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George Banks (Problem List ("Garbled speech" (Possible aphasia),…

- - - - R 3/5, L 5/5
    - - R 3/5; L 5/5
- - - - Control of voluntary movement
        
        Difficulty bringing food to mouth
        
        opening/closing mouth
  - - - Speaks fluently
    - - Coordinates
      - Lifts
      - Grips
      - Walks
      - Endures
- - - - Up: verbal or written instruction, take away supports
      - Down: Providing visual images/instruction or tactile cues; providing additional supports for posture
- - - - Up: Have Pt retrieve water by self; Slowly increase amount of textured/harder foods
      - Down: Thickened fluids or reduce amount of time Pt feeds self
- - - - Resting hand splint
    - - Up: Increase amount of repetitions, time on activity, speed, weight of task
      - Down: Decrease amount of repetitions, time on activity, speed, weight of task
    - - Moving the arch-ring, throwing and catching the ball, and cup shifting were provided
        in gross motor exercise
      - peg-boards and block construction were used for fine motor exercise.
- - - - Up: Regular toothbrush. Provide written instruction, have Pt perform in bathroom at sink
      - Down: Perform on client or have them perform oral hygiene routine in bed/EOB; Aspirating toothbrush or a uilt up handle on toothbrush; Provide demonstration and cuing
- - - - Up: decrease frequency of AT us and amount of AT supports
      - Down: Increase frequency or amount of AT supports