Home-visit occupational therapy for right hemiplegia and ataxia after brainstem hemorrhage: A case study of excretion movement leading to independence through changing the movement method and environmental adjustment Taishi Sakiyama 1 1Kishu Rihabilitation Visiting Care Station (Former affiliation; Nursing Care Division, Nanroukai Kiwa Hospital) Keyword: 重度要介護 , 訪問作業療法 , 排泄 , 連携 , Severe to nursing , Visiting occupational therapy , Excretion , Cooperation pp.434-439
Published Date 2018/8/15
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 Visiting occupational therapy for persons with severe disabilities including right hemiplegia, and ataxia at the four limbs and the trunk by brainstem hemorrhage was investigated. Initially, almost 100% ADL was required. However, 10 months post-intervention saw improvements in independent ADL. After 12 months the excretion method was changed from standing to seated positions. Seventeen months later, outpatient rehabilitation was carried out, and 20 months later, portable toilet safety was improved by putting safeguard materials on four points of foot parts. Finally, 22 months later, elimination was performed independently. Results indicate that visiting occupational therapy is useful in evaluating physical function, ADL behavior, and living environments of persons requiring critical care. Also, performing multi-occupational collaboration, and directly supporting living situations improved living behavior.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会