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Clients Initials and Age: D.F. 46 y.o. Time allotted for session: 30 mins.
09/20/17
Diagnosis and any Precautions: (1) General debility from cancer treatment.
Neph drains, catheter, obesity, low endurance/fatigue.
Goal/s being addressed: (1) 1. Pt will complete lower body dressing Mod I
2. Pt will complete IADL Mod I, utilizing least restrictive device
Results (link to activity
Activity Demands Modifications (provided
Specific Objectives for objectives; include
Intervention Activities (setting, materials, and during the activity and
this activity (list 2-3) objective measures of
(5) social requirements) planned for next
(5) performance when
(5) session) (5)
possible) (5)
Preparatory (10 minutes): -(Red) Therapy Gym
Find one peer-reviewed article that supports the intervention you planned/provided. At the bottom of your plan, paste the abstract and
citation and then in your own words describe how this supports your intervention plan. (5)
Total: 32 points
Quittan, M. (2016). Aspects of physical medicine and rehabilitation in the treatment of deconditioned patients in the acute care setting: the role of
skeletal muscle. Wiener Medizinische Wochenschrift, 166(1-2), 28-38. doi:10.1007/S10354-015-0418-X
Abstract Summary
Skeletal muscles are essential for movement as well as for survival. Knowledge about the organ skeletal muscle is underrepresented.
Ageing and multiple chronic diseases are accompanied by loss of muscle mass, termed muscle wasting. Nevertheless, muscles are one
of the target organs within the rehabilitation process. This review highlights the role of skeletal muscles from various aspects, diagnostic
procedures to quantify muscle mass and strength and, most importantly, lists countermeasures to muscle wasting. Although structured and
progressive strength training is the cornerstone in the treatment of muscle wasting, several other methods exist to slow down or reverse the
process of muscle wasting. Among them are neuromuscular electrical stimulation and alternative exercise modes, positioning, stretching
and, as an emerging field, drug therapy.
My Support:
This supports my intervention plan because it shows how important positioning and using muscles are for maintaining movement and
recovering. This specifically looked at patients who had become deconditioned during recovery, which aligned with my patients
diagnosis. By having my patient stand during the treatment, her leg muscles, which hadnt been used much lately, were being
strengthened just by becoming load-bearing again.