Please enable JavaScript.

Coggle requires JavaScript to display documents.

Homer Xiang, Sr. (Problem List (Risk for falls, Decreased weight,…

- - - - Semi-thick liquids with nutritional supplement via PEG
- - - - Hygiene routine--brushing teeth
      - Getting dressed
      - Transferring
- - - - Sill sit independently with no support or props to improve posture, will maintain stability with trunk control and symmetry
    - - Allow for compensatory strategies like using UE for support to increase stability
  - - - Decreases risk for pneumonia
      - Allows for sensory and motor stimulation
      - Therapist will provide hand over hand assistance to practice hand movement and sequencing for brushing teeth, client will practice moving tongue around to not interfere with tooth brushing
    - - Client will only use verbal cues to perform oral care without hand over hand assitance
    - - Client will practice grasping tooth brush and then allow therapist to provide full assistance for oral care, use sponges if too sensitive to toothbrush/paste
  - - - Stick out tongue, put pressure on top of tongue and resist
      - Extend tongue to side of mouth with resistance on opposite side
      - Curl tongue back into mouth and hold
      - Dry swallowing
    - - Start to introduce diet requiring little oral manipulation
    - - PROM or AAROM by stretching the tongue with a tongue depressor or gloved fingers (Gandolfi et al., 2014)
  - - - He will independently complete the whole weeks pill organizer
    - - He will be given a visual chart of what his pill organizer should look like so that he can copy the image
  - - - Independent upright positioning with postural control, harder foods/regular diet, large amount of food
    - - Therapist assistance, softer foods/liquid diet, small amount of food, slow chewing, longer time between meals