• Completed InStep ASIA certification

  • Performed upper and lower body ASIA exam with appropriate scoring and patient education

Functional Outcomes

  • Educated SCI patients on the importance of recognizing signs of and self-management of common medical complications

  • Created an educational resource for patients, families, and their caregivers on common medical complications post-SCI

Medical Complications

  • Utilized Strengthening and Optimal Movements for Painful Shoulders (STOMPS) protocol to address upper extremity needs, incorporating education on the benefits and implementation of STOMPS for the upper extremity

  • Performed MMT, Box and Blocks, 9-Hole peg, SCIM III and GRASSP tests as needed in order to appropriately assess patient progress

  • Participate in mentored sessions utilizing NMES to facilitate primary muscle movement to increase occupational performance

  • Co-led a fine motor coordination group and NMES groups with other occupational therapists

  • Led SCI lecture: Shoulder Preservation and Strengthening

Upper Extremity

  • Observed sessions with focus on education and training on improving independence in either neurogenic bladder and bowel management

  • Collaborated with RN staff for bladder or bowel management training session with SCI patients

  • Identified adaptive equipment designed to promote independence with bladder and bowel management

  • Educated patients regarding potential complications of poor neurogenic bladder and/or bowel management

Bladder and Bowel Management

  • Performed pressure mapping sessions to determine appropriate seating/positioning system for a patient with SCI in order to promote/maintain skin integrity

  • Provided sessions on pressure relief education and training with patients who have sensory/motor impairments affiliated with a SCI

  • Completed pressure mapping analyses on patients with SCI and chose appropriate pressure relieving cushions to inform the custom wheelchair ordering process

Skin Care Management

  • Assisted in power wheelchair and manual wheelchair evaluations

  • Assisted in custom wheelchair evaluations and documented letter of justifications

Specialty Wheelchair and Cushion Selection

Durable Medical Equipment (DME), Assistive Technology (AT), and Adaptive Equipment (AE)

  • Appropriately identified and incorporated adaptive equipment item(s) to facilitate occupational performance

  • Educated patients, families, and caregivers on bathing and toileting products and features (specifically rolling, tilting, padded, drop arm, and slider systems) in order to articulate rationale for DME selection

  • Evaluated and assessed appropriateness of bathing and toileting DME during OT evaluation based on patient’s performance skills and client factors, and will subsequently re-assess DME needs as needed

  • Evaluated and assessed needs for AT during OT evaluation pending patient’s performance skills and client factors, and subsequently re-assessed AT needs as needed

  • Led SCI lecture: DME

  • Created a handout of local resources and information related to a specific scope of community re-integration

  • Educated and provided patients with community resources as it appropriately relates to the individual and their goals (i.e. return-to-driving, transportation, adaptive sports, TRIUMPH, etc).

  • Led community outings to facilitate community re-integration skills

  • Participated in Abilities Expo Los Angeles adapted sports event

Community Re-Integration

Resources

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