Angie
Primary Diagnosis: Carpal Tunnel Syndrome, Secondary Diagnoses: CMC Arthritis, Lateral Epicondylitis
"These simulations are a great way to learn and gain insight on what practice looks like with this diagnosis (treatment, interventions, etc.). We're lucky to have these learning experiences to better our knowledge"--OTA Student
"I learned a lot about hand therapy and overall a good review. I liked the splinting part and thought that was beneficial. I feel very confident in doing a session like this after a few practice sessions."--OTA Student
"After going through this case I feel more confident with navigating the assessment and determing where "the problem" lies or where the deficits begin"--OTA Student
By the end of this self-paced course, the learner will demonstrate foundational understanding of outpatient hand therapy evaluations and interventions.
Chart - History of Present Illness (HPI)
FREE PREVIEWChart - Requisitions
Chart - Precautions
Chart - Social History
Chart - Work History
Chart - Past Medical History
Chart Review Questions Preparation
Chart Review Questions
Evaluation Tool Selection
FREE PREVIEWB.3.3. B.3.4. B3.5. B.4.3. Initial Evaluation Form
Interview
Interview Questions
Pain Interview
Pain Interview Questions
Patient Specific Functional Scale (PSFS) Document
B.3.5. Patient Specific Functional Scale (PSFS)
PSFS Questions
Clinical Examination of the UE Preparation
Clinical Pearl! Accuracy of Provocative Tests for CTS
Provocative Testing
Provocative Testing Questions
Lateral Epicondylitis and Dequervain's Synovitis Screening
Lateral Epicondylitis and Dequervain's Synovitis Screening Questions
Consultation and Activity Modification Recommendations
Consultation and Activity Modification Recommendations Questions
Manual Muscle Testing (MMT)
MMT Question
Clinical Pearl! Grip and Pinch
FREE PREVIEWGrip and Pinch Norms - Female
Dynamometer
Dynamometer Questions
Pinch Meter
Pinch Meter Questions
Sensory Testing (2-Point Discrimination) Preparation
Sensory Testing (2-Point Discrimination)
Sensory Testing (2-Point Discrimination) Question
AROM Measurements - Goniometry
AROM Measurements - Goniometry Questions
Treatment Planning
B.3.2. Treatment Planning Questions
Paraffin
B.3.14. Paraffin Question
Manual Therapy of the Wrist and Hand
Manual Therapy of the Wrist and Hand Questions
Therapeutic Massage of the Forearm
FREE PREVIEWTherapeutic Massage of the Forearm Question
FREE PREVIEWStretching/ PROM
Stretching/ PROM Question
Reassessment
Reassessment Questions
Patient Education
B.2.8. Patient Education Safety Question
B.3.19. Carpal Tunnel Syndrome HEP Preparation
Carpal Tunnel Syndrome HEP
B.3.19. Carpal Tunnel Syndrome HEP Questions
Initial Evaluation Completion
Initial Evaluation Comparison
Clinical Pearl! Importance of Check-In
Check-in Discussion
Check-in Discussion Questions
Splinting
B.3.16. Splinting Questions
Thumb HEP Preparation
Thumb HEP
Thumb HEP Questions
CMC Arthritis Activity Modification Education
CMC Arthritis Activity Modification Education Question
Kinesio Tape
Kinesio Tape Questions
B.3.18. B.4.3. SOAP Progress Note Documentation
SOAP Progress Note Comparison
Intervention Planning (B.2.7., B.3.2., B.3.5., B.3.6., B.3.8.)
Completion Checklist
FREE PREVIEWSummative Exam Preparation
FREE PREVIEWSummative Exam
ClinEdWeb Angie Case Scenario: Simulation Effectiveness Tool -‐ Modified *Leighton, K., Ravert, P., Mudra, V., & Macintosh, C. (2015)
By the end of this case scenario, learners will be able to:
❏ Glean salient information from a chart review
❏ Identify safety elements related to outpatient orthopedic practice
❏ Identify terminology and common symptomology pertaining to Carpal Tunnel Syndrome (CTS), Carpometacarpal (CMC) Arthritis, and Lateral Epicondylitis
❏ Recall nerve involvement in CTS
❏ Recall basic anatomy of hand including tendons, carpal bones, and nerves involved in CTS, CMC arthritis, and Lateral Epicondylitis
❏ Recognize role of occupational therapy in outpatient orthopedic practice
❏ Recall common clinical examination assessments of the upper extremity
❏ Identify commonly used evaluation tools appropriate for assessing baseline performance skill level
❏ Complete point-of-service electronic documentation
❏ Identify individual-centered goals from a non-standardized interview
❏ Recognize pain assessment procedures
❏ Demonstrate understanding of the evaluative process and scoring of provocative tests: manual palpation and manipulation of carpal intervals, Tinel’s Sign Test, Phalen’s Test, Phdurkan’s Test, Durkan’s Test, Berger Test, Elbow Flexion Test, Maudsley’s Test, Cozen’s Test, Finkelstein’s Test
❏ Demonstrate understanding of provision and process of administering the Patient Specific Functional Scale
❏ Demonstrate understanding of the evaluative process and scoring of Manual Muscle Testing
❏ Demonstrate understanding of the evaluative and re-evaluative process and scoring of Goniometry
❏ Demonstrate understanding of the evaluative process and scoring of 2-point discrimination
❏ Demonstrate understanding of the evaluative process and scoring of Pinch and Grip Testing
❏ Interpret evaluation data to inform appropriate goal setting and treatment planning
❏ Recommend direct interventions that include occupations and activities, preparatory methods and tasks, education, and training
❏ Recall the use of Occupational Therapy Practice Framework terminology in the context of outpatient orthopedic rehabilitation
❏ Recognize the purpose and implementation of activity modification training, CMC home exercise program (HEP), CTS HEP, Kinesiotape, paraffin, and splinting interventions
❏ Identify purpose of, steps and precautions involved with fabrication of a radial-based thumb spica splint.
❏ Recommend direct interventions, including appropriate home exercise programs and splinting to support independence, function, and decreased symptomology
B.2.7. Activity Analysis- See Intervention Planning
B.2.8. Safety of Self and Others - See Patient Education Safety Question
B.3.2. Professional Reasoning - See Treatment Planning Questions and Intervention Planning
B.3.3. Standardized and Nonstandardized Screening and Assessment Tools – See Initial Evaluation Form
B.3.4. Application of Assessment Tools and Interpretation of Results – See Initial Evaluation Form
B.3.5. Reporting Data – See Initial Evaluation Form and Intervention Planning
B.3.6. Provide Interventions and Procedures - See Intervention Planning
B.3.8. Grade and Adapt Processes or Environments - See Intervention Planning
B.3.14. Superficial Thermal, Deep Thermal, and Electrotherapeutic Agents and Mechanical Devices – See Paraffin Quiz
B.3.16. Orthoses and Prosthetic Devices – See Splint Quiz
B.3.18. Technology in Practice - See OT Progress Note
B.3.19. Teaching–Learning Process and Health Literacy - See Carpal Tunnel Syndrome HEP Questions
B.4.3. Documentation of Services – Initial Evaluation Form and OT Progress Note
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