Professional Documents
Culture Documents
Mild
Moderate
Severe
Falls
Motor vehicle accidents
Assaults
Occupational Therapy
Physical Therapy
Speech Therapy
Gyms
Advanced technology
Client Centered Rooms
Visual Assessments
Electronic Charting
TIRR Memorial Hermann Outpatient Rehabilitation- Kirby Glen
2455 S Braeswood Houston, TX 77030
Gerald Virtanen, OTR
Lymphedema
management
Casting and Splinting
Sensory integration
Visual Assessments
Challenge Program
Strength Unlimited
Program
Intake/Screening
Review of physicians
documentation
Medical history- No prior medical
history
Current medications
Baclofen
Topiramate, neurontonin (anticonvulsants)
Citalopran (anti-depressant)
Acetaminophen, ibuprofen (pain
management)
Level of functioning
Home environment
Adaptive equipment
Manual wheelchair
Walker
Driving status
Employment
Hobbies/interests
Exercising
Cooking
Evaluation/Assessment
Functional Tests
Orientation questions
What is your name? What is
todays date? Where are you?
Why are you here?
Libby was able to answer
these questions correctly
Range of Motion
Shoulder flexion below
normal range
Libby is able to fully flex her
elbow; however, spasticity is
limiting elbow extension
Forearm, fingers, and thumb
measurements within normal
range
Evaluation/Assessment Cont
Sensation
Proprioception deficits
Libby presents difficulty
distinguishing between light
touch
Vision assessment
Libby wears
contacts/glasses
She does not have cataracts,
glaucoma, nor nystagmus
Presents field cuts, tracking
deficits, and possible
hemianopsia in both eyes
Cognitive assessment
Intervention
Short term goals
band
Balance, coordination, visual
acuity Letter toss game
Cognition and sequencing- bread
in a bag
Practicing transfer techniques
Typing on the computer
Challenge Program
This program assist her in
returning to school and to
gain a higher level of
independence.
Education services prepared
her to succeed in an education
environment.
The therapy staff consulted
with the school personnel
about the appropriate
accommodations in the
academic setting.
Strength Unlimited
Program
Strength Unlimited is a
Open Gym
Monday: 4:00 pm to 8:00 pm
Tuesday: closed
Wednesday: 4:00 pm to 8:00 pm
Thursday: closed
Friday: 3:00 pm to 7:00 pm
Saturday: 9:00 am to 1:00 pm
Discharge
2-3 times per week for 4 months
Reason for discharge
Occupational
Therapy
What we learned
about OT as a
result of visiting
TIRR
Lymphedema Management
Splints
Sensory Integration
References
Schell, B.A.B., Gillen, G., & Scaffa, M. E. (Eds.).