In this Home Health Occupational Therapist‘s event, you will look at four snippets, pain assessment and pain impact, cognitive assessment, home safety, and OT’s Initial Visit. You will also have a chance to work on OT’s interactive.
The home health occupational therapist reviewed information about Donald’s pain including severity, 24 hour pain pattern, and pain location. For a functional assessment, the OT assessed his standing tolerance and pain response to standing.
Pain Assessment and Pain Impact
Pain
Pain 6 of 10 for right knee on IPT-R; PEG score 6 of 10 for pain, enjoyment and general activity.
24 hour pain pattern: Best 6; worst 9; average 6 on 0-10 scale from IPT-R.
Pain Location
Front of right knee from thigh to mid calf.
Standing Tolerance
Limited to 15 minutes for self cares and kitchen activities. Utilizes rolling walker for support with Bilateral Upper Extremity (BUE) with all activities. Pain of 6 of 10 with all assessments. Independent with transfers for sitting or lying for pain reduction.
Cognitive Assessment
One concern for Donald is his memory about his medication. The OT completed the MMSE to assess Donald’s cognition. The review of MMSE indicates the initial score of 25 out of 30, which is Normal and the recheck score is 30 out of 30, which is normal.
Donald’s orientation is alert, oriented to person, place, and time. Donald had some confusion when initiating OT but able to be safe in kitchen, bathroom, walking within the home. He was independent with small meal preparation and able to complete 3 step commands and instructions
Review of MMSE
- Initial Score 25 of 30 - Normal
- Recheck 30 of 30 – Normal
Orientation
- Alert, oriented to person, place, and time
- Some confusion when initiating OT but able to be safe in kitchen, bathroom, walking within the home.
- Independent with small meal preparation and able to complete 3 step commands and instructions
Home Safety and Equipment
The OT assessed home safety with a focus on the kitchen, bathroom, handrails, and bedroom.
Area Assessed
- Kitchen
- Bathroom
- Handrails
- Bedrooms
OT Assessment
- Able to maneuver in kitchen with walker
- Able to put away dishes
- Good standing tolerance for dishes, meal preparation, brushing teeth, self cares
- Able to get on/off toilet with rail and walker
- Non skid floor in shower
- Emergency pull in bathroom
- Able to use phone for emergencies
Occupational Therapy Visit
Upper Extremity Strength and Range of Motion
Home Exercise Program
Resistance Bands for Strengthening
Why use a resistance band for strengthening?
Variable Resistance
Variable resistance of bands – can vary the resistance of each band by increasing or decreasing amount of band used
Inexpensive
Many resistance levels are available and inexpensive to purchase
Lightweight
Easy to store, lightweight and easy to complete exercises anywhere
Adaptable
Adapt band to resistance workouts for all body areas: arms, legs, head, trunk and full body
Safe and Independent
Able to be used safely and independently
