What is the difference between grading and adapting

Now that we have the meaning of grading defined, how can you apply this in a real-life situation? Mark is a licensed occupational therapist who graduated last year and started his first job at a local skilled nursing facility. He evaluated Norma, an 81 year old female patient who sustained a ground level fall at home resulting in a RLE tibia fracture.

The OT evaluation revealed that Norma is alert and oriented x 4, was on non-weight bearing precautions for her right leg, and has had several falls over the past six months. She lives in her private residence with her spouse and was independent in all ADL tasks. The only assistance she needed help with was grocery shopping and transport from her children who live in her same neighborhood. She occasionally used a cane to get around her home before her injury.

Her primary physician has recently changed her orders to weight-bearing as tolerated on the right leg. Now that she can use both of her lower extremities in standing tasks, Norma is breezing through the OT interventions. Regularly check with nursing staff or medical records to see if the patient had any recent medical precautions placed or lifted. Precautions lifted such as NPO orders no food by mouth , sponge-baths only, weight-bearing status, and fall precautions alarms, one-on-one care, etc.

Additionally, she was using a shower chair and required Minimum Assist for sit-to-stand transfers. Now that she is allowed to weight-bear on both feet, Mark may consider upgrading the showering task to standing with the assist of a grab bar. He would need to keep track of her vitals to make sure her body can tolerate the upgrade. If her vitals are abnormal, he would incorporate sitting rest breaks and gradually reduce them over time until they are regulated again.

Mark would have to keep track of what her pain levels are on a subject scale of 1 to 10 : at rest and with activity, incorporate rest breaks and adaptive strategies shower chairs, wheelchairs, etc.

As the pain in her right leg subsides, it will become easier for Norma to stand in the shower. Possible medical equipment being used for the showering task could include a shower chair, grab bars, a wheelchair, a walker, a quad cane, and a reacher to name a few. For instance, Norma may have been using a wheelchair to get in and out of the bathroom. Mark could upgrade the task to using a walker instead, and then gradually move her to a cane with the help of PT.

If the patient is starting to require more hands-on assist or is stagnating at moderate or maximum assist, then the task is too hard and needs to be down-graded. Cognitive assist includes any kind of cueing verbal, tactile, visual that the therapist needs to provide in order for the patient to succeed in the task. Occupation as a therapeutic medium: A contextual approach to performance interaction. Baum Eds. Trombly, C. Occupational therapy for physical dysfunction.

References American Occupational Therapy Association. Like this: Like Loading Follow Following. Hand In Hand Join other followers.

Sign me up. Already have a WordPress. Log in now. Post was not sent - check your email addresses! Tasks or activities have importance in occupational therapy be cause activities are the therapeutic tools of occupational therapy. Occupational therapists believe clients with various disabilities can improve their physical, cognitive, and social competence through engaging in selected activi ties. Atri Lehmbruck Explainer. What is special education adaptation? Adaptations are changes in the way instruction and assessment are carried out to allow a learner equal opportunity to demonstrate mastery of concepts and achieve the desired learning outcomes.

They are made to meet a student's needs as identified on an individualized education plan IEP. Gualberto Brines Explainer. What is an activity analysis in occupational therapy? Activity analysis is defined as the process used by OT practitioners which "addresses the typical demands of an activity , the range of skills involved in its performance, and the various cultural meanings that might be ascribed to it". Nolwenn Arion Explainer. What is the just right challenge? A just - right challenge is a very careful balance between the challenge of the task and the skills of the person.

If the challenge of a task is too high and the skills of a person are too low, frustration is usually the result. Alfonsina Iglesias Pundit. What is scaffolding in occupational therapy? Scaffolding is support provided in a creative and adaptive manner that enables the student to learn the skills at the most independent level possible. Each student has a range of skill levels from what he or she is able to do without any assistance to what he or she is able to do with maximal assistance.

Armanda Falkenstein Pundit. What is preparatory methods in occupational therapy? Preparatory Methods: Prepares clients for occupational performance. Preparatory methods are used in preparation for purposeful and occupation-based activities. Examples include sensory input to promote optimal response, modalities ultrasound , electrical stimulation, etc , splinting, and exercise. Haiat Gewirtz Pundit. What is the peop model? When people perform occupations, they also interact with environment.

Efraim Murru Pundit. What is the EHP model? The Ecology of Human Performance framework EHP focuses on the relationship between several important constructs in occupational therapy; they are person, context, task, performance, and therapeutic intervention, in order to get a throughout understand of human occupation.

Elizabeht Chekhluev Pundit. What is relative mastery? The theory proposes that people desire to do well in their daily performance and assess it on the basis of a review of their relative mastery. Relative mastery includes a sense of effectiveness, efficiency, and satisfaction to self and others.

Mertixell Valy Teacher. When was the Kawa model developed? Hennadiy Endler Supporter.