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Cuestiones Psicológicas- Manual De Enseñanza Para El Paciente Y La Familia Sobre Lesiones De La Médula Espinal, Thomas Jefferson University Hospital And Magee Rehabilitation

Manual de Lesión de la Médula Espinal (Español)

Introducción

Un traumatismo súbito, como una lesión de la médula espinal, tendrá una repercusión significativa sobre usted y las personas que lo rodean. Posiblemente, algunas partes de su vida cambien mucho. Es posible que otras partes de su vida no cambien nada. Independientemente del alcance de su lesión e incapacidad, estar lesionado y tener una alteración en su vida puede plantear problemas o cambios imprevistos. Este capítulo proporciona información sobre los servicios de asistencia disponibles en Thomas Jefferson University Hospital, Magee Rehabilitation Hospital y en la comunidad.

Cómo sobrellevar una lesión de la médula espinal

Después de una lesión de …

Servicios Vocacionales- Manual De Enseñanza Para El Paciente Y La Familia Sobre Lesiones De La Médula Espinal, Thomas Jefferson University Hospital And Magee Rehabilitation

Manual de Lesión de la Médula Espinal (Español)

Introducción

Usted dispone de servicios vocacionales durante el transcurso de la rehabilitación, que lo ayudarán en el regreso al trabajo o la escuela, o le permitirán explorar opciones vocacionales y educativas. Puede comenzar a utilizar estos servicios mientras se encuentra en el hospital y puede continuar utilizándolos después de recibir el alta hospitalaria. Puede comenzar a recibir servicios vocacionales del consejero vocacional en Magee Rehabilitation Hospital y, al mismo tiempo, ser remitido al organismo estatal designado para brindar asistencia en la rehabilitación vocacional. En última instancia, podrá regresar al trabajo que realizaba antes de la lesión o emprender un nuevo …

Viajes Y Transporte- Manual De Enseñanza Para El Paciente Y La Familia Sobre Lesiones De La Médula Espinal, Thomas Jefferson University Hospital And Magee Rehabilitation

Manual de Lesión de la Médula Espinal (Español)

Introducción

El concepto de viajes y transporte incluye manejar o viajar como pasajero en un automóvil o una camioneta, o viajar en avión, autobús, tren o barco. Después de sufrir una disfunción de la médula espinal, realizar viajes de negocios o de placer puede ser una experiencia agobiante. Estar bien preparado de antemano disminuirá la tensión y hará que pueda disfrutar de su viaje.

Este capítulo le brinda sugerencias con respecto a los viajes con silla de ruedas eléctrica o manual, la compra o el alquiler de equipo médico duradero, el uso de medicamentos, cuestiones del intestino y la vejiga, …

Sistema De Atención De Seguimiento De Lesiones De La Médula Espinal, Thomas Jefferson University Hospital And Magee Rehabilitation

Manual de Lesión de la Médula Espinal (Español)

Introducción

El Sistema de Atención de Seguimiento de Lesiones de la Médula Espinal es un programa que le asistirá en su atención de por vida, una vez que se le dé el alta hospitalaria. El sistema de atención de seguimiento está estructurado con miembros de un equipo primario, que son usted y su familia, el fisioterapeuta (médico que se especializa en fisioterapia), el enfermero clínico y el administrador de casos. Los miembros del equipo disponibles para consultas incluyen fisioterapeutas, terapeutas ocupacionales, terapeutas recreativos, terapeutas del habla, dietistas, urólogos, ginecólogos, cirujanos plásticos y podólogos.

En la Clínica de Atención de Seguimiento …

Comentarios Y Opiniones- Manual De Enseñanza Para El Paciente Y La Familia Sobre Lesiones De La Médula Espinal, Thomas Jefferson University Hospital And Magee Rehabilitation

Manual de Lesión de la Médula Espinal (Español)

El personal del centro ha dedicado recientemente mucho tiempo y esfuerzo para revisar este manual. No obstante, sabemos que las personas que leen y utilizan el manual en forma activa pueden mejorarlo. Como parte de nuestro programa de mejora continua de la calidad, le solicitamos que ayude a guiar nuestros esfuerzos para mejorar el manual.

En la próxima sección del capítulo hay dos formularios. El primer formulario es un resumen por capítulo que intenta identificar aquellas áreas del manual que podrían mejorarse con un poco más de trabajo. También intentamos identificar cualquier inquietud importante que no haya sido abordada.

La …

Tabla De Contenidos- Manual De Enseñanza Para El Paciente Y La Familia Sobre Lesiones De La Médula Espinal, Thomas Jefferson University Hospital And Magee Rehabilitation

Manual de Lesión de la Médula Espinal (Español)

Tabla de contenidos para Manual de enseñanza para el paciente y la familia sobre lesiones de la médula espinal.

(41 páginas,416Kb)

Coherence, Complexity, And Information Flow: Self-Organizing Processes In Psychotherapy, David Pincus

Psychology Faculty Books and Book Chapters

"This chapter is written in the spirit of optimism, suggesting that self-organization is just such a general theory that may assist in providing a deeper, scientifically grounded understanding of the complex biopsychosocial processes involved in psychotherapy. To provide some foundation to this rather grand suggestion, the following review rests on five more specific theoretical propositions stemming from self-organization theory... The analysis of these propositions begins with an integrative review of traditional theories of interpersonal process through the lens of nonlinear dynamical systems (NDS) and self-organization theory in particular. Next, the contemporary empirical and theoretical developments using NDS to understand psychotherapy …

Use Of Aquatic Therapy/Core Stabilization And A Multi-Disciplinary Treatment For A Patient With Chronic Low Back Pain: A Case Report, Jesse Elis

Physical Therapy Scholarly Projects

Background and Purpose: This case report describes the use of two different conservative treatment approaches on a patient suffering from chronic nonspecific low back pain. The case report illustrates the difference between aquatic therapy/core stabilization, which focuses on the biological aspect of the injury, and multi-disciplinary treatment, which treats the injury on a biopsychosocial level.

Case description: The patient was a 32-year old man that suffered two disc herniations from lifting a large box at work. After the injury, the patient received conservative treatments 3 months prior to this specific case report. Neurological deficits were present and the patient had …

A Randomized Trial Comparing Digital Video Disc With Written Delivery Of Falls Prevention Education For Older Patients In Hospital, Anne-Marie Hill, Steven Mcphail, Tammy Hoffman, Keith Hill, David Oliver, Christopher Beer, Sandra Brauer, Terry P. Haines

Physiotherapy Papers and Journal Articles

Objectives: To compare the effectiveness of a digital video disc (DVD) with that of a written workbook delivering falls prevention education to older hospital patients on self-perceived risk of falls, perception of falls epidemiology, knowledge of prevention strategies, and motivation and confidence to engage in self-protective strategies. To compare the effect of receiving either education approach versus no education on patients' perception of falls epidemiology.

Design: Randomized trial (DVD vs workbook) with additional quasi-experimental control group.

Settings: Geriatric, medical, and orthopedic wards in Perth and Brisbane, Australia.

Participants: One hundred (n=51 DVD, n=49 workbook) hospital inpatients aged 60 and older …

Test-Retest Reliability And Minimal Detectable Change Scores For The Timed "Up & Go" Test, The Six-Minute Walk Test, And Gait Speed In People With Alzheimer Disease, Julie D. Ries, John L. Echternach, Leah Nof, Michelle Gagnon Blodgett

Rehabilitation Sciences Faculty Publications

Background. With the increasing incidence of Alzheimer disease (AD), determining the validity and reliability Of Outcome measures for people with this disease is necessary.

Objective. The goals of this study were to assess test-retest reliability of data for the Timed "Up & Go" Test (TUG), the Six-Minute Walk Test (6MWT), and gait speed and to calculate minimal detectable change (MDC) scores for each outcome measure. Performance differences between groups With mild to moderate AD and moderately severe to severe AD (as determined by the Functional Assessment Staging [FAST] scale) were Studied.

Design. This was a prospective, nonexperimental, descriptive methodological study. …

Benefits Of Hiking: A Means-End Approach On The Appalachian Trail, Eddie Hill, Marni Goldenberg, Barbara Freidt

Human Movement Studies & Special Education Faculty Publications

The purpose of this research was to examine the outcomes prompting hiking along the Appalachian Trail (AT). By using means-end theory, linkages between attributes, consequences, and values of the AT hiking experience were made. The researchers conducted forty-three interviews of AT hikers. Self-fulfillment, self-reliance, fun and enjoyment of life, and warm relationships with others were some of the values that emerged. Specifically, strong links existed between hiking and exercise, exercise and health, health and fun and enjoyment of life. While this area of research on the AT is new, results of this study can be used by recreational professionals that …

Handbook On Sensitive Practice For Health Care Practitioners: Lessons From Adult Survivors Of Childhood Sexual Abuse, Candice L. Schachter, Carol A. Stalker, Eli Teram, Gerri C. Lasiuk, Alanna Danilkewich

Lyle S. Hallman Social Work Faculty Publications

This handbook is the culmination of a multiphase, multidisciplinary research project that used grounded theory and participatory action research to illuminate ways that healthcare providers can work sensitively (in a trauma-informed way) with adult survivors of childhood sexual abuse.

The research identified nine Principles of Sensitive Practice: respect, rapport, taking time, sharing information and control, respecting boundaries, fostering mutual learning, understanding non-linear healing and demonstrating an understanding of trauma to patients. Specific guidelines were developed for a wide variety of issues pertinent to clinical practice such as, removal of clothing, touch, responding to disclosures of abuse, managing triggers among others. …

Effects Of Yoga On Physical Characteristics On Ncaa Division I Baseball Athletes, Julie Biernat Mclean

Master's Theses and Doctoral Dissertations

Among baseball athletes, joint range of motion (ROM) is considered an important physical characteristic with respect to injury prevention and performance. Professional and intercollegiate programs employ various methods of flexibility training; however, to date, no literature exists with regard to the effect of a yoga-based training program. The purpose of this investigation was to determine the effects of a sport-specific yoga program among NCAA Division I intercollegiate baseball players. Subjects (N=30, age 19.42 ±1.37 years) were assessed for shoulder joint (SH), hamstring (HS), and groin (GR) ROM and subsequently followed a 12-week, 2x/week yoga intervention. Post-test results indicated significant improvements …

Outpatient Physical Therapy Management Of A Patient Who Is Status Post Right Lunate: Open Reduction Internal Fixation With Hardware Removal: A Case Report, Jaime Garness

Physical Therapy Scholarly Projects

Background and Purpose: This case report follows a 20 year old male through his five week out patient rehabilitation for an open reduction internal fixation (ORIF) pinning of his right lunate and subsequent hardware removal following a motor vehicle accident. The patient presented with pain, decreased strength and range of motion of his right wrist. A deficit was also identified in his right shoulder stemming from decreased use of his right upper extremity. The reason for this case study is to look into benefits of physical therapy interventions as well as their functional outcomes.

Interventions: Patient warmed up on …

Guidelines For Environmental Considerations In Occupational Therapy Home Programs For Arthritis, Lori Pachl

Occupational Therapy Capstones

Problem: Occupational therapists frequently provide service to patients with arthritis within a variety of settings. The symptoms of arthritis can be detrimental to a patient's ability to participate in their daily functional activities. Pain, limitation in motion and decreased strength frequently disrupt the individual's ability to complete daily activities which can have a depressing affect. Historically through today, patients report that these symptoms increase with changes in weather conditions.

Changes in barometric pressure, humidity, cold temperatures and levels of precipitation have been reported by patients to affect their arthritic symptoms and pain levels (Aikman, 1996; Guedj, 1990; McAlindon, 2007; & …

Carpal Tunnel Syndrome: An In-Service And Guide On Education And Prevention, Derek Foss

Occupational Therapy Capstones

Carpal tunnel syndrome (CTS) is common among supermarket employees with a high prevalence among supermarket cashiers. In a study by Davis et. aI., (2001) it was found that supermarkets had the highest number of workman's compensation claims regarding CTS in Massachusetts. Of 247 reported cases of CTS in supermarkets 80 involved cashiers. Supermarket cashiers show a 19-60% CTS prevalence rate (Bonfiglioli et aI. , 2007). No prevention guide designed for supermarket employees was found in the literature; this scholarly project addresses the need for prevention of CTS among supermarket employees.

An extensive literature review was conducted to understand the need …

A Handwriting Manual For Early Elementary School Teachers, Jennifer Frueh, Nicole Kieffer

Occupational Therapy Capstones

Children in elementary school classrooms are expected to participate in fine motor activities up to 60% of the day. These fine motor activities include writing, cutting, gluing, coloring, and self care tasks such as buttoning and tying shoes (McHale & Cermak, 1992). In a literature review conducted by Feder and Majnemer (2007) it was found that poor handwriting has a negative impact on academic and social performance into adolescence. Consequences of poor handwriting may be avoidance of fine motor activities (Jackman & Stagnitti, 2007) and decreased academic performance which may lead to poor self esteem (McHale & Cermak, 1992).

Jackman …

Quad Strengthening And Hamstring Stretching As A Treatment Of Pes Anserine Bursitis, Jennifer Bernardy

Physical Therapy Scholarly Projects

Background/Purpose: This case study describes a 28-year-old woman’s six physical therapy visits over a period of four weeks for treatment of right pes anserine bursitis. The purpose of this case study is to describe the treatment of an individual with pes anserine bursitis using hamstring stretching, quadriceps strengthening, and iontophoresis and to describe the outcomes.

Case Description: Following a fall down eight steps in her home with her right knee underneath her. The patient presented with increased pain, swelling, loss of range of motion, and tenderness at the pes anserine. Treatment consisted of iontophoresis, hamstring stretches, and quadriceps strengthening.

Outcomes: …

Acute Physical Therapy Management Of Pediatric Patient With Traumatic Brain Injury, Michelle Holt

Physical Therapy Scholarly Projects

Background and Purpose: Traumatic brain injury can cause many deficits including decreased balance and coordination. The purpose of this case report is to describe the interventions used and subsequent outcomes for a pediatric patient following traumatic brain injury in the acute care setting. Also, this case report serves to describe the methods and tools used in a hospital that is not equipped with pediatric-specific equipment or utilities.

Case Description: This paper describes the four-day inpatient physical therapy management of a six-year-old female who fell from a horse and sustained a left open depressed frontal skull fracture with an underlying subdural …

Status Post Rotator Cuff Repair With Interrupted Therapy And Comorbidities: A Case Report, Whitney Lesnau

Physical Therapy Scholarly Projects

Background & Purpose: The purpose of this case study is to describe the plan of care that was completed despite interruption from multiple complications. Interrupted therapy has not been explored in research even though it is something physical therapists encounter often.

Case Description: This 45-year-old patient went through a right rotator cuff repair surgery followed by physical therapy to regain functional use of her shoulder. Her therapy was interrupted twice; first by her mother’s heart condition and then by her own neurological condition.

Intervention: The main component of treatment with this patient was range of motion exercises including passive, active-assistive, …

Outpatient Physical Therapy Management Of A Patient With Chronic Iliotibial Band Friction Syndrome, Kaley Schultz

Physical Therapy Scholarly Projects

Background and Purpose. Iliotibial band friction syndrome (ITBFS) is one of the most common repetitive injuries treated in outpatient physical therapy and if left untreated, can lead to debilitating consequences for an individual. The purpose of this report is to describe the progression of conservative interventions that were used during outpatient physical therapy for a patient with the diagnosis of ITBFS in order for the patient to return to pain free activities of daily living.

Case Description. The patient was a 29 year old male who experienced pain over his c right greater trochanter and pain and snapping over …

Actividades De La Vida Diaria- Manual De Enseñanza Para El Paciente Y La Familia Sobre Lesiones De La Médula Espinal, Thomas Jefferson University Hospital And Magee Rehabilitation

Manual de Lesión de la Médula Espinal (Español)

Introducción

Las actividades de la vida diaria (ADL, por sus siglas en inglés) incluyen comer, beber, bañarse, asearse, vestirse e ir al baño. También incluyen los traslados funcionales, la ayuda electrónica para la vida diaria (EADL, por sus siglas en inglés) y el manejo en el hogar.

En cuanto sea adecuado, se le recomendará que realice por sí mismo tantas ADL como pueda. Es posible que necesite aprender nuevas técnicas, utilizar dispositivos de asistencia para compensar la disminución en la fuerza muscular y la amplitud de movimiento, o para compensar la disminución en la resistencia.

El entrenamiento para las ADL …

Sexualidad- Manual De Enseñanza Para El Paciente Y La Familia Sobre Lesiones De La Médula Espinal, Thomas Jefferson University Hospital And Magee Rehabilitation

Manual de Lesión de la Médula Espinal (Español)

Introducción

En esta sección, aprenderá cómo las disfunciones de la médula espinal pueden afectar la forma en que se siente respecto de usted mismo, como hombre o como mujer, y la forma en que las disfunciones de la médula espinal pueden afectar su funcionamiento en el aspecto sexual. Es posible que, en este momento, recibir información sobre la sexualidad, el funcionamiento sexual, el control de la natalidad, la disfunción eréctil y la posibilidad de tener un bebé sea importante para usted, o es posible que prefiera dejar de lado estas cuestiones y pensar al respecto en otro momento. En cualquier …

Movilidad- Manual De Enseñanza Para El Paciente Y La Familia Sobre Lesiones De La Médula Espinal, Thomas Jefferson University Hospital And Magee Rehabilitation

Manual de Lesión de la Médula Espinal (Español)

Introducción

La movilidad se define como las actividades que se requieren para pasar desde la cama hasta la silla de ruedas, moverse en la silla de ruedas, pararse y caminar. Esto se logra, en primer lugar, estabilizando la columna vertebral a través de la cirugía, la inmovilización externa (mediante ortesis, tracción o yesos) o ambas, de manera que pueda moverse en forma segura sin causar mayores daños a la médula espinal. Una vez producida la disfunción de la médula espinal, su capacidad para moverse se verá limitada debido a debilidad muscular, dispositivos para inmovilización, reposo en cama o una combinación …

State Agency Promising Practice: Oklahoma - Contracting With Industry For The Provision Of Job Coaching Supports, Monica Cox, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Contracts with Industry, implemented in the 1990s as the Natural Supports Initiative, is a program option that allows the Oklahoma Department of Human Services (OKDHS) Developmental Disabilities Services Division (DDSD) to contract directly with businesses to provide job coaching supports that become a part of the natural workplace. Individuals participating in this program are employed by a business and are paid minimum wage or better. The name change to Contracts with Industry was an effort to distinguish the program from other DDSD employment options that involve employment service providers and paid job coaches.

State Agency Promising Practice: Washington - Promoting Public Sector Jobs For People With Intellectual And Developmental Disabilities, Jean Winsor, Allison C. Hall, John Butterworth, Dana Scott Gilmore, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

King County’s program to employ people with disabilities in county jobs is an example of Washington’s commitment to the use of innovative approaches to increase integrated employment. In 1989, a training resource funded by Washington State and the county Division of Developmental Disabilities, O’Neill and Associates, submitted a grant application to the Rehabilitation Services Administration to develop public sector jobs for people with developmental disabilities within the state. These jobs were to be concentrated in King County (Seattle area) government because of the availability of high-paying jobs with benefits. With the political assistance of a King County councilor, the County …

State Agency Promising Practice: Maine’S Peer- Support Training - Helping People With Id/Dd Transition Out Of Sheltered Workshops, Jaimie Ciulla Timmons, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In 2006, a new Maine law mandated the creation of a waiver program that promotes the expansion of supported employment programs for people with intellectual and developmental disabilities (ID/DD). As a result, state funding for sheltered workshops was reduced for seven workshops and approximately 220 individuals throughout Maine. These individuals received funding under the new waiver program for community supports and supported employment services. As a result, Maine’s Department of Health and Human Service’s (DHHS) Office of Adults with Cognitive and Physical Disabilities (OACPD) developed a comprehensive work plan. A pilot project, which was included in this plan, focused on …

State Agency Promising Practice: Mandatory Situational Assessments In Tennessee, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Tennessee implemented its Employment First initiative in 2002 with a goal of making employment the first day service option for adults receiving supports from the Department of Mental Retardation Services. As part of the Employment First initiative, the state requires a periodic community-based work assessment for all individuals not currently employed in the community. State-contracted and independent individualized support coordinators ensure that individuals who are not in integrated employment participate in a community-based work assessment at least every three years. Since December 2005, employment providers can be trained in conducting situational job assessments and the importance of providing these opportunities.

State Agency Promising Practices: Reaching Target Employment Goals - The Five-Year Initiative From Florida’S Agency For Persons With Disabilities (Apd), Jennifer Bose, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

The state of Florida has implemented a five-year employment initiative for people with ID/DD. The goal is to enable at least 50% of adults (ages 18 to 55) receiving APD-funded day services as of July 1, 2004, to achieve community employment by July 1, 2009. APD-funded services include adult day training, supported employment, and non-residential supports and services. Florida is specifically targeting a total of 25% of individuals who were in Adult Day Training (ADT) on July 1, 2004, to be employed by July 1, 2009. The impetus for this five-year initiative was multifold. Governor Jeb Bush created a Blue …

State Agency Promising Practices: North Carolina - Using An Outcomes-Based Long-Term Vocational Services Funding Model, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In North Carolina, counties have been consolidated into Local Management Entities (LMEs). These entities contract for services with community providers and provide oversight on access, utilization, best practices, and community collaborations. The Mecklenberg County LME established the Best Practices Community Committee, comprising service providers, individuals and family members, advocacy agencies, community partners, interested community volunteers, and LME staff. Sub-committees addressed several areas, including employment. Based on their recommendations, a pilot project that uses an outcome-based funding model for follow-along employment services was developed. Follow-along employment supports are ongoing supports that are necessary to assist a person with an intellectual/developmental disability …