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Assignment- Mind Mapping
Transcript of Assignment- Mind Mapping
Deafness in (R) ear
Acquired Brain Injury
Effect on Body/Symptoms
Frequent Headaches (left frontal)?
Neck pain (Cervical stiffness)?
What are they?
How long do they have that effect?
How do these symptoms, Aggravators/ Alleviators effect ADL's?
Current Lifestyle Habits
Yes/No? Current/previous history.
If yes how long for?
How many per day on average?
Current/previous Physical Activity Levels
Type of PA- Work, Recreational Etc.
Most preferred types of activity?
What influences this?- Diagnosis/health status?
Usual daily diet
What influences this?
Bakery Assistant Manager
Currently working Part time.
Unable to work full time due to anxiety and on-going headaches.
Usual Hours per week?
Considerations for Exercise
Appropriately considered FITT principles- respiratory deficits?
Bruce/ modified Bruce/6 minute walk test or arm ergo for aerobic capacity using HR and RPE
Standing Posture (visible effects of ABI)
Berg Balance Test
Functional tasks- sit to stand/squat
- wall push ups
Severity of condition.
Rationale for Pre-screening
Bruce/Modified Bruce: Most widely used test, frequently citated in medical journals, and has normative data to allow comparisons (Ehrman et al. 2009).** Plantar fasciitis/tendononsis my contraindicate this form of testing for this client.
Arm Ergo (seated): More appropriate testing protocol for clients with LL and neurological conditions (Shrieks et al. 2011).
Sit to stand may be more appropriate than squat, as it minimizes time in weight bearing.
Seated grip strength though not functional still a good measure of UL strength, while minimizing weight bearing and LL pain.
Scared to get in a car?
Was the MVA their fault if the cause?
Scared to participate in sport again?
Multidisciplinary approach to treatment?
Effect on Ex. Prescription
Transport to and from sessions
Difficulty getting to sleep?
Restlessness throughout the night?
Waking up feeling tired?
Plantar fasciitis/tendonosis in FHL (L)
For how long?
Effect on ADL's
Anything he isn't doing?
VAS pain weight bearing/non-weight bearing
MMT for LL
Functional Activities?- Squat/sit to stand
weight bearing painful
Causing decrease ROM ( due to pain)
and muscle weakness/tightness due to de-conditioning and altered biomechanics
(Kisner & Colby, 2007).
Ex. Prescription Considerations
Pain Free LL ROM
Limited weight bearing/weight bearing pain free
Partial or complete?
Keep it interesting
Chose exercises he enjoys doing
Be aware of level of difficulty- (don't prescribe too much hw; he may not do any of it).
Why/result of what?
Meds (Lamilis Tablets)?
Increased weight gain?
10kg in 6 months
Is that causing more pain to weight bear?
Little change in foot px so far
Other professional help?
Why/result of what?
Poor sleeping habits?
Meds (Lamisil Tablets)?
VAS for Fatigue after getting dressed in the morning, walking in from the car park.
To understand his limitations
To get an idea of the work load he may be able to handle
Increase rest breaks.
Encourage healthy diet.
Alter FITT principles according to day to day variations (good/bad days).
Compliance may be an issue.
Possible muscle and joint pain.
Prolonged postexertional malaise.
Avoid exercises the client perceives as stressful, very physically demanding or difficult, as this exacebates fatigue symptoms.
Consider his goals.
To prevent/ limit onset of fatigue
48 years old
VAS pain scale
Do they gradually get worse with time?
Will they prevent him exercising?
How long do they generally last?
Affect on ADL's?
Social Aspects of life?
Why/Result of what?
Work related stress?
Ability to concentrate
Worse on more difficult/heavier activities?
More susceptible to Fatigue.
Prev Collar bone # (L)
Playing sport/Recreational activity
How often?-more or less than before?
If not-why not?
Goals- Wants to get back?
VAS pain scale at rest and with movement.
Rest?- How much?
Particular movements-over head reach/lifting?
Effect on ADL's
Scapula Humeral Rhythm
GHJ stability tests
Identify weaknesses/abnormalities that may be responsible for the pain
To gain an understanding on what he can/can't do to prescribe exercise
Pain management- eg. Meds
Effect of pain meds on exercise
Other forms of Rehab?
Was surgery required?
Were these successful?
Full union of fracture?
How long was this approach used?
Where did the # Occur?
Contraindications to Ex.
Malunion at # site
Brachial plexus irritation
Subclavian artery transection
Pneumothorax of the lungs (air between lung and chest wall; collasped lung).
Granado & Dressendorfer, 2013).
Effect on VAS pain scale
Increase, by how much?
Decrease, by how much?
Due to diagnosis/current health status.
Increased weight gain
10kg in last 6 months
Effect on weight bearing activities?
More painful due to more pressure on LL with plantar fasciitis?
What section of the brain?
L or R side?
Effect on QOL
Decrease quality of life
Increase depression and anxiety symptoms
More prone to illness
Possible development to CFS?
Counselor/mental health professional?
How does he overcome the feelings of fatigue?
Stimulants, eg. coffee?
Duration & Frequency of rest
How many times per day?
How many times per week?
What causes this to vary?
Counselor/mental health professional?
Caused by ABI?
How does he/family and friends deal with it?
Does he have any particular strategies in place to assist him?
Causes client to wake up from sleep.
Weight change (decreased)
Change in Bowel habits
Elocon and Mometasone Furate
Used for inflammatory relief,prutritic manifestation of corticosteroid responsive dermatoses eg. psoriasis, atopic dermatitis.
Adverse effects: Severe itching, burning, tingling, stinging, skin atrophy, and paraesthesia (uncommon).
Used for severe ringworm is an allylamine antifungal drug.
Adverse effects: GI upset, depression, appetite loss, joint pain, headache, visual impairment, fatigue, rash, and anxiety though very rare.
Corticosteroid for non-infected inflammatory eye condition
Adverse effects: Occular hypertension, visual acuity defect, visual field defect
Suffer any adverse effects?
Consider when prescribing exercise
Medical Conditions requiring these pharmaceutical interventions.
History of these illnesses?
Duration of illness
When it first occurred?
Their impact on QOL?
Compliance with medication?
Other treatment strategies?
Frequency/type of Physio
When was this treatment started?
Types of exercises prescribed?
Has it been effective?
Location of pain
Tightness around the frontal and occipital regions of the skull
Effect on Exercise prescription?
Suicidal ideation (including all statements and gestures)
Use of multiple or potent medications (including anti-depressents which can be fatal in high doses)
Signs and symptoms of abuse
Since decreased work ability?
Other forms of rehab?