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<>>> 3. Consultation. endobj "V9e,-dp-# 7$Q4MXU$TT:*zZdr Working with ortho patients was a hard change for me personally after almost solely working with neurological patients for the first year and a half of my OT career. Explain using work-energy ideas. <> Be Patient with Yourself . 0000001587 00000 n - If there is any drainage of the wound onto the brace, wash with alcohol Orthopedic Precautions 101 for New Occupational Therapists These can include weight-bearing precautions and/or anterior/posterior hip precautions. startxref Since then, she is able to sleep, get in and out of bed without pain and numbness, works the computer without suffering, her arms going numb, and countless other activities that she was missing out on because of fear. with the surgical arm for X amount of weeks (X = doctors recommendation), No hygiene tasks reaching back during toileting with operative arm until cleared. Spinal precautions also known as spinal immobilization and spinal motion restriction, are efforts to prevent movement of the spine in those with a risk of a spine injury. E0&LfwAC)MDggggr2&c]N3lWz0 PDF Standard of Care: Post-Operative Spine Surgery hTP=k0+4t/!d4iwVrF636I^Zr{ae\a*+:Ln["-Z4\"opO;[dGSBtk?8#EP4`qd!vmoq kjld0fqls#g^b97C Always check the doctors orders in case anything is different. Along with the previous precautions, patients will also need to be cognizant of their operative shoulder during ADLs. Your abdomen should rise but your upper chest should stay still and relaxed. Spinal precautions. This may take some repetition as patients forget this one more often than not and may end up twisting when getting out of bed. General Tips At rst, you may need lots of rest breaks. Some surgeons will say 5 pounds, others will allow 10 . For example, when the numbness is constant, no longer coming and going any more. This information will teach you how to do neck and shoulder exercises after your neck surgery. Spinal Cord Injury Occupational Therapy Reference Guide. Cervical Fusion Precautions: Anterior cervical fusion: avoid extension; Posterior cervical fusion: avoid flexion. The mid-back (thoracic spine) curves slightly outward. If you are committed to avoiding taking pills that dont work. Post-Operative Cervical Spinal Fusion Department of Neurosurgery Lahey Hospital & Medical Center, Burlington 781-744-7580 . Total knee replacements will typically have less precautions to follow but can be more painful for the patient than hip replacements. 6Y'6s\1p^M1} P"sEOpt8Os6>omr k~O\bVx+oMj NU\o$2M+{JVw!1/[aH6OoS.!f }^%.-e{sz6}b#o d2+Uo%Pg)=h#_#S?;KGY~r Spinal precautions include head holding, application of a cervical collar, patients . PDF Spinal Precautions - Washington University Orthopedics For a great resource to provide your patients, you can print out this. Hold each stretch for 30 seconds, then relax. 8 0 obj Check with your healthcare provider before you try to carry a backpack or knapsack. Numbness, weakness and pain can happen throughout the arm and hand. Occupational Therapy and Cerebral Palsy | CerebralPalsy endobj during bed mobility tasks to avoid twisting the spine. If there is abnormal pressure on a branch near the trunk, everything along that branch will be affected. <> What happens if cervical radiculopathy is left untreated? Making the switch from working in a non-orthopedic setting to an acute orthopedic setting can be a challenge for occupational therapists less familiar with patients following joint surgeries.