Version 2!!! Presented by Missy Dappen, MS OTR/L October 15, 2009

Overview Developed by Cheryl (not Carole) Hall, an OT with 25 years experience in geriatrics and phys dys Includes –Glossary* –Treatment Guides for Therapists BADLs IADLs By Diagnosis –ADL/IADL Handouts –Education Handouts –References

Treatment Guides List of problems that could interfere with activity Interventions –Rehabilitate problem –Compensatory strategy –Adaptive technology/assistive devices –Environmental modifications/adaptation –Task modification Related handouts*

Treatment Guides: ADLs Bathing and Showering Dressing Feeding Functional Communic ation Functional Mobility Grooming and Oral Hygiene Toileting

Treatment Guides: IADL Clothing Care Health Management Light Housework Managing Finances Meal Prep and Clean Up Medication Routine Shopping and Community Mobility

Treatment Guides by Diagnosis Adhesive capulitis Alzheimer’s disease Amputation of the lower limb ALS Biceps tendonitis Breast cancer Cancer Cardiac surgery Carpal tunnel syndrome Cubital tunnel syndrome Depression Diabetes Elbow fracture Essential tremor Extreme obesity Fall risk Frail elderly Hip fracture & replacement Knee replacement Low vision Multiple sclerosis Myocardial infarction Osteoarthritis Osteoporosis Parkinson’s disease Peripheral neuropathies Post-polio syndrome Pressure ulcer management Pulmonary disease Renal disease Rheumatoid arthritis Rotator cuff tendonitis Scleroderma Shoulder fracture Shoulder hand syndrome Shoulder impingement Shoulder joint replacement Spinal cord injury Spinal stenosis- cervical Spinal stenosis- lumbar Spinal surgery – cervical Spine surgery- lumbar Stroke/CVA Urinary incontinence Vertebral compression fracture Wrist fracture

ADL Handouts Bathing –Equipment –Tips –Grab bar placement Dressing –Equipment –Tips –Alternative techniques Dressing using 1- handed techniques Feeding- equipment Functional Communication: Improving usability of computer Functional Mobility- –Tub, bed and chair transfers including equipment –Bed mobility Grooming/Oral Hygiene- equipment Toileting –Equipment –Tips

ADL Handouts- Examples Above: Wheelchair to tub bench transfer; Top Right: Caregiver assisted log roll to side of bed; Bottom Right: Adaptive equipment for feeding

IADL Handouts Health Management- making and keeping appointments Meal Prep and Clean up –Equipment –One handed –Using wheelchair –Using walker Medication Routine- resources

IADL Handouts- Examples Above: Managing kitchen tasks from wheelchair; Top Right: One handed meal prep; Bottom Right: Tips for making and keeping appointments

Educational Handouts Amputation of Lower Leg Cardiopulmonary Low Vision Neurological Orthopedic Safety Other

Educational Handouts- Examples Above: Positioning in bed- right side affects; Top Right: Deep breathing exercises; Bottom Right: Fall Prevention

Exercise Handouts Elbow, Forearm, Wrist Cardiopulmonary General Hand Mastectomy Parkinson’s Shoulder Stroke- right sided/left sided

Exercise Handout- Examples Above: Theraband exercises; Top Right: Weight bearing exercises- right side affected; Bottom Left: Upper body reciprocal exercises

Also available from Cheryl Hall… OT Toolkit blog- started October 7, 2009: Topics so far have included –What is OT? –Promoting OT –SOAP Notes –Treatment Goals –Medicare Reimbursement Guidelines

OT Toolkit will be available on office computers or take the flashdrive out of Missy’s deskdrawer and save a copy to your desktop. The file is labeled “ottoolkit_v2.pdf” Thanks!