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Physical and Occupational Therapy

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Occupational Therapy
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Activities of Daily Living (ADL) training -modifications -adaptive equipment training Self cares, functional mobility -dressing, bathing, toileting, etc. -toilet and shower transfers Evaluate all types of patients
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Physical Therapy
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Gait training Transfer training Adaptive equipment training (walkers, crutches, wheelchairs) Stair training Balance training
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Common Surgical Precautions for Total hip Replacements
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Usually weight bearing as tolerated
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Posterior Hip Replacement Precautions
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No bending beyond 90 degrees of hip flexion No crossing legs (or ankles) No turning toes in
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Anterior Hip Replacement Precautions
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No crossing legs No turning toes out when leg is behind you
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Total Knee Replacement Precautions
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No pillows directly under knees Bed should be locked flat at legs Usually weight bearing as tolerated
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Total Shoulder Replacement Precautions
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No use of that arm for several weeks
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Back Precautions
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No bending (forward at waist, moving knees toward chest) No lifting (10 pounds) No twisting “BLT”
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Sternal Precautions
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No pushing/pulling with both arms (can use 1) No raising both arms above shoulders No lifting (10 pounds) Open heart surgery or infection in sternum
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Common Weight Bearing Restrictions
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Weight bearing as tolerated Non weight bearing Toe touch or touch down weight bearing Partial weight bearing
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Weight bearing as tolerated (WBAT)
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What the patient can do at the time
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Non weight bearing (NWB)
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Not putting weight on Ex: walker, sling
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Toe touch or touch down weight bearing (TTWB)
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Can have toe on ground for balance, but no weight
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Partial weight bearing
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Ex: 50% weight bearing
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Transfers in Acute Care
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Stand Pivot Transfer Slideboard Transfer
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Stand Pivot Transfer
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Commonly used in hospital setting Gait belt
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Slideboard Transfer
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Slideboard Drop arm chair/commode