Rehabilitation management is important for early mobilization to prevent or minimise secondary complications and deconditioning. It also helps to preserve the patient’s mobility and to facilitate patients’ movement in the correct way. Focusing on Upper limb motor retraining, ADL retraining and cognitive stimulation
An intervention program to improve balance of the elderly can be carried out based on an accurate assessment of the deficits. Subsequently, engage with meaningful activities to stimulate older adult cognitive.
Home assessment is important to help them recognize potentially dangerous situations and reduce the possibility of falls. Falls during daily activities include sit-to-stand transferring, stair climbing, turning, picking things up from the floor, reaching forward and bending over etc. Environment modifications to prevent slippery floors or surfaces, uneven or tripping carpets, chairs and wires can significantly reduce the risk of fall caused by them. Compensatory strategies/training should be advised, for example, use of grab bar for standing whilst brushing teeth, sitting down for showers and using a vertical cane or support for ambulation.
- Provide wheelchair assessment and management to promote endurance and mobility, depending on patient readiness.
- Train patients in postsurgical orthopedic protocols, including appropriate weight bearing and/or precautions during activities of daily living (ADLs).
The following are examples of conditions and injuries of the upper extremity (i.e., hand, wrist, elbow, shoulder girdle, rotator cuff, multiple joints) that are treated by occupational therapy practitioners.
- Arthritis and rheumatic diseases
- Congenital anomalies
- Crush injuries or trauma
- Tendon injuries and conditions (e.g., lacerations, tendonitis, ruptures)
- Nerve injuries and conditions (e.g., neuropathies, palsies, nerve repair)
- Pain (e.g., complex regional pain syndrome, fibromyalgia)
Mental Health Rehabilitation
- Teach stress management techniques and coping skills.
- Address the needs of clients in behavioral or mental health units who also have physical impairments.
- Develop protocols for and facilitate therapy groups to address goal setting, community re-entry strategies, sleep hygiene, prevocational skills, body image issues, and basic to advanced ADLs such as money management.