...1. Calculate WGBT and make recommendations on work – rest schedule: Q: On a sunny warm day (27 degrees C wet bulb, 30 degrees C globe and 29 degrees C air temp) how would work load affect required controls for heat stress? A: WBGTout = 0.7(WB) + 0.2(g) + 0.1(d) = (0.7 x 27) + (0.2 x 30) + (0.1 x 29) = 27.8 There for: At 27.8 WBGTout the dose of work would equal * Light work @ 100 % * Moderate work @ 100 % * High work @ 25 – 50 % work rest 2. In measuring noise exposure, you have identified several different sources of noise. They produce the following sound pressure levels: 92dB, 90dB, 85dB and 87dB. What is the combined sound pressure level of the four sources of noise? A: ** Start from highest to lowest ** 92dB – 90dB = 2 therefor 92 + 2 = 94 therefor 94 – 87 = 7 therefor 94 + 1 = 95 there for 95 – 85 = 10 therefor 95 + 0 ** because all values have been used the answer is 95. NOTE: numbers in bold and italicised writing are found on adding decibel chart 3. An employee had the following exposures in an 8 hour shift. Are they over exposed? 1hr @ 80dBA 4hrs @ 85dBA 2hrs @ 88dBA 1hr @ 91dBA A: ** First of all 80dBA does not have an exposure level so do not use it ** Dose = (4hrs/ 8hrs + 2hrs/ 4hrs + 1hr/ 2hrs) X 100 = 150% therefor YES the worker is over exposed these numbers are found from OHS code schedule 3 Noise if under 100 % the worker is not exposed, if over 100 % the worker is exposed 4. a) Local...
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...To be diagnosed with a chronic disease during a person’s life span is difficult to cope with, as changes must be made to roles, occupations and activities undertaken in daily life. At the age of 21, Jessica was diagnosed with Multiple Sclerosis, MS, which is a chronic autoimmune disorder that is caused by the breakdown of myelin in the central nervous system. As a result of the MS, Jessica has had to change and modify many of the occupations, which she participates in, such as personal care and socializing. Not only has the Multiple Sclerosis affected Jessica herself but is has also had an impact on her relation with family and friends. The environment that Jessica lives in had both enable and limited her to adapting to aspects of the illness. The nature and prognosis of the disability: As stated in the introduction, Jessica suffers from Multiple Sclerosis or MS, for short. MS is the body’s own immune system attacking the neurons in the brain and spinal cord (MS Australia, 2005). So far, Doctors have found about four different types of Multiple Sclerosis ; relapsing-remitting Multiple Sclerosis, secondary progressive Multiple Sclerosis, primary progressive Multiple Sclerosis, and relapsing progressive Multiple Sclerosis. Relapsing-remitting Multiple Sclerosis is characterized by unpredictable relapse and new symptoms appearing or the existing ones becoming worse. Secondary Multiple Sclerosis is seen in those who have relapse-remitting Multiple Sclerosis and they develop a...
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...Early June 2011 my grandfather suffered a minor stroke at the age of 76. He was quickly admitted to John Muir in Walnut Creek, a few days went by and he only seemed to be getting worse; when unfortunately my family’s worst nightmare became a reality. My grandfather endured another stroke, but this time it was much more serious. This put my family in an enormous amount of emotional distress, everyone was terrified and we had no idea what was going to happen to my grandfather. It happened so fast, all we wanted were answers. But, when we got answers, they were far from what we wanted to hear. A few days after my grandfather’s second stroke my family met with his doctors who showed little hope or optimism. They told us we were lucky he was still alive, but with the condition he was in now we were never going to see him walk again, he would probably never talk again, and he was definitely never going to be able to live independently ever again. As he kept explaining to us what was going to happen to my grandfather’s life, the words cut like daggers. My cousins and I watched our parents bewail with sorrow as we just sat aside our grandfather’s hospital bed feeling helpless and confused. About a month went by while my grandfather was still in John Muir, and his progress was nothing to rave about. We would visit him daily, but he never seemed to be getting much better. He couldn’t eat, talk, or move, but we just reminded him to keep fighting and we knew, with hope, he would be able...
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...Managing Mobility After a Total Knee Replacement November 15, 2011 INTRODUCTION In Kindred Rehabilitation, the patient had a total knee replacement due to osteoarthritis. Osteoarthritis causes degenerative changes, within the joints causing bone stiffening and reactive inflammation. My patient was admitted on 10/21/11 with osteoarthritis and a left total knee replacement. Her PT and INR were a concern because she had developed mild thrombocytopenia which resulted in the elevation and potential bleeding. The physician had to take her off of Lovenox and switch her to an oral anti-coagulant Xarelto at 10mg once daily. During her care I was educated by the interdisciplinary teams managing mobility, safety, and the more modern approaches with a total knee replacement. The purpose of this clinical summary paper is to discuss managing mobility after a total knee replacement. REVIEW OF RELATED LITERATURE In seeking out information on this topic, I used the Amarillo College Library Network and CINAHL database on campus and opened as many articles that I believed would aid in my research. The words I used for searching were: TKR, total knee care, and managing total knee replacement. The contributing factors gave me the articles that related to my patient that I had cared for in clinicals. These searches took me to the information that I was in need of for my paper. Turner’s (2011) primary focus was about care prior to surgery, during, post-operatively...
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...women. Showing compassion, commitment and dedication in serving the patients are also being offered as a product of their service as well as being responsible and being held as accountable in any circumstances. VSMMC-Center for Behavioral Sciences is for in and out patients. Services for in-patients are being offered in the Psychiatric Center also known as their Psychiatric ward where patients catered commonly has Schizophrenia, Bipolar I and II, Substance abuse disorder. There are many philosophies, theoretical approach and framework of reference used by the center. Their viewpoints states that the institution provides comprehensive, accessible and quality services for all social status. Some of these frameworks of reference used by Occupational Therapists in the center are Object relations FOR, behavioral FOR, Life span development FOR, Model of human occupation FOR, Movement centered FOR, Cognitive disability FOR, Cognitive-Behavioral FOR and Holistic FOR to name such. It...
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...independent decisions regarding home maintenance. * Traumatic injury may occur such as hip fracture or CVA. * Trauma, whether physical or psychological, occurs in conjunction with chronic & acute disease, normal age changes & changes due to misuse or disuse. * Snow & Rogers describe this complex combination of normal & pathologic changes in old age as a “delicate balance” of adaptation. * The multi-dimensionality of health in old age is reflected in current trends toward multi-dimensional assessment instruments & Geriatric Evaluation Units. * Most multi-dimensional assessments include physical health, functional ability, psychologic health & social parameters. Functional Assessments Used in Occupational Therapy Physical Self-Maintenance Scale & Instrumental Activities of Daily Living Scale * The scales represent measures of two level function, competence, the scales represent measures of two levels of function, with the IADL requiring greater neuropsychological organization than the PSMS. * Within each level, the complexity of activities is also arranged hierarchically. * IADL scale focuses on activities that are conceptualized as the next higher level of function. * The PSMS & IADL scales were used in conjunction with a morale scale & a mental status scale to measure function in GEU & control...
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...The role of an occupational therapist is of vital importance in order to ensure safety and promote independence in all aspects of a patient’s life. During this placement I had the opportunity to work with the occupational therapist and also accompany her during a home visit. A few of the health conditions that I came across that benefit from occupational therapy include limitations following a stroke or heart attack, arthritis, multiple sclerosis, or other serious chronic conditions, spinal cord injuries, or amputations, broken bones or other injuries from falls. Occupational therapists provide a service that is customized to improve a person's ability to perform daily activities. Occupational therapists use a variety of interventions including biofeedback, relaxation, goal setting, problem solving, planning in order to rehabilitate patients. During the home visit we visited an 87year-old gentleman with a history of falls, cardiac failure, atrial fibrillation and dementia. The patient felt dizzy when he stood up and at one point burned himself while standing next to the radiator and did not notice the injury, he also struggled to carry out activities of daily living like getting in and out of the bath, in and out of bed and going up the stairs. The occupational therapist played a fundamental role to ensure safety of this patient. The patient was offered a hand rail in the bath to help when standing up, rails along the stairs so he could hold on to when going up and down the stairs...
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...continued to read on and came across the sub title: medical profession. As I read about the different qualifications, educations, skills, and requirements it take to acquire such jobs I immediately became interested. Over the next few years I’m now 17 years old, about to graduate from high school with a child, and working at Winn Dixie a dead end job I began to look into other options for employment. During my transition to search for employment that offers me growth potential my grandmother became ill and admits her to the hospital. Throughout her stay in the hospital her doctor felt it was best she continued rehab services and discharged her to an SNF. It was an ongoing battle with my grandmother to get her to understand that she needed occupational and physical therapy, and without it it’s a possibility that this would become her permanent home. The healthcare team at the SNF orientated us in...
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...Visual Imagery Psych 640 March 17, 2014 Dr. Samantha Hickman Visual Imagery Imaginations allow individuals to use information and construct his or her own ideas. For example, individuals can imagine what his or her dream home looks like. This individual can see the home and describe what the home looks like. Anderson (2010) defined mental imagery as the processing of perceptual information without an external source. Visual imagery is the brain’s way of processing information as if the individual is actually seeing it; whereas, verbal imagery is the processing of information as if the individual is saying or describing the information. Visual and verbal imagery can use cognitive maps to make sense of his or her environment. A careful analysis of visual and verbal imagery allows an individual to draw conclusions about which form of imagery is important to them. Types of Imagery Visual Imagery Visual imagery is activated within the individual’s occipital cortex area (Fery, 2003). Motor actions require individuals to assess the size and shape of objects; thus, visual imagery provides the positions and movements associated with these tasks (Fery, 2003). Fery (2003) conducted an experiment in which individuals were shown a movement and were required to imagine the movement. The individuals were asked to draw the movement in which they had seen (Fery, 2003). The results confirmed visual imagery is appropriate when individuals are required to replicate a drawing (Fery, 2003)...
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...My appreciation for our medical system increased greatly after interviewing my Aunt Jilla who told me about her husband’s diagnosis of stomach cancer and their journey of being in and out of the hospital for five years. My aunt emphasized how optimistic her husband was throughout the five years, never giving up hope that sooner or later he would be discharged from the hospital. He was admitted to the hospital multiple different times commonly for Pneumonia infection, which lasted about a week to ten days before he was released. After a while, his wife, son and daughters expected his stay to be no longer than a week until his last admission to Cedar Sinai hospital came around which lasted for one year before he passed. “The whole five years was overwhelming” Jilla stated when talking about the process of dealing with the hospital. She mentioned that sometimes the process was fast and sometimes they were waiting for hours before a room was available for them. Every patient is different based on how serious their medical diagnosis is and how many times they were admitted to the hospital. For the first few times her husband was admitted to the hospital, they would usually go to the emergency room where a full checkup would be done before he was admitted to the ICU where the treatment would be continued. After about a year or so, Jila’s husband had become a regular at Cedar Sinai hospital. He had a whole team of doctors assigned to monitor and watch him closely as he was getting...
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...For me, going to college has always been my plan. College shouldn’t be seen as a burden to people. I see it as a chance to further your education and better yourself. College is the beginning of the path of my goal to becoming an Occupational Therapist. A higher education will supply me with crucial information that will assist me in occupational therapy school. I believe some of my strengths are being compassionate and patient. These skills are not things I have always been good with. It took time to learn them, just like any other skill. I think that I really had to work on them when I became a swim instructor. I teach kids, that are anywhere from 3 years old to 8 years old, how to swim and feel safe in the water. When working with young children, you have to realize that they don’t understand things how everyone else does, and they get frustrated quicker that adults would. That...
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...Occupational therapy employs the use of assessments and treatments to enable individuals with physical, mental, or cognitive disorders to perform activities required in daily life. In the process, it aims to promote empowerment and social justice through occupation-based and client-centred approaches. It is divided into different practice areas including those related to children, youth, the elderly and mental health. In Canada, it is practiced in settings found in both urban and rural areas, such as hospitals, private clinics, rehabilitation centres, nursing homes and private households. An occupational therapist works with clients of all ages whose difficulties may have been present since birth or as a result of an accident, illness, aging...
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...On the other hand, there is no better way to further understand writing in the medical field than from a first hand credible source. A close family friend of mine, Sara Hess, is an occupational therapist at Mount Sinai Medical Center in Chicago. A short background regarding occupational therapists is to note that they are very different from physical therapists. Physical therapists deal with rehabilitating the physical well being of a patient. Occupational therapists focus their work on aiding patients in being able to do everyday tasks they are not able to do because of their impairment. Considering this, to enhance my knowledge for you and I video interviewed her to understand what writing really means in this certain field. If you are...
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...lost due to injury, illness or disease” (Farlex, 2012). Many doctors will prescribe rehabilitation services after a patient has suffered through an amputation, neurological issues, a variety of orthopedic injuries, spinal cord injuries, stroke or other traumatic brain injuries. Patients can be treated in either an inpatient or outpatient setting. This normally depends on the severity of their injury or illness. A patient who has suffered a stroke, for example will be treated within the hospital by therapists before being discharged and prescribed outpatient therapy. Stroke patients are also treated under more than one rehabilitation discipline. This means that they will see not only a licensed physical therapist but in many cases, an occupational and speech therapist as well. There are two main distinctions between physical therapists, orthopedic, neurological and pediatric. Orthopedic therapists work with a number of different diagnoses but the majority of their patients suffer from a muscle, joint or spinal injury. Advancements in medicine have allowed surgeons to perform joint replacement surgeries. Patients who have had a total knee, hip or shoulder replacement will more often than not end up in the hands of a physical therapist. According to the American Physical Therapy Association (APTA) those therapists who decide to become a neurological physical therapist will specialize “in the evaluation and treatment of individuals with movement problems due to disease or injury...
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...Jefferson Nursing Home is a small organization that is operated out of downtown Philadelphia. This organization takes care of the elderly and the young. We have some elderly that is there because of old age and some that is recovering from surgery and need rehab. There are young people that attend the nursing home because they could have been in an accident t or had surgery that requires them to get back on their feet to join others in society. For the internal, there are about 280 employees that handle patients on a day-to-day basis. There is almost 100 register nurses, 20 doctors, 10 medical assistances and the rest is for other office workers that handle paperwork on the whole facility. There is the billing department, physical therapy, occupational therapy, speech therapy, records, legal, and maintenance. The external Jefferson Nursing Home, there is transportation and outpatient care. The internal organization has many different forms but one major department is therapy. Most of the people that are admitted to the nursing home need some kind of therapy to continue on in life. Physical therapy is the main part to healing the mind and the body. “Physical Therapy involves treatment in strengthening, mobility, healing, pain treatment, and equipment use to recover from broken bones, strokes, surgeries, heart and cancer treatment, pain issues, dementia complications and a wide variety of medical issues related to aging and/or disability with a wide variety of modalities.” (Alamo Nursing...
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