Question

3. Sue 62 - widowed from motorcycle accident, multiple fx (bil humerus/scapula and L shoulder dislocation, multiple ribs, pelvic fx, bil femur, R tib/fib fx. Stock manager at Walmart, loves bowling and dogs, supportive daughter (pregnant and due in 2 months), son has issues with drug abuse, lives in one story house w/ 8 steps to enter (no rail) came to your SNF from hospital

1. Where does the referral come from?

2. What type of assessments (screening, evaluation etc) did they perform or do they need to perform?

3. What are the members of the interdisciplinary team?

4. What is the role of OT/OTA in establishing treatment plan (including level/frequency of supervision)?

Answer 1

The referral is provided from the hospital

The assessment and evaluation which is performed and to be performed are

• X ray (fracture diagnosis)
• Evaluate for bowel and bladder pattern because of pelvic fracture
• Assess range of motion for mobility
• Psychosocial assessment
• Neurological status
• Vital signs

The members who can be in the interdisciplinary team are

• Neurosurgeon to correct fracture
• Registered nireses to provide skilled care
• Physiotherapy to resume body movements
• Dietitian to plan for nutritional balance and prevent deficiency
• Occupational therapist to help her resume normal life as before or to improve quality of life.

The role of Occupational therapist are

• Encourage the patient to ambulate as early as possible
• Identifying any psychological distress and needs ,to accomplish it for faster recovery
• Rule for any disability and recommend for supportive devices