1. CHAPTER 31 REHABILITATIVE CAREERS Lesson 1
Articulation Audiology
Disability Dispense
Dosage Frequency
Hydrotherapy Nebulizer
Orthotics Pharmacology
Prosthesis Prosthetics
Rehabilitation Therapy
Journal question: What are the roles of the patient and family members when a patient is in rehabilitation?

2. Chapter 31 Learning Objectives
Define at least 10 terms relating to rehabilitative health care.
Identify the function of the rehabilitative health care team.
Describe the role of at least five of the rehabilitative health care team members, including personal qualities, levels of education, and credentialing requirements.

3. Chapter 31 Learning Objectives
Identify at least five methods or devices used to improve activities of daily living for the disabled.
Describe two types of hearing loss and two methods of assessing defects in hearing.

4. Rehabilitative Careers
A rehabilitation team works closely with the patient and family members.
Requires creativity, persistence, and ability to work with a variety of people
Requires strong listening and verbal skills, analytical ability, and patience

5. Rehabilitative Health Careers

6. Rehabilitative Careers: Educational Cost and Earnings

7. Physical Therapist
Physical therapists work to restore function, relieve pain, and prevent disability after disease, injury, or loss of a body part.
May specialize in different areas of practice
Education
Master’s degree preferred
Entry level position requires bachelor’s degree in physical therapy
Licensure by state
Completion of certification in physical therapy is being phased out.

8. Physical Therapist Specialties in physical therapy Rehabilitation
Community services
Sports
Industry
Research
Education
Administration
Discuss opportunities as a physical therapist in each of the specialty areas.

9. Physical Therapy Assistant
Provides routine treatments under the supervision of a physical therapist:
Application of hot and cold packs
Ultraviolet and infrared light treatments
Ultrasound and electrical stimulation
Hydrotherapy
Observes patients during treatment and records performance
Education
2 years of college-level training
Discuss each of the routine treatments performed by a physical therapy assistant.

10. Kinesiotherapist Works under the direction of a physician
Uses exercise to help patients strengthen and coordinate body movements:
Maintaining muscle endurance, mobility, strength, and coordination
Education
Bachelor’s degree in exercise physiology or physical education
Internship of at least 1,000 hours of training
Certification and national registration is optional
Kinesiotherapists work with geriatric, psychiatric, and cardiac patients, as well as those who have physical or developmental disabilities.

11. Orientation and Mobility Instructors or Specialists
Help visually impaired and blind individuals to move about independently
Methods of improving mobility
Cane
Sensors
Guide dogs
Electronic travel aids
Education
Bachelor’s degree is minimal, and a master’s degree is preferred.
Certification is voluntary.

12. Orthotist and Prosthetist
Certified orthotist (CO)
Provides services for clients with disabling conditions of the limbs or spine
Designs, fabricates, and fits braces or strengthening apparatus
Supervises support personnel and laboratory activities
Education
Baccalaureate degree
Certification through the American Orthotic and Prosthetic Association (AOPA)
Completion of approved program
One year of experience
Certification examination
Orthosis is a device for straightening a distorted part.

13. Orthotist and Prosthetist
Certified prosthetist (CP)
Provides care to clients with partial or total absence of a limb and those who use an artificial limb (prosthesis)
Designs material selection, production, instruction on use, and evaluation of the appliance
Education
Baccalaureate degree
Certification through the American Orthotic and Prosthetic Association (AOPA)
Completion of approved program
One year of experience
Certification examination
Myoelectronics is the technical term for electromechanical prostheses. Myoelectronic technology amplifies and transfers nerve impulses from the body into electrical current to drive a motor.

14. Corrective Therapist
Conducts physical exercise programs to prevent muscle deterioration in inactive patients
Teaches the use of braces, crutches, and canes
Education
Bachelor’s or master’s degree
Elastic stockings may be used for patients with limited mobility to decrease the chance of embolus development.

15. Elastic Stockings
FIGURE 31-2 Elastic stockings help to prevent the development of emboli.
Refer students to skill list 31-1, Applying Elastic Stockings.

16. Pedorthist
Modifies and provides footwear to patients with imperfectly formed feet
Follows prescriptions of a physician
No educational requirements
Can be learned through seminars
Certification recommended
Conditions that may require specially fitted shoes include arthritis, injury, and congenital defects.

17. Occupational Therapist
Evaluates patients, plans the programs, and supervises, or provides treatment
Uses activities to help a person develop, maintain, or regain skills
Analyzes activity to determine an adaptive skill
Education
4-year baccalaureate program
6 months of clinical training
Successful completion of a national examination
Most states require licensure.
Discuss types of activities that may require an adaptive device for the patient to perform the skill.

18. Occupational Therapy Assistants and Aides
Instruct and assist clients to perform activities of daily living (ADLs)
Certification through COTA after completion of an approved 2-year program
Occupational therapy aides
Assists with transportation, equipment assembly, and maintenance of work areas
Trained on the job

19. Athletic Trainer
Works under the supervision of the team physician in a variety of amateur and professional sports and other settings
Prevents injury and performs emergency treatment
Uses methods that include corrective exercise, conditioning, rehabilitation, and nutrition counseling
Education
4-year college or university program, including a minimum of an 1800-hour internship over 2 years
High schools, colleges, professional sports team, and other athletic agencies employ athletic trainers.

20. Summary
The function of the rehabilitative health care team is to provide services designed to overcome disabilities.
The role of the physical therapist is to restore function, relieve pain, and prevent disability after illness or injury. The orthotist designs and makes braces. The occupational therapist helps patients live independently.

21. Summary
Five methods or devices used to improve activities of daily living include the use of canes, elastic stockings, guide dogs, braces, and prosthetic limbs.
Two types of hearing loss are conductive and sensorineural.

22. Review
The health care worker who helps patients strengthen and coordinate body movement using exercise is a:
a. Kinesiotherapist
b. Audiologist
c. Prosthetist
d. Occupational therapist
e. Physical therapist

23. Review
The health care worker who helps patients strengthen and coordinate body movement using exercise is a:
a. Kinesiotherapist
b. Audiologist
c. Prosthetist
d. Occupational therapist
e. Physical therapist

24. Review Speech pathologists treat disorders such as:
a. Delayed language development
b. Inability to speak
c. Stuttering
d. Articulation problems
e. All of the above

25. Review Speech pathologists treat disorders such as:
a. Delayed language development
b. Inability to speak
c. Stuttering
d. Articulation problems
e. All of the above