...Recovery and Neural Reorganization After Stroke Thomas Pearl SUNY Downstate ALWAYS JUSTIFY YOUR PAPER ….AS IN THE ALIGNMENT … NOT LEFT Over 750,000 strokes occur annually in the United States alone. The majority of those suffering a stroke have ongoing reductions in contralateral arm and hand functions that interfere with accomplishing goal oriented activities and vocational needs (Richards, Stewart, Woodbury, Senesac, & Cauraugh, 2008a). Knowing the best methods to promote motor recovery in arm and hand functioning is therefore critical in stroke rehabilitation. Lori Gage Richards, (PhD, OTR/L) is an active researcher and educator seeking to uncover which therapies drive neural reorganization after a stroke, and what are the most effective strategies leading to improvements is UE function. Richards is currently Associate Professor and Chair of the Occupational Therapy Department at the University of Utah. She was recently appointed editor-in-chief of the American Journal of Occupational Therapy and serves as Chair of the Nursing and Rehabilitation Committee-Stroke Council, of the American Heart Association. Additionally at the American Heart Association, she is a member of both the Leadership Council - Stroke Council and the Stroke Rehabilitation and Recovery Committee - Stroke Council. Her current professional affiliations include the American Occupational Therapy Association (AOTA), Society for Neuroscience, and the American Congress of Rehabilitation Medicine....
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...The topic I have decided to research on is based on the productive work environments for millennials. I shall focus on this topic by looking at how managers can manage and retain the millennials in the workplace. I find this topic interesting and relevant to research in the business context because as a millennial, I find it interesting how; based on the numerous research articles (which shall be further explained in this paper), there are a lot of stereotypes surrounding managing and retaining millennials and due to the research I discovered that managers can use Theory Y; also known as the behavioral theory approach (more people centered) to manage millennials. ANNOTATED BIBLIOGRPAHIES 1- Kilber, J., Barclay, A., & Ohmer, D. (2014). Seven...
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...Annotated Bibliography Alagesan, J., & Shetty, A. (2011). Effect of Modified Suit Therapy in Spastic Diplegic Cerebral Palsy - A Single Blinded Randomized Controlled Trial. This source gives background information about suit therapy and how it is an effective intervention for children with cerebral palsy. Alagesan and Shetty’s article focuses on how this alternative therapy is used to improve gross motor movement in children who have cerebral palsy. In the study, thirty randomly chosen children, ages four to twelve years old, were chosen to study the effects suit therapy has on gross motor movement. Gross motor function was measured before and after the intervention, demonstrating the results suit therapy can have on children who have cerebral palsy. The study concluded that suit therapy, when combined with other therapies, is an effective intervention for spastic diplegic cerebral palsy. This source is credible because it was published in the Online Journal of Health and Allied Sciences. This means it was peer-reviewed, which makes it credible....
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...Therapy Billing Tips Provider Reference Supplement [pic] HP Enterprise Services, Arkansas Title XIX Document Date: 5/12/2010 HP Enterprise Services Arkansas Title XIX Account 500 President Clinton Avenue, Suite 400 Little Rock, Arkansas 72201 (501) 374-6608 HP Enterprise Services and the HP Enterprise Services logo are registered trademarks of HP Enterprise Services. All other logos, trademarks or service marks used herein are the property of their respective owners. HP Enterprise Services is an equal opportunity employer and values the diversity of its people. © 2010 HP Enterprise Services. All rights reserved. Contents Introduction 3 Eligibility 4 Restricted Aid Categories 4 All Arkansas Medicaid Aid Categories 6 Therapy Benefits 10 Program Coverage 12 Prior Authorization Request Procedures for Augmentative Communication Device (ACD) 15 Evaluation 15 Contact List for Reviews, Managed Care and Authorizations 16 National Place of Service Codes 18 Quick Tips for Submitting Claims 19 Introduction to Billing 19 CMS-1500 Billing Procedures - Occupational, Physical, Speech Therapy Procedure Codes 19 Augmentative Communication Device (ACD) Évaluation 22 Billing Instructions - Paper Only 22 Completion of the CMS-1500 Claim Form 22 Special Billing Procedures 29 Common Billing Errors 30 Brief Overview of Benefits 31 Contact Information 32 Introduction This Billing Tips document serves as a training supplement...
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...The article that I have chosen is Early Detection of Parkinson’s disease through handwriting. The topic of this article is disorders and syndromes: Parkinson’s disease. The authors of this article are Sara Rosenblum, Margalit Samuel, Sharon Zlotnik, Llana Erikh, and Llana Schlesinger. The source I used to come to this article is sciencedaily.com. Dr. Ilana Schlesinger, head of the Center for Movement Disorders and Parkinson's disease at Haifa’s Rambam Medical Center and occupational therapists helped to conduct this experiment. Prof. Sara Rosenblum, of the University of Haifa’s Department of Occupational Therapy, initiated the study. She believed that identifying the changes in handwriting could lead to an early diagnosis of the illness. During this study, they gathered forty participants, all adults with at least twelve years of schooling. Half of the participants healthy, and the other half known to be in the early stages of Parkinson’s disease (before motor signs are visible). They were instructed to write their names and a given address on a regular piece of paper that was placed on electronic tablet, while using a special pen that had pressure-sensitive sensors operated by the pen when it hits the writing surface. The number of parameters: writing form, time required, and the pressured exerted were compared using a computerized analysis. Once the results were in, it showed a great difference between the healthy and the patients. All subjects, except for one had their...
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...total knee replacement. Her PT and INR were a concern because she had developed mild thrombocytopenia which resulted in the elevation and potential bleeding. The physician had to take her off of Lovenox and switch her to an oral anti-coagulant Xarelto at 10mg once daily. During her care I was educated by the interdisciplinary teams managing mobility, safety, and the more modern approaches with a total knee replacement. The purpose of this clinical summary paper is to discuss managing mobility after a total knee replacement. REVIEW OF RELATED LITERATURE In seeking out information on this topic, I used the Amarillo College Library Network and CINAHL database on campus and opened as many articles that I believed would aid in my research. The words I used for searching were: TKR, total knee care, and managing total knee replacement. The contributing factors gave me the articles that related to my patient that I had cared for in clinicals. These searches took me to the information that I was in need of for my paper. Turner’s (2011) primary focus was about care prior to surgery, during, post-operatively, and nursing care. Although this article is a basic overview from preoperative care to discharge, her agenda is clear that importance of risk factors, assessments and labs should be monitored. The main emphasis of this article is to follow assessments and interventions post operatively. Starting with vital signs and trending them as well as pain status and level...
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...Critically Appraised Paper Activity Analysis Adeline Pierre OTR 625: Advanced Clinical Reasoning Barry University Dr. Beckley August 22, 2010 CRITICALLY APPRAISED PAPER (CAP) WORKSHEET CITATION: Moraska, A., Chandler, C., Edmiston-Schaetzel, A., Franklin, G., Calenda, E., & Enebo, B. (2008). Comparison of a targeted and general massage protocol on strength, function, and symptoms Associated with carpal tunnel syndrome: a randomized pilot study. Journal Of Alternative And Complementary Medicine (New York, N.Y.), 14 (3), 259-267. Retrieved from MEDLINE database. | FOCUSED QUESTION: Can massage therapy be an effective conservative intervention method for the treatment of carpal tunnel syndrome? | PROBLEM STATEMENT (JUSTIFICATION OF THE NEED FOR THE STUDY): Carpal tunnel syndrome is the most reported nerve compression syndrome. The cause of this syndrome is due to fibrotic tissue build up along with compression in the carpal tunnel. Conservative care is recommended before surgery is recommended. In doing so, this author is investigating the effectiveness of massage therapy for relief of nerve compression to reduce connective tissue fibrosis, edema, or musculoskeletal disturbance. | RESEARCH OBJECTIVE(S): List study objectives. The aim of this study was to evaluate the effectiveness of two distinct massage therapy protocols on strength, function, and symptoms associated with carpal tunnel syndrome (CTS). | Describe how the research objectives address...
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...noticed that when it got really loud, or whenever we were doing an activity involving a lot of tactile input, certain kids would pull away and repeat certain behaviors. One particular kid would hunch his back, hyper-extend his fingers, shake them vigorously, as if to dry them off in absence of paper towels, and rock back and forth on his heels. These types of behaviors were relatively commonplace in my experience and I accepted them as absolutely harmless. I had seen the calming affect these rituals had on my classmate. My five year-old self was unknowingly picking up on behaviors that were the hallmark of autism. I attended an elementary school that was located in the autism hub of the county; so several students with autism were mainstreamed, or assimilated, into my classes. These students were not the majority. Rather, neurotypical students, a term used to describe children without a diagnosis of an autism spectrum disorder, composed the majority of our school’s population. As I have received more schooling and worldly experience, I have come to know and love the autistic community. I even chose a career path that will lead me to help treat children with autism as an Occupational Therapist. As I set out on my journey researching autism spectrum disorders, I sought answers to the loaded question, what is the best hope for a child diagnosed with an autism...
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...Title UAPSY401 Social Psychology Part II Units 1. Stereotyping, Prejudice and Discrimination 2. Social Influence 3. Aggression 4. Groups and Individuals 1. Physical, Social and Personality Development in the Preschool Years 2. Cognitive Development in Pre-school years 3. Physical, Social and Personality Development in Middle Childhood 4. Cognitive Development in Middle Childhood Credits 3 Marks 100 ( 60 +40) UAPSY402 Developmental Psychology: Part II 3 100 ( 60 +40) UAPSY 301 Semester III. Social Psychology: Part I (Credits = 3) 3 lectures per week; 45 lectures per Semester Objectives: 1. To impart knowledge of the basic concepts and modern trends in Social Psychology 2. To foster interest in Social Psychology as a field of study and research 3. To make the students aware of the applications of the various concepts in Social Psychology in the Indian context Semester III Unit 1: The Field of Social Psychology a) Social Psychology: what it is and what it does 3 b) Social Psychology: its cutting edge c) A brief look at...
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...Challenges in identifying and treating personality disorders: Change the catalyst of research! Personality disorders are psychiatric disorders characterized by chronic patterns of inner experience and behavior that are inflexible and present across a broad range of situations. They have a marked impact on patients’ interpersonal relationships, and social and occupational functioning, and can lead to problematic interactions in the medical setting (Ward, 2004). Personality disorders come in many forms of behaviors: from antisocial, narcissistic, avoidant and extreme and they are often regarded as conditions that are difficult to identify and treat effectiveness. As a result, there are many reasons for the incidence of persons with this behavior ceasing treatment programs prior to its completion. Dingfelder (2004) suggests that people with borderline personality disorders quit treatment programs about 70 percent of the time. This paper seeks to identify primary sources that provide research-based explanations of why struggles in effectiveness in the identification and treatment of personality disorders exist. It will also provide a proposal for a new research study that will help provide more information about increasing the effectiveness of treatment of such disorders. Effective Treatments from Research Personality disorders, according to the Diagnostic and Statistical Manual of Mental Disorders are categorized into three clusters based on their primary...
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...Running head: HEALTH PROMOTION IN NURSING CARE HEALTH PROMOTION IN NURSING CARE Donna Pisarski Grand Canyon University Family-Centered Health Promotion NRS-429V Ms. Renita Holmes September 21, 2012 Health Promotion in Nursing Care This paper will discuss health promotion and what health care changes are occurring. Through the expanding role in nursing this paper discusses what those roles will entail and the use of primary, secondary, and tertiary care when developing a patient centered care plan. The health care field has been traditionally based around a concept of healing the ill, finding cures, and eradicating disease through immunizations, health being viewed as the absence of disease. Today’s medicine is changing to a new process, a process of promoting health and wellbeing through disease prevention, the teachings of healthy eating and being physically fit. A push to get people involved with and take responsibility for their own health is known as “health promotion”. President Obama signed the Affordable Care Act on March 23,2010, by doing this the whole climate of health care change. A call out for all health care professionals to practice to the full extent of their education and competencies, to streamline health care towards a patient centered system, and deliver a more primary care approach (Institute of Medicine, 2011, pp. 86-87). The goal by doing this is to improve health and wellness, quality of life, and in-turn reduce health care expenditure in...
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...A review paper published in the Canadian Medical Association Journal provides a summary of the current understanding of ASD and suggests a comprehensive set of guidelines on best practices for detection, diagnosis and treatment for children with autism based on the currently available evidence randomized controlled trials (RCTs) or systematic reviews. - See more at: "We have come to understand ASD as a remarkably heterogeneous constellation of conditions that covary with other disabilities and disorders (e.g., intellectual disability, epilepsy, ADHD, anxiety disorders) and various medical problems," writes Dr. Stephen Scherer, senior scientist and director of The Centre for Applied Genomics at The Hospital for Sick Children (SickKids) and director of the McLaughlin Centre at the University of Toronto, with coauthors. "Recent discoveries of underlying genomic factors have shown great complexity and implicate various networks of causal factors." ASD, which includes a variety of traits that range from mild to severe, is estimated to affect about 1% of the population, although it is under-recognized in the developing world. The review, by specialists in pediatrics, psychiatry, epidemiology, neurology and genetics from across Canada, outlines the current understanding of ASD and best practices for pediatricians, family doctors and specialist clinics, and identifies resources for clinicians. Topics include: What causes autism? The causes are thought to be multi-factorial: genetic...
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...Literature Review Kendall Powell Liberty University Abstract This paper includes a reference list of literature relating to early intervention and children with special needs. In general, the literature seems to indicate that early intervention makes a impact on the success of children with disabilities when entering school. They perform to the abilities to that of their typically developing peers. Intervention programs are set up to help children and families. The articles research the affects of these programs on children with disabilities. Introduction The purpose of this review is to further understand early intervention and its role in special education. I wanted to study this topic because it is something I work with on a daily basis. The idea for my research came about during a staff meeting with the institute’s new president. As the president was asking questions and getting to know the staff and workings of the institute, the statement that the students who leave here are not as prepared for kindergarten when they leave here as they have been in the past. As a teacher this troubled me because isn’t the point of prekindergarten to prepare a child for kindergarten? If the typically developing peers aren’t prepared for kindergarten what does that mean for the students with disabilities? Are they farther behind or are they the ones being prepared to move forward in their education? With these questions in mind I wanted to see how an early intervention program...
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...The Challenges of an Engineer April 15, 2010 Name Department of Electrical Engineering University of South Carolina Columbia, SC 29208 Name April 14, 2010 ELCT 361 ABET Paper The Challenges of an Engineer As technology gets more advanced, there is a higher need for power. Even though we are in a recession, the demand for power has not decreased as much as most areas. Of course there are power plants present and specifically placed in certain locations, but there are other factors that needed to be taken into account. One of these factors is how the power is going to be delivered to the upcoming businesses. The answer to this question is power lines. Power lines are one of the cheapest was to deliver power across a distance. They are connected to tall posts which are convenient for the business and the power company. The heights at which they are located are far enough above ground that there is less noise and interference. Things such as builds or walls interfere with the electric and magnetic field that is being given off by the power lines. The problem really affects cities the most. In most major cities such as New York, there is no land to really build on so much business and homes build up. This is quite apparent because New York houses some of the world’s tallest buildings. One of which is the Empire State Building. Aside from this, the power companies still have to run and deliver power to the homes and businesses. The problem is the health problems...
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...focused on interprofessional education. This simulation combined nursing students with students in areas such as occupational therapy, athletic training, social work, and health administration. By working together as a team throughout this simulation, we were able to implement interventions related to the case of a young, pre-diabetic college student in order to provide her with optimal healthcare. A few of the key interventions that took place were assessments performed by the nursing students within our scope of practice, creation of a care plan and healthcare goals, involvement from social work students to assist the patient in obtaining a...
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