السلام عليكم
نعتذر عن طول الغياب,ولكن هذا للانشغال فب العمل وخصوصا الحروق,اتمنى ان نفتح باب النقاش في هذا المجال اذ ان الكثير عنده قله في المعلومات او التعامل مع هذه الحالات
من خلال خبرتي القصيره تمكنت الحمد لله من انجاز برزنتيشن عن حاله حروق عالجتها تقريبا لمده سنه,وتم تسجيل النتائج للفائده.
ارجو تحميل جميع الملفات من ثم فتح البوربوينت
تحياتي للجميع
اشرف شتيه
Occupational therapy
What Is OT?
Prepared by
Ashraf Shteyah,,OT
aaujot@hotmail.com
What Is Occupation?
•Occupations are the “ordinary and familiar things that people do every day” (AOTA, 1995, p. 1015) and consist of many dimensions, including:
–Performance
–Context
–Psychological
–Social and symbolic
–Spiritual
•The main categories of occupation include work, self-care, play, and leisure.
Case study
A 44 y-old female was admitted on 27-1-09 with 20% second –degree flame BURN to the both hand ,arm,face,and neck.)
initially the surgeon asset her and did for her skin graft meshed) both hand ,after the operation (7 days) start the rehabilitation roles with her(PT,OT)
In initially assessment for OT ,we measure her PROM it was
28-7-09
16-3-09
Dip
Pip
Mcp
Dip
Pip
Mcp
RT
35
85
86
20
65
70
index
25
55
93
20
40
60
middle
20
65
80
20
55
65
ring
20
85
55
20
60
60
little
50
58
35
45
thumb
LT
30
90
90
25
85
80
index
25
85
85
25
90
50
middle
20
85
85
20
80
45
ring
20
70
73
20
70
30
little
40
68
40
40
thumb
Problem found
-Decreasing ROM in all finger and wrist.
-Adhesive scar over forearm ,hand.
-Edema in her Rt middle finger.
-Pain 7/10 when moving finger due to contracture
-limitation for doing her ADL
-Stopped from her work.
OT Intervinsion
-To reduce edema and maintain ROM
-To prevent deformity from contracture by correct positioning and use of splint.
-To maintain functional independence.
-To increase tolerance to fatigue and improve muscle strength.
-To reeducate skin function by (desensitization,massage,sensory retraining following nerve involvement.
-To assist the patient to be integrate in the community and at work.
OT Role:
* First I was care for positioning and physical exercise ,start stretching the fingers by using bandages for 20 min,for the first 2 month, *after they start remove clips in both hands ,I gave her flexor gloves for LT hand ,and Rt cant give her because was edema in middle finger and raw area in dorsum of index. *also stretching for O position ,it was not reaching( thumb with index) it was 5 cm gap ,but after 4 month stretching was reaching actively free. *after 3 month from injury she start using pressure garment
*end of the July 09,she inform us she return to her work ,and in the work adapted her work ,for typing only, now we are doing desensitization program and fine motor activity.
occupational therapy presntation in BURN