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Essay / Therapeutic intervention for posterolateral hip arthroplasty
It is essential in the practice of occupational therapy to use appropriate models or frames of reference to guide intervention with clients. For Hilary Henderson's case, it would be most beneficial to apply three theories: the Human Occupation Model (MOHO), the Biomechanical and Rehabilitation Framework (FOR), and the Occupational Adaptation Model (OA). The occupational therapy profession is highly client-centered, placing the needs and desires of the client at the forefront of intervention. Given the circumstances of Hilary's personal life, it may be difficult to find the motivation to participate in the therapeutic interventions needed to enhance her recovery. In this case, the MOHO would be used to tap into one's inner will to complete the therapy. This may include their willingness to return to gardening, caring for their cat, attending social gatherings at the senior center, or returning to driving and shopping independently. FOR Biomechanics and Rehabilitation is essential for clients undergoing any type of orthopedic surgery, as Hilary did, to focus on recovery of bodily functions including strength, range of motion (ROM), and l endurance (Cole and Tufano, 2008). This model will help guide Hilary's intervention to best meet her needs for recovery of these bodily functions to achieve her goals of being independent of modifications using assistive devices in all activities of daily living ( ADL) and enjoy leisure and social activities. Finally, the application of the OA model will make it possible to guide the intervention around the “interactive process between a person and their professional environment” (Cole and Tufano, 2008, p. 107). In other words, using adaptive methods to modify Hilary's environment to best adapt it to her deficits in order to allow her to participate in all the activities she desires. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get an original essay For example, the occupational therapist will provide Hilary with dressing aids, such as a sock aid and shoe horn, to enable her to dress without breaking the hip precautions. These models, along with many others, “provide explanations for the person's interaction with their environment through occupations: providing practitioners with a framework for decision-making around occupation-based intervention” ( Vermaak and Nel, 2016, p. As a practitioner, it is essential to know the capabilities of all patients to provide the highest quality care specific to each patient. Therefore, assessments are used to provide practitioners with important information regarding this area. According to Hilary's medical records, before her fall and surgery, she was extremely active in the social community, including participating in senior center activities and volunteering at the hospital. However, she is now limited in this area due to functional mobility deficits. According to Chisholm, Toto, Raina, Holm, and Rogers (2014), the Performance Assessment of Personal Care Skills (PASS) helps occupational therapy practitioners “determine clients’ ability to live in the community” using “measures that capture the person-task relationship. -transactional environment and compare customer task performance to a performance standard” (p. 59). Using this assessment for Hilary will be necessary for her intervention plan as shewill help clarify the adaptations she needs to be able to participate in the desired social activities. For example, it will address her current level of functional mobility, safety and independence in activities requiring community mobility and provide a better understanding of what she needs to compensate for them. To complement this assessment, the Goal Achievement Scale (GAS) would be used to determine if and to what extent Hilary's goals for social participation were met (Ryan, 2014). However, this is not the only goal that can be measured through this assessment, as every goal's level of achievement can be assessed. Additionally, the GAS has a pain management aspect that would be used to determine the extent to which pain limits one's functional performance. This gives the occupational therapist essential information to consider when planning Hilary's intervention plan. “Intervention approaches are specific strategies selected to direct the process of assessment and intervention planning, selection and implementation based on desired client outcomes, evaluation data and evidence » (American Occupational Therapy Association, 2014, p. S33). The three most important intervention approaches to use in Hilary's treatment include modification, prevention, and restoration. First, regarding the OA model for Hilary's treatment, modifying her environment will improve her ability to perform her ADLs at home. Her medical records indicate that she lives alone in a two-story house. This environment will pose a great barrier to Hilary's ability to accomplish the daily activities she wants and needs to accomplish. Since she needs maximum assistance to complete housework, making a modification to her staircase is necessary for future independence. Second, preventing future injuries for Hilary will be a key factor in her independence due to her age and current functionality. Modifying the stairs will also contribute to this approach since it will provide a safer way for him to reach the top floor of his house. Additionally, one of the most important aspects is educating Hilary about hip precautions so that she can avoid further injury to the surgical site and possible future surgery. Finally, in relation to biomechanical and rehabilitation FOR, restoring the strength, range of motion and endurance of one's lower extremities is essential to one's recovery. Restoring these bodily functions will allow him to perform meaningful activities independently and will provide an aspect of safety to his mobility. Given the intervention approaches adopted for Hilary, three types of occupational therapy interventions will be used: occupations and activities, and preparatory methods. and tasks, as well as education and training. Recovery from posterolateral hip replacement involves some hip precautions, including avoiding adduction of the leg beyond the midline of the body, avoiding bending the waist beyond ninety degrees flexion and rotate the hip outwards. Educating and training Hilary on these precautions and how to avoid violating them will be essential to preventing future injuries, as well as the possibility of future surgery. With these precautions in mind, it is necessary to take the next step by establishing appropriate occupations and activities as well as preparatory methods and tasks for Hilary. The professions that will be usedinclude getting dressed in the morning, bathing, and gardening with adaptive devices. Each of these professions can be supplemented by activities promoting the development of autonomy. Some activities that will be used include allowing Hilary to choose her clothes, practicing safe transfers in and out of the shower area, and choosing the type of flower she wants to plant that day. Each activity adds a little more meaning and relevance to the profession to which it relates. Finally, using preparatory methods and tasks will help prepare Hilary for the highest level of professional performance possible. As mentioned, she will use adaptive devices to accomplish her occupations. Items such as a sock aid, shoehorn, pliers, longer handles for gardening tools and a walker will be given to her to ensure she can complete the tasks she wants without having to break the hip. The outcome of Hilary's intervention plan should include at least three aspects: participation, prevention and quality of life. As mentioned, Hilary is extremely proud of her garden, volunteering at the hospital and loves going to the senior center for social activities. Completion of an intervention program specific to her and her needs will allow her to participate in these activities safely and independently. Additionally, it will increase engagement in ADLs. Additionally, with the prevention tools put in place for Hilary, including education and adaptive devices, she will be at reduced risk of re-injury or any new injuries that may occur. These and many others will contribute greatly to Hilary's quality of life. According to the American Occupational Therapy Association (2014), quality of life can be defined as "the dynamic assessment of the client's satisfaction, hope, self-concept, health, functioning, and factors socio-economic” (p. S35). The result of his intervention plan will ultimately improve his quality of life. (American Occupational Therapy Association, 2014) The intervention strategy of using occupations and activities has specific requirements: “relevance and importance of the client, objects used and their properties, space requirements, social requirements, sequencing and timing, required actions, and performance skills, and required underlying body functions and structures” (American Occupational Therapy Association, 2014, p. S32). This section will discuss the requirements associated with the quiet occupation of gardening as they relate to Hilary. To focus on a particular aspect of gardening, planting a bouquet of flowers will be the focus. According to Hilary's medical records, she enjoys being able to independently plant flowers outside her home because she finds it eye-opening that simple flowers can light up the entire house. It brings her joy every time she looks out the window or drives by in her car. The items needed to carry out this activity are a bouquet of flowers, a long shovel sharp enough to break up the soil, a watering pot with water, soil and a space large enough for the flowers to grow in front of. his house. After choosing the bouquet of flowers she wants at the store, she chooses the best space to plant them and digs a hole large enough to place the roots of the flowers. Then she covers the roots with the soil with which she previously made the hole and waters the newly planted flowers with water from the watering can. From there, she continues to water them daily or as needed. Although she..