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The Implementation Guide for Hand Therapy Initial Assessment Form

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Guide of Hand Therapy Initial Assessment Form

hey guys welcome back to the channel sotoday's video is kind of aimed towardslike my newer grads or people that arein field work students that are gonna betaking on like a hinge therapy um sorrybug like a hand therapy field workexperience or you've graduated andyou're gonna be starting a job and ahand therapy clinic so I was thinkingback to when I was going through my handtherapy field work and trying to figureout like things that would have beenhelpful for me when I was at that ageand stage in my education so today Ikind of want to just talk through how todo an initial evaluation for a handtherapy patient because it's somethingthat you don't really learn in schooland I feel like it you know step one ofcreating an appropriate and effectivetreatment plan like if you don't do agood evaluation you're not going to knowhow to how to treat your patient sothat's what we're doing today should bean interesting video a lot of merambling on so that's always a good timeso if nothing else stick around for thatdon't forget to hit the thumbs up buttonsubscribe to the channel and let's getinto it so I think the first kind ofimportant thing to talk about is theamount of time that you're going tospend on your first initial evaluationso every clinic is different the waythat they schedule initial evaluationsin the clinic that I work inwe have therapy techs so each therapisthas a tacher an aide that helps out liketreat treating their other patients theyfollow any orders essentially that Igive them andthing that I tell them to do they'll dowith my patience so in our clinicinitial evaluations are actually bookedin 30 minutes lots so sometimes that isdefinitely a challenge sorry sosometimes that is definitely a challengethere can be times when you know eitherI'm running late with one of my otherpatients or I don't get to spend enoughtime with one of my other patientsbecause I have this initial evaluationcoming in but I just wanted to give yousome you know kind of tips andstrategies based on what where I'mcoming from so typically for an initialevaluation the person that I'mevaluating is usually in the clinicstart to finish probably 45 minutes toan hour and that is for non post-oppatients so we in our clinic it's alittle bit streamlined in terms ofpost-op so because I work for a surgeondirectly post-op evaluations are handleda little bit differently so today we'rejust kind of talking about non post-opevaluations or evaluations come in fromanother doctor yeah we're gonna have alot of words anywayabout an hour is how long that myinitial evals are in the clinic so Ithink in regards to time what I'm tryingto get at is that you are with thisperson for a limited amount of time onyour first to treatment session withthem so you want to gather as muchinformation as possible but you alsowant to take into account what's reallyimportant so you know you really have tothink through do I need to do all thesedifferent measures do I need to gothrough a full manual muscle test do Ineed todo you know some of the standardizedassessments so I need to do sensorytesting pull out this treatment do youhave to kind of prioritize like what isthe most important things for you to getto this day and what can you wait toassess until next time because reallytruly hand therapy treatment and allgood therapy treatments should be acontinual assessment every time you seethe patient you're assessing them so ifyou don't get to everything on yourinitial vowel it's not the end of theworld and you shouldn't panic about thatbecause you'll see them again in mostcases right you're going to see that1patient again you can always do1additional measurements or if you need1to do standardized testing or anything1like that you can wait until a later1time so get to the point listen to your1patient and figure out what's the most1important things for you to assess in1the short amount of time that you have1with them on that first visit what I1like to start with in my evals are1trying to just open up dialogue and get1the person to talk to me tell me what's1going on so something that I'll usually1say is you know tell me a little bit1about your injury tell me a little bit1about why you're here today and kind of1go from there and some people will open1up to you and they'll tell you every1little detail and some people you'll1have to kind of ask if you follow up1questions so essentially you want to1know what their injury is to them right1so not necessarily just the diagnosis1from the doctor but have them describe1it to you when did it start was it a1traumatic incident or an accident was it1just over time they noticed something1started to happen when does it bother1them the most are they feeling it during1the daytime is it when they first wake1up in the morning does it get worse1throughout the day is it something that1they notice most at nighttime try and1figure out kind of any factors like what1makes it worse what makes it better all1these kinds of things are really1important to know and really truly take1this time to let the person talk let1them tell you what they've been feeling1let them describe what it feels like1because what they're telling you is1important and they're gonna tell you1within those first few minutes what you1need to be treating so listen to the1words that they say watch their actions1are they guarded when they're moving are1they you know kind of protecting1themselves so they seem like they're1really tense do they seem like they're1exaggerating things just notice every1little thing that you can how do they1position themselves how do they show you1where it hurts do they touch it do they1brush over it without touching it all1those little things are important1details so you need to really listen to1them and observe them because everything1every second that you spend with them is1really valuable so make sure you get a1good history and and don't be afraid to1ask questions1- right some people are just not going1to think that certain things are1important to tell you so don't be afraid1to ask questions to them - I always like1to briefly ask them about any relevant1medical history that I need to know so1when I'm considering my treatment and1modalities that I'm gonna use with them1there are certain things that I would1want to know like do they have a history1of cancer thyroid conditions you know1heart problems they have a pacemaker any1of those kinds of things what1medications are they on were they1allergic to etc etc so make sure you1don't forget about that because it is1important and then you want to kind of1get into the pain section as well are1they having pain most people that you1treat will be having some form of form1of pain1numbness or something that you can1assess so ask them for a numeric value1or a description or they can tell you1you know you can get one of those little1visual charts where it shows kind of the1faces and they can tell you that way or1you can ask the mild medium severe you1know kind of find different ways to1gauge it because not every person is the1same so we don't all experience pain the1same way so try and be open to that as1much as possible ask them where they're1feeling the pain what does it feel like1any descriptions that come to mind1when the pain happens what makes it1better what makes it worse etc okay1those things are important and you can1do like a little sensory screen at that2time too you can ask them are you numb2tingling anywhere you hypersensitive2anywhere and you can kind of go through2that as well2and if they answer yes to anything you2know or you notice that they feel numb2in certain areas then you may want to go2into like some sensory screening or some2nerve gliding or nerve tensioners and2you can do that as well and then you2want to start getting into kind of your2measurement so you know take range of2motion measurements do like a cervical2screen see if they have full range of2motion of their neck and their shoulders2even if you're treating a trigger finger2right you want to know what everything2looks like from the top of the chain2down because they may have some cervical2or shoulder issues that you can't treat2so it's important to know that you can2do strength testing if you feel like2it's appropriate do some manual muscle2testing I usually do range of motion and2then I'll do like grip and pinch testing2and then2from there if there's any like special2tests or manual muscle testing that I2need to do based on their diagnosis or2the information they've given me so far2then I'll do those provocative maneuvers2then because I find that those are2usually the things that provoke the most2pain and so people are like not going to2be as willing to do the movements of the2range of motion measurements or2potentially do the group testing if2you've already you know I've done2something that puts them into a lot of2pain so just a secret little tip try and2put those provocative tests kind of at2the bottom so that you can get good2measurements on everything else first2and I think it's important too that you2always assess bilateral be the rib2bilaterally because obviously even if2it's just a one-sided injury it's2important for you to know what their2norm is on their other side for both2strength range of motion and everything2else as well2special testing obviously you know you2may not know this yet because you might2be a newer grad or you might be just2getting into field work but find someone2that can help teach you or kind of try2and seek some information about2different special tests pick a diagnosis2like pick you know duct or veins2tenosynovitis right when you're2evaluating those people you might want2to try doing some different testing2based on what they show you right so you2can do kind of like a Finkelstein's2maneuver you can do different manual2muscle testing trying to test the EPB2versus EPO all that kind of stuff you2can do like an i coughs test i mean2there's tons of different tests out2there so pick a diagnosis kind of study2up on it search for a different2diagnostic test or special tests that2you can do to help tease out what's2going on with this person yeah so once2I've got kind of my basic information2gathered and I can be satisfied with2where I'm at in the evaluation process2then what I like to do next2is trying to get this person out of pain2or try to get their pain to reduce a2little bit so that's what I'm going to2use modalities things like heat I'm2gonna put them on heat I'm going to dip2them in the paraffin wax I'm gonna do2some ice massage something that my tech2can do for me that shows them that we2can relieve their pain or I'm gonna try2some kinesio taping or something on them2that's gonna get their pain to come down2a little bit usually I like to put2people on heat first because it feels2good it kind of relaxes them it gives2them a little bit of a break they can2kind of process all the information but2they've shared and what I've shared with2them so far but it also gives me a2little bit of time to step away from2that person work with another patient if2I need to or check in on one of my other2patients and then come back to them it3just gives me a little bit of like3leeway in my timing so I can always kind3of juggle between patients or give my3tech some exercises to go through them3with and then I can come back and check3in on them a little bit later but just3showing people even a little taste of3what you can do and what they're gonna3get when they come to hand therapy is3really helpful it's gonna make people3want to come back it's gonna give them3just kind of a sense of their3expectations of what they can hope to3gain with therapy and I also like to you3know kind of talk with them about what3their expectations are what they're3hoping to gain what their goals are3certainly you can set goals for them but3it's important to have them invest in it3as well so asking them you know what are3they hoping to get out of therapy and3you can kind of discuss what's realistic3and what's not you know you may not be3realistic to have a goal of3you know no pain ever it just really3depends on the person and the diagnosis3but doesn't then you can talk with them3about they should know you know kind of3what to expect from therapy what they3should wear you know they shouldn't be3wearing things that make it hard for you3to access the body part that you're3gonna be treating how long they're gonna3be in the building for how long their3appointments are gonna last what your3cancellation policy is all those kinds3of things are important and you want to3you want them to leave with like a sense3of confidence in you - right so3definitely I always give at least3something for a home program even if I3have no idea what to give them I'm gonna3give them something whether that be like3trying some different modalities out or3maybe I'm gonna give them like some3joint protection things or just a couple3different stretches3I give tendon glides a lot just3something that they can do at home to3start treating themselves and then when3they come back you can kind of add to3the program I try not to overload people3on their first visit because you tend to3find that people don't remember what you3told them to do so give them like two to3three exercises is usually kind of the3magic number for that first visit and3then you can add to it later once they3come back and you've kind of developed a3more thorough treatment plan so that's3kind of what I start with and an initial3evaluation certainly there are tons of3ways you can go with it3my3this video is not the only way to do3things right but I know as a new grad3and as a student going into my hand3therapy fieldwork it would have been3helpful to have somebody kind of explain3what a hand therapy evaluation might3look like and how to get through it in3an appropriate amount of time so I hope3that you guys find this video helpful3feel free to comment below if you have3any other tips or tricks or questions or3anything I'm happy to answer any3questions that you might have or3comments or anything like that give this3video a thumbs up if you enjoyed it3don't forget to subscribe to the channel3and thank you guys so much for watching

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Hand Therapy Initial Assessment Form FAQs

Here are the answers to some common problems regarding Hand Therapy Initial Assessment Form . Let us know if you have any other problems.

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How can I deduct on my Federal income taxes massage therapy for my chronic migraines? Is there some form to fill out to the IRS for permission?

To deduct medical expenses you just need to itemize. You need a large percentage of your income for it to be more than the standard deduction will get you.

Do military members have to pay any fee for leave or fiancee forms?

First off there are no fees for leaves or requests for leave in any branch of the United States military. Second there is no such thing as a fiancée form in the U.S. military. There is however a form for applying for a fiancée visa (K-1 Visa)that is available from the Immigration and Customs Service (Fiancé(e) Visas ) which would be processed by the U.S. State Department at a U.S. Consulate or Embassy overseas. However these fiancée visas are for foreigners wishing to enter the United States for the purpose of marriage and are valid for 90 days. They have nothing to do with the military and are Continue Reading

Do W9 forms need to be filled out by hand? Can I fill it out in a text editor like Word instead?

No, W9 forms do not need to be filled out by hand. Assuming you have a PDF, there are many PDF editors which allow you to fill in the form on your personal computer and even insert a signature, if you have one. Mac’s Preview app does this on most PDFs. Word might actually do it as well, I simply don’t use Word. Google Docs has the functionality, as well.

How can I fill out Google's intern host matching form to optimize my chances of receiving a match?

I was selected for a summer internship 2016. I tried to be very open while filling the preference form: I choose many products as my favorite products and I said I'm open about the team I want to join. I even was very open in the location and start date to get host matching interviews (I negotiated the start date in the interview until both me and my host were happy.) You could ask your recruiter to review your form (there are very cool and could help you a lot since they have a bigger experience). Do a search on the potential team. Before the interviews, try to find smart question that you are Continue Reading

What is occupational assessment?

Mini mental status exam Run a sensory test including light touch, proprioception, visual field, and recognition of unseen objects by touch (button/coin, safety pin/paperclip) etc. Determine: • balance • self care ability: dressing, hygiene, cooking, safety judgement • communication ability including aphasia, dysarthria, word finding ability, writing, reading, signing prn • physical function ability including A&PROM and any synergies present Find out what living situation is like including • physical layout: stairs, throw rugs • anyone else living in home - how supportive they may be • pets • pt Continue Reading

Can I refuse an occupational health assessment?

A2A. I can't speak for others in general, but will tell my story, in short. My mother was (“is" she would correct me) an RN who worked skilled care the latter half of her career. She hated nursing. She hated nursing homes and hated the thought of ending up in one, sometimes accusing me of entually putting her in one and stealing her property. I didn't blame her for not desiring a nursing home. I hung out in them plenty, she being a single mom. I spent many nights on vinyl couches covered by rough hospital blankets. My mom told me she would rather “die on The Hill.” I sympathized. I still can rel Continue Reading

What does an occupational health check involve?

This is from the American Occupational Therapy Association web site: http://www.aota.org/About-Occupational-Therapy.aspx Occupational therapy practitioners ask, "What matters to you?" not, "What's the matter with you?" In its simplest terms, occupational therapists and occupational therapy assistants help people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities (occupations). Common occupational therapy interventions include helping children with disabilities to participate fully in school and social situations, helping peop Continue Reading

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