polishesGrab rails e.g. bath, toilet, steps.Plan but flexible routine will help to conserve energy.Non-iron and dip-dry fabrics.Carrying aids:Net bag clipped to the walking frame.Trolley or an apron with large pockets all reduce the danger of trippingAlarm systemTelephone
18 Bathing:Shower chairNon-slip bath matBeds:Firm mattressGrab rail by the bedNight light luminousAlarm clockLight left on in the hallway
20 1. Gait:Rx Aim:To improve size & rhythm of the walking patternLarge; rhythmical bilateral non-resisted movements WalkingPractice using foot outlines lines marked on the floor at paced intervals are all suitable.Activities which encourage walking should be under supervision.
21 2. Balance:-InitiallyWork at a balance table.MirrorLaterEncourage side flexion and rotation.Encouraged to bend and stoop, such as gardening and skittles.Wedged shoesLeather soled shoesWeighted clothing.Raised chairs /beds.Inclined seats reduces the risk of over balancing when rising.
22 Initiating MovementRocking motion with verbal stimulus“one, two, three go!”Counting,Marching,Music, or rhythmic encouragement‘step and step and ….’One step backward before attempting to walk forward.Auditory & visual stimuli (received when climbing up stairs often makes this activity easier than walking on level ground).
23 3.Transfers:Stable & firm surface.A firm wedged cushion or rocking motion for rising from sitting.Raise the back legs of a chair slightly.Steady high chair with arm rest.
24 Co-ordination:large bilateral and rhythmic activities with little resistance.As co-ordination improves the time spent on each activity can be increased and the size of movement decreased.Regular practice of writing patterns.
26 large poster-sized sheets of paper Writing:Initially:Blackboardlarge poster-sized sheets of paperLater :Rhythmical writing patterns using widely spaced lines.
27 Progressions to writing letters and words. Writing aids:Padded pensWriting boardRoller ball pen (easier than fountain or ball point pen).
28 Support for the patient and his family ReassureTherapist should help the family to be realistic in their expectations.The family should not expect the patient to perform activities beyond his capacity, but emphasize those he can do.
29 Social ActivitiesWork in small groups (to avoid isolation and to assist communication).Positive and purposeful.Familiar and interesting activitiesA wide variety of stimuli in the form of colour, sound and touch.The therapist should work within the concentration span of the patient.Maintain social contact throughHobbiesPastimes.Visits.Outings.
30 workPart-time work.less responsibility at work may be considered.It is unwise for the patient to persist with work to the point where he becomes exhausted and possibly unsafe.
31 REFERENCES THE PRACTICE OF OCCUPATIONAL THERAPY An introduction to the treatment of Physical Dysfunction (II EDITION-ANN TURNER)QUICK REFERENCE TO OCCUPATIONAL THERAPY ( KATHLYN L.REED)WILLARD AND SPACKMAN’S OCCUPATIONAL THERAPY (XI EDITION)
32 Take Home MessageADD LIFE TO YEARS NOT YEARS TO LIFE