Routine For: OT Hemiparesis - ADLs (Caregiver)
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- Sarah Anderson
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1 HEMIPARESIS - 17 Positioning: Lying on Back Shoulder is positioned forward, arm out to side. May use folded towel under shoulder blade. Palm is turned upward as able. Hip and knee slightly bent. Toes pointing up as able. Avoid tight tucking sheets. May use footboard or cradle. HEMIPARESIS - 18 Positioning: Lying on Unaffected Side Shoulder is positioned forward. Elbow straightened as able. Hand with palm down. Hip and knee slightly bent. Toes pointing forward. May place another pillow behind back to support trunk position. Page 1 of 4
2 HEMIPARESIS - 19 Positioning: Lying on Affected Side Shoulder is positioned forward. Elbow out and palm turned upward. Hip and knee slightly bent. Place other leg on pillow to support weight. May place pillow behind back HEMIPARESIS - 20 Positioning: Bed (Two Person Assist) Use folded flannel sheet or small quilt as drawsheet. Roll at edge for better grasp. Stand close to either side. May place knee up on bed. Patient assists by pushing with unaffected leg. On count of three, lift and move up to head of bed. Page 2 of 4
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4 HEMIPARESIS - 23 Mobility: Sit / Supine / Roll / Scoot Cross leg under ankle of affected side. Lower onto elbow and swing legs up. Roll toward affected side. Push with arm and leg to scoot into place. Page 4 of 4
5 CHART COPY Routine For: HEMIPARESIS - 17 Positioning: Lying on Back HEMIPARESIS - 18 Positioning: Lying on Unaffected Side HEMIPARESIS - 19 Positioning: Lying on Affected Side Shoulder is positioned forward, arm out to side. May use folded towel under shoulder blade. Palm is turned upward as able. Hip and knee slightly bent. Toes pointing up as able. Avoid tight tucking sheets. May use footboard or cradle. Shoulder is positioned forward. Elbow straightened as able. Hand with palm down. Hip and knee slightly bent. Toes pointing forward. May place another pillow behind back to support trunk position. Shoulder is positioned forward. Elbow out and palm turned upward. Hip and knee slightly bent. Place other leg on pillow to support weight. May place pillow behind back HEMIPARESIS - 20 Positioning: Bed (Two Person Assist) Use folded flannel sheet or small quilt as drawsheet. Roll at edge for better grasp. Stand close to either side. May place knee up on bed. Patient assists by pushing with unaffected leg. On count of three, lift and move up to head of bed. HEMIPARESIS - 21 Positioning: Wheelchair (Two Person Assist) Lock wheelchair. Person #1: Stand behind. Grasp both arms at wrists by reaching under armpits. Person #2: Squat close in front to one side. Grasp both legs. On count of three, lift and scoot back into upright position. HEMIPARESIS - 22 Mobility: Supine / Sit Cross leg under ankle of affected foot. Push up onto elbow. Swing legs over edge of bed. Push up to sit by straightening elbow. Reverse steps to lie down. HEMIPARESIS - 23 Mobility: Sit / Supine / Roll / Scoot Cross leg under ankle of affected side. Lower onto elbow and swing legs up. Roll toward affected side. Push with arm and leg to scoot into place. COMMENTS: Patient Name/Number: Clinician Name/Signature: Date: Page 1 of 1
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