Jenny
Diagnosis: Spinal Cord Injury
What Students are Saying
"Very educational - Very helpful to assess different areas of performance affected by sci"--MSOT Student
"Prior to this lesson, I knew very little about SCI. I had no clue how complex the SCI classification process was. I did not know that the injury could be complete or incomplete or that sensation with soft touch vs pinprick sensation provides different information about the level of injury. I feel like I learned a lot of important and fascinating information from this simulation."-- OTA Student
"Before I went over Jenny’s physical rehab scenario, I did not know much about SCI or the ASIA form. Learning about how vertebrae and how dermatomes are areas of skin on our body that rely on specific nerve connections on your spine is crucial. Even from the interview till therapy going through the whole process was definitely gaining knowledge experience."-- OTA Student
"After completing this case I feel more confident in my ability to administer the Short-Blessed Test and the ASIA. I also feel more confident in providing services to an individual who had a SCI."--OTA Student
Description
By the end of this self-paced course, the learner will demonstrate foundational understanding of inpatient acute spinal cord injury evaluations and complications.
Course Curriculum
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Chart - History of Present Illness (HPI)
FREE PREVIEW -
Chart - Requisitions
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Chart - Precautions
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Chart - Social History
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Chart - Work History
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Chart - Past Medical History
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Chart Review Questions
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Download Initial Evaluation Form
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Interview
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Interview Questions
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Pain Assessment
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Pain Assessment Questions
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Home Evaluation Interview
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Home Evaluation Interview Questions
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Employment Interview
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Employment Interview Questions
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Cognitive Screen – Short-Blessed Test
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Cognitive Screen – Short-Blessed Test Results
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Cognitive Screen – Short-Blessed Test Results Questions
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ASIA Form Download
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ASIA Test
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ASIA Questions
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Out of Bed
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Out of Bed Questions
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Jenny's Wheelchair and Seating System
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Bed Mobility and Transfer
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Bed Mobility and Transfer Questions
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Lower Extremity Stretching on Mat
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Lower Extremity Stretching on Mat Questions
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Read Jenny’s article published on AOTA website
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Jenny's ASIA Key
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Completion Checklist
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Summative Exam Preparation
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Summative Exam
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ClinEdWeb Jenny Case Scenario: Simulation Effectiveness Tool -‐ Modified *Leighton, K., Ravert, P., Mudra, V., & Macintosh, C. (2015)
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About this course
- $45.00
- 39 lessons
- 0.5 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.
Email
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 spinal cord injury and mobility
❏ Demonstrate understanding of common spinal cord injury complications
❏ Identify terminology and common symptomology pertaining to Spinal Cord Injury
❏ Recognize role of occupational therapy in acute rehabilitation of persons with spinal cord injury
❏ Recall mobility devices and assistive technology that is supportive of occupational performance
❏ Demonstrate understanding of pharmacology used to alleviate symptomology commonly associated with Spinal Cord Injury diagnosis
❏ Identify commonly used cognitive and physical evaluation tools appropriate for assessing baseline performance skill level of persons with spinal cord injury
❏ Complete point-of-service electronic documentation
❏ Demonstrate understanding of spinal cord injury levels and classification
❏ 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 American Spinal Cord Injury Association International Standards for Neurological Classification of Spinal Cord Injury
❏ Demonstrate understanding of the evaluative process and scoring of Manual Muscle Testing
❏ Demonstrate understanding of the evaluative process and scoring of bed mobility and transfers
❏ Demonstrate understanding of the evaluative process and scoring of light touch and pain dermatome 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
❏ Identify the purpose, process, and interpretation of data collected from interview
❏ Recommend direct interventions, including assistive technology, to support safety, function, and access in home and work environment
ACOTE Standards Addressed:
The following 2018 Accreditation Council for Occupational Therapy Education (ACOTE) Standards are addressed in the “Jenny” Case Scenario.
Standard Number |
Skill
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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. |
Observation of cognition, strength, sensation, and mobility assessments Observation of Interview Completion of Case Scenario Formative assessment Completion Certificate: Passing score on summative 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. |
Observation of cognition, strength, sensation, and mobility assessments Observation of 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 |
Observation of cognition, strength, sensation, and mobility assessments Observation of 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 common spinal cord injury related complications, 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 |
Observation of practitioner in the case scenario modeling 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 Observation of Interview Assessments addressing client factors, performance skills, and performance patterns Occupation-based interventions addressed in case scenario are based on results of assessments performed Completion of Electronic Initial Evaluation Form which requires formulation of a plan 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. |
Observation of cognition, strength, sensation, and mobility assessments Chart review Observation of 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). |
Observation of cognition, strength, sensation, and mobility assessments Chart review Observation of 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 and ASIA Forms |
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 regarding assessment data 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 to include treatment plan and goals |
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. |
Correct choice of mobility device and seating in formative assessment, observation of video of mobility and seating system, and passing of summative assessment with Completion Certificate |
B.4.13. |
Functional Mobility |
Provide recommendations and training in techniques to enhance functional mobility, including physical transfers, wheelchair management, and mobility devices |
Observation of total assist bed mobility and transfer, demonstration of power tilt mechanism 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 and ASIA Form |
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. |
Observation of practitioner in the case scenario modeling clinical training of 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. |
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. |
Observation of Interview Completion of Electronic Initial Evaluation Form Completion of Case Scenario Formative assessment (i.e. questions regarding discharge environment) Completion Certificate: Passing score on summative assessment |
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