Posts

If the Shoe (Box) Fits!

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 As occupational therapists, a large part of our job is creativity. We get to think of individualized plans and adaptations for our clients daily. Recently, we were assigned the task of creating an assistive device or intervention for a client using common house-hold items.      My client is a 51-year-old female diagnosed with secondary-progressive Multiple Sclerosis. She lives in a two-story home with the master suite on the second floor. Due to the progression of her disease, this client has several safety concerns. She experiences extreme fatigue and has recently had several falls.      To help my client conserve energy and reduce her fall risk, I created a shoe box organizer. The organizer was divided into several compartments and can store the client's frequently used items. Examples of items included in my model are a remote, scissors, pens/pencils, medication, snacks, water, glasses, and a notebook/sticky notes. Keeping these items organized and...

Andrew's Story: GBS

      Gullian Barre Syndrome (GBS) affects approximately 3,000 Americans annually. It is a strange condition that rapidly attacks the immune system. Although definitive causes are unknown, GBS typically occurs after a viral infection.      Andrew's story is a prime example that GBS can affect anyone. Prior to his diagnosis, Andrew was healthy, active, and a young firefighter. In 2016, he was diagnosed with a case of Strep. This may or may not have been a correct diagnosis, but shortly after, he began showing symptoms for GBS. The symptoms started as numbness and tingling. Within days, Andrew was unable to walk and was admitted into the ICU. The condition kept progressing, and he was soon unable to eat or breathe on his own.      Thankfully, Andrew's story doesn't end here. After several gruesome weeks, Andrew entered the recovery phase. The best part about GBS is the prognosis. Although it takes a lot of time and effort, most people diagnosed...

MS: Life Beyond the Diagnosis

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      Multiple Sclerosis, or MS for short, is a rare neurological disease. Although medical professionals do believe there is a genetic component, causes and cures are unknown. Symptoms and their onset are both highly unpredictable. They may show up as numbness, tingling, fatigue, vision changes, and more.      In order to learn more about this mysterious diagnosis, I decided to read the blog titled " My Conscious Decision ." The author of this post wrote a real and genuine description of what it's like living with such a strange disease. Her vision, strength, balance, and heat tolerance have all been impaired. However, instead of reflecting on what has gone wrong in her life, she decided to focus on all that is good. Throughout my courses in OT school, it has been mentioned time after time how impactful a client's outlook is on their recovery and prognosis. Having a positive attitude of gratitude is one of the many "controllables" in our lives. Our outlook...

Raising Twins as Quadraplegic

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      Dani Izzie's story is proof that you can live a normal life after being diagnosed with a disability. When Dani was 23, she slipped on a bathroom floor and became paralyzed from the waist down. Today, she is considered quadriplegic with incomplete paralysis. She has paralysis in her fingers, triceps, abdominals, and back muscles. After receiving her diagnosis, Dani realized she had two options: she could either give up or continue to pursue her dreams.      Dani's positive outlook led her to pursing dating apps. She met her now husband Rudy, and in April of 2020 they were blessed with twin girls. Undoubtedly, Dani and Rudy faced many challenges. But who doesn't face challenges as first time parents? Not to mention, those with twins! Just as other successful parents do, Dani and Rudy adapt and support one another.      In the CBS news article, Dani described some of the hurtful backlash she and her husband received. People made comments d...

Adaptive Ways to Walk with Parkinson's

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      Parkinson's Disease is one of the most prevalent neurodegenerative diseases. It produces a wide range of symptoms (motor and non-motor). There are a few hallmark signs that clinicians use to diagnose PD. These signs include bradykinesia (slowed movement), tremors, rigidity, and postural instability. Each of these hallmark signs can greatly impact a person's ability to walk. The more symptoms someone has, the more difficulty they will have getting around.      I recently read an article from Brain & Life titled "How to Improve Gait in Parkinson's Disease." This article did an excellent job of describing many different compensatory strategies that allow those with Parkinson's to walk efficiently and safely. Researchers composed seven different categories of compensatory strategies.  Among those seven are internal and external cues. Internal cues include motivation tactics such as telling yourself "ready, set, go" before moving. Another exampl...

SLUMS Cognition Assessment

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         As part of the Neuro Aspects course I'm currently taking for OT school, I participated in a clinical simulation with a stroke patient. I administered a cognitive screening tool know as the Saint Louis University Mental Status (SLUMS) examination. This assessment is one of many tools used to address levels of cognition. Cognition is the ability to perceive and organize information. Our memory, personality, awareness, and more are all a part of our cognition. Since cognition plays an important role in our daily lives, OT's assess and work to improve cognitive skills.     The client I worked with scored a 20 on the SLUMS examination. This score indicates the client has a mild cognitive impairment. Someone with this score would likely have issues with their short-term memory. They may not remember all of the steps to a recipe or they may forget to pay their bills. They may also have trouble remembering new names or directions for driving somewhere...

Eye-Gazing Tools & Endless Possibilities

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    Assistive technology is paving the way for people with disabilities. Devices are enabling people to communicate and engage in numerous activities people never thought would be possible. A prime example comes from Mr. Vamvakousis's computer program that allows individuals to play the harp with their eyes.       Vamvakousis realized the need for technology such as this when a dear friend of his was injured in a motorcycle accident. The two musicians were supposed to play together in a concert shortly after, and Vamvakousis was determined to make that happen. He created a computer program that enables people to play 25 different instruments. The musicians focus their gaze on a musical note to play it. The program allows approximately three to four notes to play per second. He began teaching the program to schools for children with disabilities in Barcelona. Today, thousands of people have downloaded the program and are practicing their musical talents....