generators and battery backup should also be available in case of emergency. C5: low endurance and vital capacity caused by paralysis of intercostals: may require assist to clear secretions. This can make talking for extended periods of time difficult. VOICE AND SPEECH Communication devices can serve as an aid when talking becomes taxing due to decreased endurance or choking hazard because of inability to cough up secretions. SKIN At increased risk for skin breakdown such as ulcers, sores, pain from disuse, secondary disabling conditions. ASSETS C4: neck flexion, extension, rotation; scapular elevation; inspiration C5: shoulder flexion, abduction and extension; elbow flexion and supination; scapular adduction and abduction PROBLEMS REQUIRING OT C4: paralysis of UE, LE; inability to cough, endurance, and respiratory reserve low secondary to paralysis of intercostals. FIM: 28/assist=12 absence of elbow extension, pronation, all wrist and hand movement; total paralysis of trunk C5: and LE. FIM: 41/assist=35
generators and battery backup should also be available in case of emergency. C5: low endurance and vital capacity caused by paralysis of intercostals: may require assist to clear secretions. This can make talking for extended periods of time difficult. VOICE AND SPEECH Communication devices can serve as an aid when talking becomes taxing due to decreased endurance or choking hazard because of inability to cough up secretions. SKIN At increased risk for skin breakdown such as ulcers, sores, pain from disuse, secondary disabling conditions. ASSETS C4: neck flexion, extension, rotation; scapular elevation; inspiration C5: shoulder flexion, abduction and extension; elbow flexion and supination; scapular adduction and abduction PROBLEMS REQUIRING OT C4: paralysis of UE, LE; inability to cough, endurance, and respiratory reserve low secondary to paralysis of intercostals. FIM: 28/assist=12 C5: absence of elbow extension, pronation, all wrist and hand movement; total paralysis of trunk and LE. FIM: 41/assist=35
octa_2060_diagnostic_notebook_assignment_new.docx