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Rebecca Fuller: PT/OT Plan

The document outlines a PT/OT plan for Rebecca Fuller who suffered a spinal cord injury resulting in paralysis from the waist down. The overall goals of rehabilitation are to improve her mobility and strength using exercises and assistive devices like crutches and a wheelchair. Physical therapy will focus on stretching, range of motion exercises, and training to use a wheelchair. Occupational therapy will help her learn to perform daily tasks independently with her new limitations. The plan is for Rebecca to spend the first 3 months learning to use a wheelchair and the next 3 months practicing daily living skills with the goal of her attending school again the following semester.

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511 views

Rebecca Fuller: PT/OT Plan

The document outlines a PT/OT plan for Rebecca Fuller who suffered a spinal cord injury resulting in paralysis from the waist down. The overall goals of rehabilitation are to improve her mobility and strength using exercises and assistive devices like crutches and a wheelchair. Physical therapy will focus on stretching, range of motion exercises, and training to use a wheelchair. Occupational therapy will help her learn to perform daily tasks independently with her new limitations. The plan is for Rebecca to spend the first 3 months learning to use a wheelchair and the next 3 months practicing daily living skills with the goal of her attending school again the following semester.

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© © All Rights Reserved
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Rebecca Fuller

PT/OT Plan
By: Camilla Hinrichsen, Nathan Martell, Alexa Riley,
and Emily Nelson
Group 6
Overall goals of Rehabilitation
● To allow Rebecca to move with as much mobility as possible
○ Improve arm strength and core strength
○ Adjust to using crutches/wheelchair
○ Use heat, massages, and exercise to stimulate nerve and muscle movement
● Adjust her to complications that come with paralysis
○ Use occupational therapy to concentrate on ways to perform daily living
○ Become mobile on ramps/comfortable moving on a wheelchair
○ Adjust to handicapped practices
○ Use assistive technology to aid with movement and performing daily functions
Rebecca’s Physical Needs
● Rebecca wants to attend school by her next
semester
● Wheelchair mobility
● Performing daily activities
● Managing pain
● Gaining strength and regaining balance
● Managing bodily functions while handicapped
○ Healthy skin, healthy bladder and bowel movement,
maintaining cleanliness
● Allow for her to be independently mobile
Typical Physical Therapy Session
● Stretching
○ Stretching is good to start off the session. Stretching her legs will be
important in order to minimize any pain that is caused by the additional
pressure that is put on her joints. This will be good preparation for the rest
of the therapy session, and she will also be able to practice these
stretches at home when she feels any pain or tightness in her joints.

● Passive Range of Motion Exercises


○ Second, even if there’s no control in the legs, using these passive range of
motion exercises can prevent joint stiffness, promote circulation, and
stimulate the spinal cord. This can also be working with the core so that
it’ll be stronger and more useful for her injury. These range of motion
exercises will be the most useful, as it might be able to get her more
motion and help her use her wheelchair.
Typical Training Session Cont.

● Gait Training
○ Last, we’ll do Gait Training. This physical therapy focuses on learning to walk again, but
because Rebecca wants to go to school again, the focus of the session will be on building
balance in the core. It will be practicing how to stand and shift your weight from one side to
the other without losing stability. Though she can’t walk, this will be useful for the
wheelchair as she can have the core strength needed to use her arms and core so she can
move.
Expectations
Rebecca Fuller needs to realize that she will most likely never be able to mobilize her lower body ever
again. But by moving on, Mrs. Fuller and direct her focus on rehabilitating her functions by adapting to a
new method of mobility. Acquainting herself with a wheelchair and utilizing the next six months to
acclimate herself to a new lifestyle. With these tasks presented in front of her, she can look forward to
attending school in preparation for her next semester.
Months 1-3 Months 4-6
To initiate Mrs. Fuller’s rehabilitation for the next Once familiar with directional mobility, we
six months, we first need her to engage in a introduce Mrs. Fuller to the occupational therapist.
session with a physical therapist to confirm areas For the rest of her duration recuperating, Mrs.
of discomfort and evaluate how to continue. Fuller will collaborate with the occupational
Afterwards, we introduce Mrs. Fuller to a therapist to practice engaging in everyday
wheelchair where she will for the next three activities while simultaneously trying to adapt to
months work to become acclimated to life attached functions with her new wheelchair. During
to it. The purpose of the first half of her moments without the occupational therapist, Mrs.
rehabilitation will serve to conduct regular physical Fuller will engage in upper body exercises in order
therapy sessions, process evaluations, and allow to strengthen and compensate for the new set of
Mrs. Fuller to familiarize herself with her new restraints presented to her. This will ultimately
wheelchair. prepare Mrs. Fuller to return to school in
preparation for her next semester.

Timeline
Occupational Therapy Session
Depending on how far the patient is into the therapy
they may:

- Practice doing daily tasks with arms like


grabbing backpack, writing, etc
- Stretching arms and abdomen
- Ex. throwing a ball to improve motor skills and
strength
- Using heating pads and massaging arms
- Practice using ramps or elevators to be
prepared for school
- Teach them how to use assistive technology
1. Other Involved Biomed Professionals
Psychologist:

- Being involved in an accident can cause trauma and stress


to form
- A psychologist is a person who studies normal and
abnormal mental states, perceptual, cognitive, emotional,
and social processes and behavior by experimenting with,
and observing, interpreting, and recording how individuals
relate to one another and to their environments.
- They may prescribe medications to treat symptoms may
be recommended by your physician, depending on
severity
- In addition, relaxation techniques, such as yoga, certain
exercises, and controlled breathing, may help calm the
mental and emotional states.
2. Other Involved Biomed Professionals
Rehabilitation Nurse:
- The rehabilitation staff nurse assists
clients in adapting to an altered lifestyle,
while providing a therapeutic
environment for client's and their
family's development.
- They work closely with other medical
professionals as a team to make sure
that the patient is in good care and that
progress is being made
APA Citations
FB.com/seniorsflourish. (2020, January 24). Fine Motor Skills for Adults - The Ultimate List. Retrieved from
https://seniorsflourish.com/finemotor/

Paralysis: Causes, Symptoms, Diagnosis & Treatment. (2017, April 21). Retrieved from
https://my.clevelandclinic.org/health/diseases/15345-paralysis

Paraplegic Exercises: How to Strengthen the Legs & Improve Balance. (2020, December 30). Retrieved from
https://www.flintrehab.com/paraplegic-exercises/

Physical Therapy for Paraplegia: Why It's Necessary for SCI Recovery. (2020, November 2). Retrieved from
https://www.flintrehab.com/physical-therapy-for-paraplegia/

Rehabilitation Staff Nurse: ARN. (n.d.). Retrieved from https://rehabnurse.org/about/roles/rehabilitation-staff-nurse

Why You Should Consult a Psychologist After a Car Accident. (2019, October 15). Retrieved from
https://inmotionhealthcentre.ca/why-you-should-consult-a-psychologist-after-a-car-accident/

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