CHAPTER 31 REHABILITATIVE CAREERS Lesson 1 Articulation Disability

CHAPTER 31 REHABILITATIVE CAREERS Lesson 1 Articulation Disability Dosage Hydrotherapy Orthotics Prosthesis Rehabilitation Audiology Dispense Frequency Nebulizer Pharmacology Prosthetics Therapy Journal question: What are the roles of the patient and family members when a patient is in rehabilitation? Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 1

Chapter 31 Learning Objectives Define at least 10 terms relating to rehabilitative health care. Identify the function of the rehabilitative health care team. Describe the role of at least five of the rehabilitative health care team members, including personal qualities, levels of education, and credentialing requirements. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 2

Chapter 31 Learning Objectives Identify at least five methods or devices used to improve activities of daily living for the disabled. Describe two types of hearing loss and two methods of assessing defects in hearing. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 3

Rehabilitative Careers A rehabilitation team works closely with the patient and family members. Requires creativity, persistence, and ability to work with a variety of people Ø Requires strong listening and verbal skills, analytical ability, and patience Ø Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 4

Rehabilitative Health Careers Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. ,

Rehabilitative Careers: Educational Cost and Earnings Copyright © 2012, 2007, 2003, 1997, 1991 by

Physical Therapist Physical therapists work to restore function, relieve pain, and prevent disability after disease, injury, or loss of a body part. Ø May specialize in different areas of practice Education Master’s degree preferred Ø Entry level position requires bachelor’s degree in physical therapy Ø Licensure by state Ø Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 7

Physical Therapist Specialties in physical therapy Rehabilitation Ø Community services Ø Sports Ø Industry Ø Research Ø Education Ø Administration Ø Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 8

Physical Therapy Assistant Provides routine treatments under the supervision of a physical therapist: Application of hot and cold packs Ø Ultraviolet and infrared light treatments Ø Ultrasound and electrical stimulation Ø Hydrotherapy Ø Observes patients during treatment and records performance Education Ø 2 years of college-level training Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 9

Kinesiotherapist Works under the direction of a physician Uses exercise to help patients strengthen and coordinate body movements: Ø Maintaining muscle endurance, mobility, strength, and coordination Education Bachelor’s degree in exercise physiology or physical education Ø Internship of at least 1, 000 hours of training Ø Certification and national registration is optional Ø Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 10

Orientation and Mobility Instructors or Specialists Help visually impaired and blind individuals to move about independently Ø Methods of improving mobility • • Cane Sensors Guide dogs Electronic travel aids Education Bachelor’s degree is minimal, and a master’s degree is preferred. Ø Certification is voluntary. Ø Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 11

Orthotist and Prosthetist Certified orthotist (CO) Provides services for clients with disabling conditions of the limbs or spine Ø Designs, fabricates, and fits braces or strengthening apparatus Ø Supervises support personnel and laboratory activities Ø Education • Baccalaureate degree • Certification through the American Orthotic and Ø Prosthetic Association (AOPA) Completion of approved program One year of experience Certification examination Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 12

Orthotist and Prosthetist Certified prosthetist (CP) Provides care to clients with partial or total absence of a limb and those who use an artificial limb (prosthesis) Ø Designs material selection, production, instruction on use, and evaluation of the appliance Ø Education • Baccalaureate degree • Certification through the American Orthotic and Ø Prosthetic Association (AOPA) Completion of approved program One year of experience Certification examination Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 13

Corrective Therapist Conducts physical exercise programs to prevent muscle deterioration in inactive patients Teaches the use of braces, crutches, and canes Education Ø Bachelor’s or master’s degree Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 14

Elastic Stockings FIGURE 31 -2 Elastic stockings help to prevent the development of emboli. Copyright

Pedorthist Modifies and provides footwear to patients with imperfectly formed feet Follows prescriptions of a physician No educational requirements Can be learned through seminars Ø Certification recommended Ø Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 16

Occupational Therapist Evaluates patients, plans the programs, and supervises, or provides treatment Uses activities to help a person develop, maintain, or regain skills Analyzes activity to determine an adaptive skill Education 4 -year baccalaureate program Ø 6 months of clinical training Ø Successful completion of a national examination Ø Most states require licensure. Ø Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 17

Occupational Therapy Assistants and Aides Occupational therapy assistants Ø Instruct and assist clients to perform activities of daily living (ADLs) Ø Certification through COTA after completion of an approved 2 -year program Occupational therapy aides Ø Assists with transportation, equipment assembly, and maintenance of work areas Ø Trained on the job Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 18

Athletic Trainer Works under the supervision of the team physician in a variety of amateur and professional sports and other settings Ø Ø Prevents injury and performs emergency treatment Uses methods that include corrective exercise, conditioning, rehabilitation, and nutrition counseling Education Ø 4 -year college or university program, including a minimum of an 1800 -hour internship over 2 years Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 19

Summary The function of the rehabilitative health care team is to provide services designed to overcome disabilities. The role of the physical therapist is to restore function, relieve pain, and prevent disability after illness or injury. The orthotist designs and makes braces. The occupational therapist helps patients live independently. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 20

Summary Five methods or devices used to improve activities of daily living include the use of canes, elastic stockings, guide dogs, braces, and prosthetic limbs. Two types of hearing loss are conductive and sensorineural. Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 21

Review The health care worker who helps patients strengthen and coordinate body movement using exercise is a: a. Kinesiotherapist b. Audiologist c. Prosthetist d. Occupational therapist e. Physical therapist Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 22

Review The health care worker who helps patients strengthen and coordinate body movement using exercise is a: a. Kinesiotherapist b. Audiologist c. Prosthetist d. Occupational therapist e. Physical therapist Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 23

Review Speech pathologists treat disorders such as: a. Delayed language development b. Inability to speak c. Stuttering d. Articulation problems e. All of the above Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 24

Review Speech pathologists treat disorders such as: a. Delayed language development b. Inability to speak c. Stuttering d. Articulation problems e. All of the above Copyright © 2012, 2007, 2003, 1997, 1991 by Mosby, Inc. , an affiliate of Elsevier Inc. 25