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Outpatient Assessment, Part 1: Initial Interview
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The outpatient therapist begins her initial assessment and gathers information while she observes this stroke survivor walk into the clinic, take off his jacket and describe his medical history.
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Outpatient Assessment, Part 2: Patient Goals
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The outpatient therapist continues gathering information during her initial assessment while the stroke survivor describes his problem areas and goals for therapy.
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Outpatient Assessment, Part 3: Hand
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The outpatient therapist does an informal assessment of sensation continues gathering information during her initial assessment while the stroke survivor describes his problem areas and goals for therapy.
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Outpatient Assessment, Part 4: Upper Extremity Motor Control
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Observations from the front, the side and the back make it is easy to see the limitations in upper extremity movement demonstrated by this stroke survivor in the outpatient clinic.
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Outpatient Assessment, Part 5: Edema of the Hand
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The therapist demonstrates a method used to decrease edema of the hemiplegic hand. The patient’s hand is dipped into an ice slush for 3 seconds and then actively flexes the fingers of his involved hand.
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Self-Care: Donning Shirt
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While learning to don his shirt, this stroke survivor uses a therapeutic method that helps to reduce tone of the involved upper extremity.
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Self-Care: One-Handed Shoe Tying
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Many stroke survivors are unable to tie their own shoes. A very simple method of how to tie shoes with the use of one hand is demonstrated to a stroke survivor in the outpatient clinic.
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IADLs: Sweeping the Sidewalk
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Functioning at a high level, this stroke survivor attempts to utilize his involved hand during an IADL task: sweeping the sidewalk.
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Radial Fracture, Part 1: Initial Assessment Begins
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It’s been eight weeks since she had her surgery for her distal radial fracture. The certified hand therapist (CHT) begins the outpatient treatment session by gathering information from the patient about her pain and limitations following surgery.
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Radial Fracture, Part 2: Initial Observations
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As the therapist begins her exam to determine impairments that will affect hand function, she compares both hands and notes edema, points of pain and limitation of range of motion of the hand and wrist. The patient is eight weeks post surgery.
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Radial Fracture, Part 3: Measuring ROM
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During the initial assessment, the therapist measures range of motion (ROM) of the wrist, thumb and forearm in order to determine a baseline for treatment. The patient is eight weeks post surgery.
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