Biomechanical Frame of Reference in Occupational Therapy Christina M. Rafferty 101-392-287 Somtochukwu Okerulu 204-594-588 HCC Coleman College Introduction/ Overview The outcome of occupational therapy intervention is “supporting health and participation in life through engagement in occupation.’’ The types of occupational therapy interventions include occupation based intervention‚ purposeful activity and preparatory methods‚ consultation‚ education‚ and advocacy. Intervention
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aggravated by lying down are related to the venous congestion and elevated upper venous pressures. These require urgent intervention if associated with symptoms suggesting airway compromise (i.e.‚ dyspnea‚ orthopnea‚ cough‚ stridor‚ hoarseness) or cerebral edema (i.e.‚ head fullness‚ headache‚ nausea‚ lightheadedness‚ syncope‚ distorted vision‚ altered mental status). The rapidity of progression of symptoms‚ presence of airway compromise‚ and neurological symptoms are important in triaging the patient for
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The Patient with Heart Failuure 74-year-old woman is admitted to the hospital with heart failure. She had been growing progressively weaker and had ankle edema‚ dyspnea on exertion‚ and three-pillow orthopnea. On admission‚ she is severely dyspneic and can answer questions only with one-word phrases. She is diaphoretic‚ with a heart rate of 132 beats/min‚ and blood pressure 98/70 mm Hg. She is extremely anxious. 1. Because this patient cannot breathe or talk easily‚ prioritize the immediate nursing
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patient history and the signs and symptoms‚ identify the fluid imbalance the patient is experiencing with rationale. (See: Edema) 2. Discuss the four general causes of edema and how they apply in the case of this specific patient. (See: Causes of Edema) 3. Discuss the swelling‚ sores‚ varicose vein distention‚ and other effects that edema can have on a patient. (See: Effects of Edema) Case Study 3 Kirsten‚ a 3-month-old infant‚ has begun to have frequent loose stools that progress to a watery diarrhea
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Inspect general skin coloration Inspect for color variations Check for skin integrity Inspect for lesions Palpation Assess texture Assess thickness Assess moisture Assess mobility and turgor Detect edema Evenly colored skin tones without usual or prominent discoloration. Some clients have suntanned areas‚ freckles‚ or white patches known as vitiligo. Variation is due to different amount of melanin. Skin is intact‚ and there is no reddened
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COMPONENTS OF A POSTPARTUM ASSESSMENT "BUBBLE HE" BREAST- -How do they feel? -Observe the size‚ symmetry‚ and shape of the breasts. -Examine areola and nipple for potential problems such as flat or retracted nipples‚ signs of nipple trauma (redness‚ blisters‚ or fissures) -Palpate for firmness and tenderness- indicates vascular and lymphatic circulation that may precede milk production. The breasts may feel "lumpy" as various lobes begin to produce milk
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Two factors mainly influencing calculi expulsion are: 1. Pathological factors including infection‚ edema‚ and contraction of urinary tract; 2. Calculi factors including size‚ shape‚ and location of calculi. Among these‚ location and size of calculi are the most important factors. (2) A recent meta-analysis shows an overall spontaneous stone passage rate
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Resistance Role of Thromboxane Role of Prostacyclin Maternal Vasodialtion Plasma Volume Nitric oxide Renal perfusion Glomerular filtration rate Resistance to angiotensin II Edema Coagulability 2. Identify maternal risks from PIH‚ including the HELLP syndrome 3. Compare the signs and symptoms of mild and severe PIH Mild PIH Severe PIH 4. Outline the prenatal medical management
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osmotic pressure as the “pull” or attraction force in such fluid movements. -A major factor in the movement of water through cell membranes is the difference in osmotic pressure between the cell and the interstitial fluids. Fluid Excess – Edema -Fluid
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epigastric pain described as bad heartburn. Her sister tells the nurse‚ "I felt like that when I had toxemia during my pregnancy." Admission assessment by the nurse reveals: today’s weight 182 pounds‚ T 99.1° F‚ P 76‚ R 22‚ BP 138/88‚ 4+ pitting edema‚ and 3+ protein in the urine. Heart rate is regular‚ and lung sounds are clear. Deep tendon reflexes (DTRs) are 3+ biceps and triceps and 4+ patellar with 1 beat of ankle clonus. The nurse applies the external fetal monitor‚ which shows a baseline
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