Physical Rehab Virtual Case Scenario

Autumn

Diagnosis: Multiple Sclerosis

Video Excerpt

What Students are Saying

"I feel like I really learned a lot watching assessment testing and real clinical scenario/home assessment. The transfer videos were also very helpful! Thank you!"--MOT Student

Course Content

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Curriculum

Find below curriculum with specific course content - videos, assessments, treatments, resources, documentation forms
Learning Objectives

Comprehensive list of learning objectives for this course found below
ACOTE Standards

Scroll down to view the ACOTE standards addressed in this scenario

Departmental Pricing

Description

By the end of this self-paced course, the learner will demonstrate foundational understanding of inpatient acute physical rehabilitation evaluations and intervention strategies from an occupational therapy perspective.

Course Curriculum

1. Chart - History of Present Illness (HPI)
  FREE PREVIEW
2. Chart - Requisitions
3. Chart - Precautions
4. Chart - Social History
5. Chart - Work History
6. Chart - Past Medical History
7. Before Entering Room
8. Chart Review Questions
9. Clinical Pearl - Falls Prevention
  FREE PREVIEW
10. Initial Evaluation Forms
11. Interview
12. Interview Questions
13. Short Blessed Test (SBT)
14. Short Blessed Test Questions
15. Muscle Tone Right Side
16. Ashworth Scale Questions (Right Side)
17. Muscle Tone Left Side
  FREE PREVIEW
18. Ashworth Scale Questions (Left Side)
  FREE PREVIEW
19. UE Manual Muscle Test (Left Side)
20. UE Manual Muscle Test Questions (Left Side)
21. UE Manual Muscle Test (Right Side)
22. UE Manual Muscle Test Questions (Right Side)
23. LE Manual Muscle Test (Left Side)
24. LE Manual Muscle Test Questions (Left Side)
25. LE Manual Muscle Test (Right Side)
26. LE Manual Muscle Test Questions (Right Side)
27. Lower Extremity Dressing
28. Lower Extremity Dressing Questions
29. Transfer
  FREE PREVIEW
30. Transfer Questions
  FREE PREVIEW
31. Upper Extremity Dressing
32. Upper Extremity Dressing Question
33. Monofilament Testing
34. Monofilament Testing Questions
35. Proprioception Assessment
36. Proprioception Assessment Question
37. Preparing for Nine Hole Peg Test
38. Nine Hole Peg Test Instructions
39. Nine Hole Peg Test Norms - Female
40. Nine Hole Peg Test
41. Nine Hole Peg Test Questions
42. Nine Hole Peg Test Discussion
43. Nine Hole Peg Test Discussion Questions
44. Preparing for Dynamometer
45. Grip and Pinch Norms - Female
46. Dynomometer
47. Clinical Pearl! - Forearm Position Influences Strength
48. Dynamometer Questions
49. Pinch Meter
50. Pinch Meter Questions
51. Fatigue Scale for Motor and Cognitive Functions (FSMC) Assessment Preparation
52. FSMC Assessment
53. FSMC Scoring
54. FSMC Questions
55. FSMC Discussion
56. FSMC Discussion Question
57. Patient Goals Discussion
58. Patient Goals Discussion Questions
1. Intro to Treatment
2. Treatment Planning Question
3. Preparing for 4 Ps
4. 4 Ps Patient Education Sheet
5. 4 Ps
6. Clinical Pearl! - Energy Conservation Interventions
7. 4 Ps Questions
8. 4Ps MS News Article Description
9. 4Ps MS News Article
10. Wheelchair Skills
11. Wheelchair Skills Questions
12. Tub Bench Transfer
13. Tub Bench Transfer Questions
14. SOAP Progress Note Documentation Example
15. Toilet Transfer
16. Toilet Transfer Questions
17. Floor Transfer
18. Floor Transfer Questions
19. SOAP Progress Note Documentation Practice - Toilet and Floor Transfers
1. Home Evaluation Form
2. Introduction and Living Room Discussion
3. Introduction and Living Room Discussion Questions
4. Living Room Assessment
5. Living Room Assessment Questions
6. Bathroom #1 Assessment
7. Bathroom #1 Assessment Questions
8. Bathroom #2 Discussion
9. Bathroom #2 Discussion Question
10. Bathroom #2 Tub Transfer Bench Transfer Assessment
11. Bathroom #2 Tub Transfer Bench Transfer Assessment Questions
12. Bedroom Assessment
13. Bedroom Assessment Questions
14. Kitchen Assessment
15. Kitchen Assessment Questions
16. Clinical Pearl! - ADA Ramp Information
17. Home Access Ramp
18. Home Access Ramp Questions
19. Vehicle Access Ramp
20. Vehicle Access Ramp Questions
21. Vehicle Driving Adaptations
22. Vehicle Driving Adaptations Questions
1. Discussion Forum Debrief
  FREE PREVIEW
1. Completion Checklist
  FREE PREVIEW
2. Summative Exam Preparation
  FREE PREVIEW
3. Summative Exam
4. ClinEdWeb Autumn Case Scenario: Simulation Effectiveness Tool -‐ Modified *Leighton, K., Ravert, P., Mudra, V., & Macintosh, C. (2015)

About this course

$45.00
107 lessons
2 hours of video content

Meet Your Instructor

EdD, OTR Dr. Debbie Bebeau

Dr. Bebeau has over 20 years of experience as a clinician and 15 years of experience in OT education.

Learning Objectives:

By the end of this case scenario, learners will be able to:

❏ Glean salient information from a chart review

❏ Identify safety elements related to inpatient acute rehabilitation

❏ Demonstrate understanding of fall prevention/ precautions in acute rehabilitation setting

❏ Identify terminology and common symptomology pertaining to Multiple Sclerosis

❏ Recognize role of occupational therapy in acute rehabilitation

❏ Recall mobility devices and assistive technology that is supportive of occupational performance

❏ Demonstrate understanding of pharmacology used to alleviate symptomology commonly associated with Multiple Sclerosis diagnosis

❏ Identify commonly used cognitive and physical evaluation tools appropriate for assessing baseline performance skill level

❏ Complete point-of-service electronic documentation

❏ Recall use of standard precautions

❏ Identify individual-centered goals from a non-standardized interview

❏ Recognize pain assessment procedures

❏ Demonstrate understanding of the evaluative process and scoring of the Short-Blessed Test

❏ Demonstrate understanding of the evaluative process and scoring of the Modified Ashworth Scale

❏ Demonstrate understanding of the evaluative process and scoring of Manual Muscle Testing

❏ Demonstrate understanding of the evaluative process and scoring of ADL and transfers

❏ Demonstrate understanding of the evaluative process and scoring of monofilament testing

❏ Demonstrate understanding of the evaluative process and scoring of nine-hole peg test

❏ Demonstrate understanding of the evaluative process and scoring of pinch and grip testing

❏ Interpret evaluation data to inform occupation-based 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 acute rehabilitation practice

❏ Recognize the evidence, purpose, and implementation of energy conservation interventions

❏ Identify the purpose, process, and interpretation of data collected from a home evaluation

❏ Recommend direct interventions, including assistive technology, to support safety, function, and access in home environment

❏ Recall use of adaptations to support independence with driving

ACOTE Standards Addressed:

The following 2018 Accreditation Council for Occupational Therapy Education (ACOTE) Standards are addressed in the “Autumn” Case Scenario.

Standard Number	Skill	Standard Definition	Evidence of Standard Met
B.3.2.	Interaction of Occupation and Activity	Apply, analyze, and evaluate the interaction of occupation and activity, including areas of occupation, performance skills, performance patterns, context(s) and environments, and client factors.	Evaluation of Physical Environment/ Home Evaluation Coordination, cognition, strength, tone, sensation, and ADL assessments Interview Completion of Case Scenario Formative assessment
B.3.5.	Effects of Disease Processes	Analyze and evaluate the effects of disease processes including heritable diseases, genetic conditions, mental illness, disability, trauma, and injury on occupational performance.	Evaluation of Physical Environment/ Home Evaluation Coordination, cognition, strength, tone, sensation, and ADL assessments Interview Completion of Case Scenario Formative assessment Completion Certificate: Passing score on summative assessment
B.3.6.	Activity Analysis	Demonstrate activity analysis in areas of occupation, performance skills, performance patterns, context(s) and environments, and client factors to formulate the intervention plan	Evaluation of Physical Environment/ Home Evaluation Coordination, cognition, strength, tone, sensation, and ADL assessments Interview Completion of Case Scenario Formative assessment Completion Certificate: Passing score on summative assessment
B.3.7.	Safety of Self and Others	Demonstrate sound judgment in regard to safety of self and others and adhere to safety regulations throughout the occupational therapy process as appropriate to the setting and scope of practice. This must include the ability to assess and monitor vital signs (e.g., blood pressure, heart rate, respiratory status, and temperature) to ensure that the client is stable for intervention.	Throughout the case scenario the user is alerted with verbal, visual, and written prompts about safety concerns such as universal precautions, low blood pressure, gait belt use, wheelchair and bed locks Completion of Case Scenario Formative assessment

B.4.1.	Therapeutic Use of Self	Demonstrate therapeutic use of self, including one’s personality, insights, perceptions, and judgments, as part of the therapeutic process in both individual and group interaction	Practitioner in the case scenario models therapeutic use of self
B.4.2.	Clinical Reasoning	Demonstrate clinical reasoning to evaluate, analyze, diagnose, and provide occupation based interventions to address client factors, performance patterns, and performance skills	Chart review Interview Assessments addressing client factors, performance skills, and performance patterns Occupation-based interventions addressed in case scenario are based on results of assessments performed to include but not limited to: energy conservation techniques (performance patterns), LE stretching (client factors), ADL and transfer skills (performance skills), and assistive technology training (performance skills) Completion of Electronic Initial Evaluation Form Completion of Case Scenario Formative assessment Completion Certificate: Passing score on summative assessment
B.4.3.	Occupation-Based Interventions	Utilize clinical reasoning to facilitate occupation-based interventions that address client factors. This must include interventions focused on promotion, compensation, adaptation, and prevention	Physical Environment (Home) Adaptations Occupation-based interventions addressed in case scenario are based on results of assessments performed to include but not limited to: energy conservation techniques (performance patterns), LE stretching (client factors), ADL and transfer skills (performance skills), and assistive technology training (performance skills) Completion of Electronic Initial Evaluation Form Completion of Case Scenario Formative assessment Completion Certificate: Passing score on summative assessment
B.4.4.	Standardized and Nonstandardized Screening and Assessment Tools	Contribute to the evaluation process of (OTA) or evaluate (OTR) client(s)’ occupational performance, including occupational profile, by analyzing and selecting standardized and non-standardized screenings and assessment tools to determine the need for occupational therapy intervention(s). Assessment methods must take into consideration cultural and contextual factors of the client. Explain the importance of using psychometrically sound assessment tools (OTA) or Interpret evaluation findings of occupational performance and participation deficits (OTR) to develop occupation-based intervention plans and strategies. Intervention plans and strategies must be client centered, culturally relevant, reflective of current occupational therapy practice, and based on available evidence.	Evaluation of Physical Environment/ Home Evaluation and adaptations Coordination, cognition, strength, tone, sensation, and ADL assessments Chart review Interview Completion of Electronic Initial Evaluation Form
B.4.5.	Application of Assessment Tools and Interpretation of Results	Select and apply assessment tools, considering client needs, and cultural and contextual factors. Administer selected standardized and nonstandardized assessments using appropriate procedures and protocols. Interpret the results based on psychometric properties of tests considering factors that might bias assessment results (e.g., culture and disability status related to the person and context).	Evaluation of Physical Environment/ Home Evaluation Coordination, cognition, strength, tone, sensation, and ADL assessments Chart review Interview Completion of Case Scenario Formative assessment Completion Certificate: Passing score on summative assessment
B.4.6.	Reporting Data	Collect, analyze, and report data in a systematic manner for evaluation of client and practice outcomes. Report evaluation results and modify practice as needed. (OTR) or Under the direction of an occupational therapist, collect, organize, and report on data for evaluation of client outcomes (OTA)	Completion of Electronic Initial Evaluation Form

B.4.7.	Interpret Standardized Test Scores	Interpret criterion-referenced and norm referenced standardized test scores on the basis of an understanding of sampling, normative data, standard and criterion scores, reliability, and validity.	Completion of Case Scenario Formative assessment Completion Certificate: Passing score on summative assessment
B.4.8.	Interpret Evaluation Data	Interpret the evaluation data in relation to accepted terminology of the profession and explain the findings to the interprofessional team	Formative assessment (Occupational Therapy Practice Framework terminology is intentionally embedded in questions and answers) Completion Certificate: Passing score on summative assessment (Occupational Therapy Practice Framework terminology is intentionally embedded in questions and answers)
B.4.10.	Provide Interventions and Procedures	Recommend and provide direct interventions and procedures to persons, groups, and populations to enhance safety, health and wellness, and performance in occupations. This must include the ability to select and deliver occupations and activities, preparatory methods and tasks (including therapeutic exercise), education and training, and advocacy.	Completion of Case Scenario Formative assessment Completion Certificate: Passing score on summative assessment Completion of Electronic Initial Evaluation Form
B.4.11.	Assistive Technologies and Devices	Assess the need for and demonstrate the ability to design, fabricate, apply, fit, and train in assistive technologies and devices (e.g., electronic aids to daily living, seating and positioning systems) used to enhance occupational performance and foster participation and well-being.	Occupation-based interventions addressed in case scenario are based on results of assessments performed to include but not limited to: energy conservation techniques (performance patterns), LE stretching (client factors), ADL and transfer skills (performance skills), and assistive technology training (performance skills)
B.4.13.	Functional Mobility	Provide recommendations and training in techniques to enhance functional mobility, including physical transfers, wheelchair management, and mobility devices	Occupation-based interventions addressed in case scenario are based on results of assessments performed to include but not limited to: energy conservation techniques (performance patterns), LE stretching (client factors), ADL and transfer skills (performance skills), and assistive technology training (performance skills) Completion of Case Scenario Formative assessment Completion Certificate: Passing score on summative assessment
B.4.15.	Technology in Practice	Demonstrate knowledge of the use of technology in practice, which must include: · Electronic documentation systems	Completion of Electronic Initial Evaluation Form
B.4.18.	Grade and Adapt Processes or Environments	Assess, grade, and modify the way persons, groups, and populations perform occupations and activities by adapting processes, modifying environments, and applying ergonomic principles to reflect the changing needs of the client, sociocultural context, and technological advances.	Evaluation of Physical Environment/ Home Evaluation and adaptations Completion of Case Scenario Formative assessment
B.4.21	Teaching–Learning Process and Health Literacy	Demonstrate, evaluate, and utilize the principles of the teaching–learning process using educational methods and health literacy education approaches: · To design activities and clinical training for persons, groups, and populations. · To instruct and train the client, caregiver, family, significant others, and communities at the level of the audience.	Practitioner in the case scenario models clinical training for person receiving services with health literacy considerations
B.4.23.	Effective Communication	Identify occupational needs through effective communication with patients, families, communities, and members of the interprofessional team in a responsive and responsible manner that supports a team approach to the promotion of health and wellness.	Completion of Electronic Initial Evaluation Form
B.4.28.	Plan for Discharge	Develop a plan for discharge from occupational therapy services in collaboration with the client and members of the interprofessional team by reviewing the needs of the client, caregiver, family, and significant others; available resources; and discharge environment.	Completion of Electronic Initial Evaluation Form

ACOTE Accreditation Standards adapted from: https://acoteonline.org

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You may not, without our express written permission, distribute or commercially exploit the content. Nor may you transmit it or store it in any other website or other electronic retrieval system.

Links and photos provided within the course materials are for informational purposes only. No endorsement of processes or products is intended or implied.

Autumn

Video Excerpt

What Students are Saying

Course Content

Curriculum

Learning Objectives

ACOTE Standards

Departmental Pricing

Description

Course Curriculum

Introduction (Pre-Brief)

Client Performance Skills: Inpatient Evaluation

Client Intervention

Client Physical Context: Home Evaluation