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Chapter 19 Rehabilitation Health Care Science Technology Copyright © The McGraw-Hill Companies, Inc. Objectives State the goal of rehabilitation. Discuss the roles and responsibilities of people who have careers in the field of physical therapy. Compare careers in occupational therapy and recreational therapy. 2 Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Objectives (cont.) Discuss the roles and responsibilities of a speechlanguage pathologist and an audiologist. Discuss the use and practice of communicating with sign language. Successfully complete 7 rehabilitation procedures. 3 Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Careers in Rehabilitation 19-1 4 Physical Therapy Careers Occupational Therapy Careers Recreational Therapy Speech, Language, and Hearing Careers Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Careers in Rehabilitation The goal of rehabilitation health care workers is to help people develop or recover as many of the abilities for the activities of daily living (ADL) as possible. Physical therapy careers include: – – – 5 Physical therapy aide. Physical therapy assistant. Physical therapist. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Careers in Rehabilitation (cont.) Occupational therapy careers include: – – – Recreational therapy careers include: – Recreational therapist. Speech, language, and hearing careers include: – 6 Occupational therapy aide. Occupational therapy assistant. Occupational therapist. – Speech-language pathologist. Audiologist. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Physical Therapy Careers 7 Physical therapists – experts in examining and treating problems that affect clients’ abilities to move and function in their daily lives. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Physical Therapy Careers (cont.) Physical Therapy Aide – – 8 Not licensed, so they do not perform the clinical tasks of a physical therapist or physical therapy assistant. Duties may include clerical tasks, filling out insurance forms, and transporting clients. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Physical Therapy Careers (cont.) Physical Therapy Assistant – – – 9 Holds 2-year associate degrees that are offered by junior, community, and/or technical colleges. Performs components of physical therapy procedures under the supervision of a physical therapist. Provides services that improve mobility, relieve pain, and prevent or limit permanent physical disabilities. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Physical Therapy Careers (cont.) Physical Therapist – – Takes basic science and specialized courses to obtain a college degree. Some programs require volunteer service. Responsibilities include: Examining client’s medical histories. Testing and measuring client’s strength, range of motion, balance and coordination, posture, muscle performance, respiration, and motor function. 10 Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Occupational Therapy Careers 11 Occupational therapist – helps clients of all ages regain, develop, or master everyday skills such as dressing, grooming, bathing, and eating. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Occupational Therapy Careers (cont.) Occupational Therapy Aide – – – – 12 Receives on-the-job training. Prepares materials and assembles equipment used during treatments. Answers the telephone, restocks, and orders supplies. Fills out insurance forms and other paperwork. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Occupational Therapy Careers (cont.) Occupational Therapy Assistant – – – 13 Works under the supervision of an occupational therapist. Holds an associate’s degree or a certificate. Assists the occupational therapist with rehabilitative activities and exercises. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Occupational Therapy Careers (cont.) Occupational Therapist – – – 14 Obtains a 4-year degree certificate. Helps people develop, recover, maintain, or improve their ability to perform necessary tasks. May work in schools, with the elderly, or with the mentally challenged. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Recreational Therapy Helps clients restore function and independence. Also called therapeutic recreation. 15 Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Recreational Therapy (cont.) Recreational Therapist – – 16 Uses arts and crafts, music, drama, animals, sports, and games to treat clients with physical and mental problems. The goal is to help clients reduce depression, stress, and anxiety. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Speech, Language, and Hearing Careers 17 Speech-language pathologists assess, treat, and prevent communication and swallowing disorders. Audiologists assess and treat hearing and balancerelated problems. Certified speech-language pathologists and certified audiologists usually must obtain a master’s degree. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Speech, Language, and Hearing Careers (cont.) Speech-Language Pathologist – Works with clients who have: Difficulty making speech sounds. Problems with speech rhythm and fluency. Voice quality problems. Difficulty understanding and producing language. A wish to improve their communication impairments. Oral motor problems. 18 Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Speech, Language, and Hearing Careers (cont.) Speech-Language Pathologist (cont.) – 19 Speech and language problems can result from a variety of conditions, such as: Hearing loss. Brain injury or deterioration. Cerebral palsy. Stroke. Cleft palate. Cognitive disabilities. Emotional problems. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Speech, Language, and Hearing Careers (cont.) Audiologist – – – 20 May work in a variety of settings, often as a member of an interdisciplinary team of professionals. Uses audiometer to determine the loudness at which a client begins to hear sounds. Fits and tunes cochlear implants. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Section 19-1 Apply Your Knowledge Which therapist uses games, sports, and arts and crafts to help clients restore independence? Answer: Recreational therapist. 21 Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Rehabilitation Procedures 19-2 22 Range of Motion Exercises Transfer (Gait) Belt Crutches Canes Walkers Clients Who Are Falling Examinations of the Ear Testing Hearing Sign Language Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Range-of-Motion Exercises Help maintain muscle tone and joint flexibility and prevent contractures. The 3 categories of range-ofmotion exercises are: – – – 23 Active range-of-motion. Active assisted range-of-motion. Passive range-of-motion. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Transfer (Gait) Belt A band of fabric or leather that is positioned around a client’s waist during transfers or ambulation. Should never be applied to a client’s bare skin. 24 Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Crutches One type of walking aid for clients who are unable to use one leg or who need to gain strength in both legs. Usually prescribed by a physician and fitted by a therapist. 25 Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Canes 26 Walking aids used by clients who have weakness on one side of the body to gain balance and support. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Walkers Support devices with a frame, hand grips, and four points at the bottom. Provide more support than a cane or crutches. 27 Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Clients Who Are Falling Factors that increase the risk of falling are: – – – – – 28 Advancing age. Impaired vision. Confusion. Diarrhea or urinary frequency. Medications that cause sedation. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Examinations of the Ear 29 An otoscope is used for routine examinations of the ear. Some can deliver a small puff of air to the eardrum. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Testing Hearing An audiogram – a graph used to determine the extent of hearing loss. It shows low pitch or frequencies (tones), indicating where hearing levels start. The unit of measurement is called a decibel (dB). The 3 types of hearing loss are: – – – 30 Conductive. Sensorineural. Mixed. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Sign Language American Sign Language (ASL) is similar to spoken languages. – – 31 Uses a single gesture to express many ideas and concepts. Communicates the alphabet, numbers, and over 1200 words or phrases using hands and gestures only. Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Section 19-2 Apply Your Knowledge What unit of measurement is used for sound? Answer: Decibel (dB). 32 Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Procedures in Student Text 19A 19B 19C 19D 19E 19F 19G 33 Performing Range-of-Motion Exercises Ambulating a Client with a Transfer (Gait) Belt Ambulating a Client with Crutches Ambulating a Client with a Cane Ambulating a Client with a Walker Helping a Client Who Is Falling Removing and Inserting a Hearing Aid Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Additional Procedures in Lab Activity Manual LM19-1 34 Assisting with an Examination of the Ear Copyright © The McGraw-Hill Companies, Inc. Chapter 19 Chapter 19 Credits Slide 10 Slide 14 Slide 15 Slide 17 Slide 27 35 Corbis Mark Richards/Photo Edit Hank Morgan/Science Source/Photo Researchers Terry Wild Studio Lou Bopp Photography Copyright © The McGraw-Hill Companies, Inc. Chapter 19