Dementia
| Select | Name | Description | Delete |
|---|---|---|---|
| BED MOBILITY | Provided neuromuscular re-education in bed to facilitate body awareness, midline orientation, and controlled movement sequencing, required for safe repositioning. Pt required frequent verbal, tactile, and visual cues to initiate and complete rolling due to impaired motor planning related to dementia. | ||
| BILATERAL COORDINATION TASK SEQUENCING | Neuromuscular re-education utilized to improve bilateral UE coordination and motor sequencing during simulated dressing tasks. Pt required frequent redirection and visual modeling to maintain attention and complete task components. | ||
| MANUAL STRETCHING | 1. Skilled manual stretching required due to limited ability to follow commands and increased guarding, necessitating therapist-controlled movement to achieve end range safely. 2. Pt required slow pacing and tactile facilitation to reduce resistance and allow effective end-range stretch. | ||
| Memory aids | used in today's session as visual reminders to support memory function. | ||
| NMR FOR PART A | 1. Skilled OT provided NMR to address impaired balance and motor planning due to dementia, requiring frequent verbal/tactile cues for safety. 2. NMR completed in seated position to improve postural control for ADLs; pt required mod-max cues for initiation and midline. 3.MSkilled NMR provided to facilitate controlled movement patterns during functional tasks due to poor safety awareness. 4. OT provided NMR in standing to improve weight shifting for toileting; pt required constant cueing and close guarding. 5. Skilled NMR utilized to improve UE coordination for grooming due to impaired sequencing and attention. | ||
| PART B NOTES | 1. OT provided NMR to improve postural control and motor sequencing for ADLs, requiring min-mod cues. 2. NMR completed to improve UE coordination for grooming with verbal cues for sequencing. 3. OT provided NMR to address balance deficits affecting ADLs, with skilled cueing to reduce fall risk. 4. NMR utilized to improve movement consistency during functional tasks with decreased cueing noted. 5. OT provided NMR focusing on weight shifting and posture for ADLs, requiring intermittent tactile cues. | ||
| PROGRESS | Pt demonstrated improved participation in neuromuscular re-education with reduced physical assistance when provided consistent routine and visual cues, supporting functional carryover despite cognitive limitations. | ||
| PROGRESS WITH NMR | Pt demonstrated improved participation in neuromuscular re-education with reduced physical assistance when provided consistent routine and visual cues, supporting functional carryover despite cognitive limitations. | ||
| PROM | 1. Skilled PROM in BUE required due to impaired cognition and inability to follow commands safely. 2. BUE PROM completed with verbal reassurance and tactile cueing; pt remained calm and cooperative. | ||
| REQUIRES | 1. skilled cueing due to impaired motor planning. 2. Safety awareness deficits necessitate therapist facilitation. 3. repetition and task-specific practice required for carryover. | ||
| SAFETY | Neuromuscular re-education incorporated to improve postural responses and balance reactions, addressing high fall risk related to impaired judgment and awareness. Pt required repeated cueing and therapist facilitation to maintain safe positioning throughout session. | ||
| SEATED BALANCE FOR ADLS | Neuromuscular re-education completed in seated position to improve trunk control and righting reactions needed for grooming and feeding. OT utilized simple one-step commands and hand-over-hand guidance to improve movement consistency and reduce posterior LOB. | ||
| SKILLED DAILY NOTE | Skilled OT provided neuromuscular re-education in seated and standing positions to address impaired balance, motor planning, and UE coordination secondary to dementia. Pt required frequent verbal, tactile, and visual cues for initiation, sequencing, and safety, demonstrating continued need for skilled OT to reduce fall risk and improve ADL participation. | ||
| SKILLED OT | Skilled OT provided neuromuscular re-education to address impaired motor planning, postural control, coordination, and body awareness secondary to cognitive deficits, impacting safe participation in ADLs. | ||
| SKILLED OT NMR | Skilled OT provided neuromuscular re-education to address impaired motor planning, postural control, coordination, and body awareness secondary to cognitive deficits, impacting safe participation in ADLs. | ||
| STANDING ACT | Pt engaged in standing act to facilitate weight shifting and postural alignment required for toileting and clothing management. Pt required constant cueing and close supervision due to decreased safety awareness and delayed balance reactions. | ||
| Task | simplifying instructions and visual cues for txf to ensure steps are followed correctly. | ||
| TONE REGULATION N MOVEMENT CONSISTENCY | NMR utilized to promote controlled, purposeful movement and reduce abrupt or uncoordinated motions during functional tasks. Skilled handling and pacing used to improve movement quality and safety. | ||
| UPPER EXTREMITY MOTOR CONTROL | Pt engaged in UE act to improve coordinated reach, grasp, and release during grooming tasks. Repetitive, task-specific movements used to improve motor memory and consistency, with tactile cues to reduce overflow movements. |
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