Usually once the patient with Rheumatoid Arthritis a couple of or opts for company, there would have been most joint damage and some quantities of subluxation or deformity of the joints. Comprehensive occupational therapy assessment will incorporate physical, physiological, psychological, social and environmental perspectives to your patient with Rheumatoid Arthritis. It really is at this stage also that the majority of the patients would will often have stopped any form of making paid employment, except for housewives who would still be doing chores.
The things that this sport occupational therapist will be come across includes power, presence within deformity, any signs of the company's subluxation, skin temperature, pain and pick of motions will be reviewed. Given the fact that Rheumatoid Arthritis has many cycles of exarcebations making remissions, it'd be perfect for keep an assessment mindset at least 3 sessions to the hand and their own personal function. It'd be good and breakdown the assessment to get 2-4 sessions depending on patient's tolerance to each session, as not all patients would like to keep travelling to often the clinic.
The hand occupational rehabilitation would then perform some checks, one of them is the factthat the informal interview. The results of the informal interview usually that rather inaccurate as someone might refer to a time until the onset of the malady, and since the contaminants is progressive they is probably not very accurate as well. It'd be best to combine all sorts of assessment tools eq quantitative and qualitative approach to acquire a more holistic idea on their hand function.
Essentially, a good idea is for the hand occupational therapist to perform a practical assessment task in patient, covering the activities (ADL).
The ADL activity assessment should include although it isn't limited to:
1. swimwear: able to wear and take off own clothing, including undergarments and prostheses, within any
2. personal hygiene: cleaning teeth, wiping/washing face, handwashing
3. toileting: capacity to perform voiding activities
4. chow: feeding and drinking inside of meal times
5. mobility: staying, stairs management, transfers
6. fixing: cleaning, laundry, marketing, credit card debt management
7. communications: using a phone to SMS or make calls, writing, typing etc.