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Maintaining roles
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• Patient informs about family pattern
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• Roles in the patient’s family
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• Occupational therapist advises patient in maintaining roles despite illness
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• Using assistive devices
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Compensatory strategies
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• Ergonomics
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• Advice on work techniques
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• Information about energy-saving methods
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• Assistive devices
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• Delivery
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• Instruction
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• Supervision on use
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Cooperation between occupational therapist and other health professionals (without patient being present)
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• Practical matters in the departments
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• Conferences
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• Arranging help in patient’s home after discharge
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• Telephone calls
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• Referral to local specialists for support and treatment, i.e. GP, physiotherapist, occupational therapist
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• Planning the intervention
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Training daily activities
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• Personal activities
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• Dressing
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(occupational therapist observes and guides the patient)
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• Bathing
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• Occupational and household activities
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• Work
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(occupational therapist observes and guides the patient)
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• Housework
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• Leisure activities
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• Swimming
|
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(occupational therapist observes and guides the patient)
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• Watching TV
|
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Home modifications
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• Adapting the environment to meet the patient’s needs.
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• Refurnishing
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• Installation of ramps
|
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• Installation of raised toilet seat
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• Rearranging the room functionality
|
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Prioritising daily activities
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• Occupational therapist assists the patient in prioritising daily activities
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• Receiving assistance with some activities
|
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• Sustaining self-reliance in the most important activities
|
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Upper-limb orthoses
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• Adjustment
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• Hand orthoses
|
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• Supply
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• Lymphedema gloves
|
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Facial Oral Tract Therapy (FOTT)
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• Specific analysis of difficulties handling eating procedures
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• Cleaning teeth
|
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• Posture, movement, sensation
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• Eating
|
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• Exercises
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• Drinking
|
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Instruction and self-training
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• Instruction in transfer
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• Accessibility
|
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• Mobility
|
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• Self-training programmes
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• ADL training
|
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• Physical training
|
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• FOTT exercises
|
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Rehabilitation plan for intervention in primary health care
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• Rehabilitation plan is made in cooperation between patient and occupational therapist and sent to therapists in primary health care
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• Functional level at time of discharge
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• Rehabilitation goals
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