Rehabilitation Sciences 3061A/B Study Guide - Final Guide: Occupational Therapy, Reduced Properties, Weight-Bearing
30 Apr 2018
School
Department
Professor
Rehabilitation Science 3061B – Occupational Therapy
Skin and Wounds: OT Role
Seating & Positioning Use proper positioning, transferring and turning techniques;
Consult OT/PT regarding transfer and positioning techniques and devices to reduce
friction and shear to optimize client independence
Offloading
Treating the cause Key role that OT can play; if its pressure related wound, and if that
is not addressed, the dressing will not have much impact
Risk Factors
o OT Ax should look to address risk factors:
o Immobility
o Diet
o Age
o Continence are they able to control when and when not to go to the
bathroom
o Weight
Pressure: Seating and Positioning
▪ Wheelchair user; ulcers on the ischial
tuberocities.
▪ Bed bound; ulcers on the coccyx and heels.
▪ Lateral turns in bed should not exceed 30˚.
▪ Do the pressure mapping to see where the
pressure is being placed on the body
▪ IT (ischial tuberocity) ulcers occurs if
someone is up for a long time
▪ Bed ridden people will have sacral
pressurals
Heel Roll
o Reduced pressure offloading the heel of the malveoli (there is a potential for
pressure on the Achilles)
Wedge
▪ OT role of offloading
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
Seating & positioning use proper positioning, transferring and turning techniques; Consult ot/pt regarding transfer and positioning techniques and devices to reduce friction and shear to optimize client independence. Treating the cause key role that ot can play; if its pressure related wound, and if that is not addressed, the dressing will not have much impact. Risk factors: ot ax should look to address risk factors: Immobility: diet, age, continence are they able to control when and when not to go to the bathroom, weight. Heel roll: reduced pressure offloading the heel of the malveoli (there is a potential for pressure on the achilles) Hollister boot: prevent heel ulcers; weight bearing restrictions. It does provide the positioning of a splint: mobility factor of would development can be reduced. Helps the lower extremities not to get crossed over (this is due to decreased sensation) Heel/elbow protection: good for elbows, but the other ones shown earlier are better for heels.
