Protecting your OT (and any other) License

In this post, I will outline in my opinion, some of the most important practices to be mindful of to “protect your license”. Not only do these practices affect you, but also your co-workers, clients, and possibly even your family due to the nature of today’s connected world. Some of these best practices are good to … Read more

Constraint Induced Movement Therapy (CIMT) Protocol

Considerations Traditional CIMT is provided for more than 2 hours/day and should not be used within the first month following stroke. Modified CIMT is a less intense program which varies in terms of the time of constraint, the intensity of associated therapy, and duration of the intervention (weeks). Modified CIMT may be initiated in the … Read more

GivMohr Sling Considerations, Fitting, & Shoulder Subluxation Adjustment

Pros

  • Promotes weight bearing due to distal support

Cons

  • Hand is not free for functional activities.
  • Handpiece may be uncomfortable and cause skin breakdown.
  • May be difficult to don/doff independently.

Adjustment for shoulder subluxation

Evidence

Current research shows that the use of slings such as GivMohr remains controversial for shoulder subluxation prevention and correction. After this sling is doffed, shoulders will return to subluxation position.


References:

GivMohr Youtube Channel: https://www.youtube.com/channel/UCx6W_TkF9J8ZPHtKV24lAbQ

PureWick Use, Warnings, & Precautions – PSA

PureWick Use, Warnings, & Precautions for OT UPDATE: I have been seeing more of this happening at my work. As mentioned by the manufacturer: “Do not use with bedpan or any material that does allow for sufficient airflow”. Mesh type underwear should be fine since they have holes for airflow. Update 11/9/2020: I spoke with … Read more

Upcoming Patient Driven Payment Model (PDPM) for SNFs, CMS Medicare PDPM 101

Effective 10/1/2019 Under PDPM OT Services daily rate for each patient will be determined at admission by their “categorization” and entered into the MDS (minimum data set) based on: Diagnosis, Primary reason for SNF admission, 4 total: Major joint replacement or spinal surgery OR Non-orthopedic surgery & acute neurologic OR Other Orthopedic OR Medical management…which … Read more

What Comes After Thursday? FUNCTIONAL FRIDAYS, Occupational Therapy

Hide the cones, hide the rings, and all the preparatory things. AOTA had an interesting post about Cody LaRue, MS, OTR/L, who was inspired to institute a new practice called “Functional Fridays” at his facility in Petersburg, VA. “Our emphasis is always on function,” LaRue says. “But sometimes having certain preparatory activities within reach can … Read more

ADLs with Upper Extremity Wrist Non-weight bearing Precautions (UE NWB)

So your patient has one upper extremity, or even worse, bilateral non-weightbearing precautions, likely due to distal radius fracture(s). Does this mean OT cannot do any activities with them? Is everything not attempted for safety in your initial evaluation? In fact, OT can play an important role in the recovery of patients with non-weight bearing … Read more

Complex Regional Pain Syndrome

Complex Regional Pain Syndrome (CRPS) is a chronic pain that usually affects an arm or a leg. Typically develops after an injury including fractures, sprains/strains, soft tissue injury (burns, cuts, or bruises), limb immobilization, surgery, or medical procedures such as needle stick, stroke or a heart attack. A hyperactivation of ascending pain pathways. Pain is … Read more

PRAFO Boot Uses

PRAFO – Pressure Relief Ankle Foot Orthosis Worn on the calf and foot similar to a boot Used for patient’s who spend a significant amount of time in bed Prevents pressure ulcers from developing on the back of the heel Prevents plantarflexion contractures Patient will not be able to flex the foot upwards. If it … Read more