Question

Medical Systems

Review these case studies:

1-Derrick 45 - married, 2 kids (toddler and infant), teaches HS english/poetry and plays guitar in band on weekends. Numbness/tingling and pain left arm (worse at work and playing guitar) Losing sleep at night due to UE complaints. Wife is a classmate of yours and suggested he contact you.

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 from a friend or from a classmate

The patient needs the following to be doneto evaluate the problem

• X ray (shoulder,neck) to evaluate for bursitis, rotator cuff tear, herniated disc in neck , tendinitis
• Physical examination to assess range of motion in arms
• Assessing reflex to rule out nerve injury

The members of the interdisciplinary team here should be a primary provider, orthopedician, occupational therapist

The role of OTA here are

• To determine the working lifestyle of the patient and planning care accordingly
• Teaching the adjustment which has to be done in the work practice
• Physical therapy or physiotherapy has to be planned