Chapter 15: Therapy Ed

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Self Care Ability: Spinal Cord Injury C1-C3
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-Completely dependent in all self care -Able to instruct others about preferences for care -Can chew and swallow
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Self Care Ability: Spinal Cord Injury C4
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-Totally dependent in all self care -Able to instruct others about preferences for care -Can drink for a glass with a long straw
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Self Care Ability: Spinal Cord Injury C5
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-Feeding requires total assist for setup; independent with equipment (i.e. dycem, angled utensil, plate guard, etc.) -Dressing requires minimal-moderate assistance with UB dressing. Dependent for LB dressing. -Bathing requires minimal-moderate assistance. -Grooming requires assistance with setup:can be independent in some aspects depending on spint, u-cuff, etc.
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Self Care Ability: Spinal Cord Injury C6
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-Feeding independent with AE (i.e. rocker knife, cuff, built up handle, etc.) -LB dressing independent while in bed. MaxA for socks and shoes. Independent with UB dressing with button hook, zipper pull, velcro fasteners -Bath minA using hand held shower, TTB, sliding board -Grooming Independent using tenodesis grasp or splint
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Self Care Ability: Spinal cord injury C7
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-Feeding independent -Dressing Independent, but may need button hook -Bathing independent using hand held shower, tub bench, and depression transfers. -Grooming independent using tenodesis grasp or splint
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Self Care Ability: Spinal Cord Injury C8-T1
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-Independent in all self care; uses tub bench, and hand held shower -Performs depression transfers, can transfer from w/c to floor and back to chair with standby assist.
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Self Care Ability: Spinal Cord Injury T6-L4
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-Independent in all self care
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Adaptations for Toileting and Toilet Hygiene
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-Grab bars and/or toilet safety frame -Bedside commode or raised toilet seat -Bowel training device, bladder control device -Skin inspection mirror -Toilet paper holder
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Grooming/Oral Hygiene Adaptive Equipment
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-Universal cuff to hold toothbrush, razor, comb, and/or brush -Built up, angled, or long handled brushes and/or razors -Blow-dry, nail clippers, and nail polish holders -Faucet turners -Electric toothbrush, floss holders, water pik
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Bathing/Showering Adaptive Equipment
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-Grab bars and non skid mat -Tub transfer bench/shower bench -Shower commode chair -Handheld shower -Anti-scald valves and/or faucets -Built up, angled, and/or long handled bath sponge or bath mitt -Soap on a rope, soap dish with suction cup -Storage units
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Dressing Adaptive Equipment
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-Reachers, dressing sticks, and pants dressing poles -Built up, angled, or long handled shoe horn -Pull-on clothing, velcro-type closures, and/or front opening closures for clothing -Elastic shoelaces, slip-on shoes -Button hook, zipper pull, and zipper loop or ring -Sock/stocking aid
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Feeding/Eating Adaptive Equipment
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-Adapted nipples and bottles for infants -Scoop dish or plate guards -Non-slip placemat or dycem -Built-up, angled, weighted, or long-handled utensils, swivel utensils -Rocker knife and/or spork -Adapted cups and long or angled straws
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Medication Management Adaptions
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-Easy open, non-child proof medication bottles -Pill organizers, medication reminders
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What are the Self-Care Interventions
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-Determine if the self-care activity should be modified or eliminated -Recommend adaptive strategies -Provide adaptive equipment to compensate for functional impairments -Recognize multiple dimensions of a person with a disability and the complexities of many disorders -Train in safe use of adaptive equipment -Practice to get perfection in activity performance in real environments -Provide cues and assistance as needed -Use themed and topical groups as needed -Teach principles and methods of energy conservation, work simplification, joint protection, and proper body mechanics -Educate and train caregivers -Educate patient on personal care attendant training -Modify the environment to maximize performance and ensure safety

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