Occupational therapy for scarf injury
Rabeya Ferdous
Scarf is traditional dress of women in Bangladesh. Most women wear it in different style. But it can cause harm sometimes death may also occur. In Bangladesh, battery-run auto rickshaw, nosimon, korimon and tempo is common vehicle to move one place to other. Since these are going faster than traditional rickshaws. Women are injured by these vehicles.Scarf injury is a common cause of Spinal Cord Injury (SCI) in our country. This may cause SCI in cervical region.
Spinal Cord is the important part of human body. But it can be injured in different reason. Thats why a great change can occur in life. It can cause paralysis of the body part or whole body. Patient with spinal cord injury need to compensate his or life with paralysis. Sometimes patient of Spinal Cord Injury (SCI) may die.
Symptoms of Spinal cord injury include:
Both hand and leg or both leg (lower half of the body) can be paralysed
Difficulty to control body movement like person may not work his hands, cant sit, cant walk etc.
Difficulty to understand sensation of the whole body or parts of the body.e.g. person may have not bowel or bladder control
Person may have problem to do daily activities like eating, dressing, bathing, toileting, combing hair, brushing teeth and so on.
However person also face difficulty to continue job and others work
Why Occupational Therapy need?
Occupational therapy helps to solve the problems that interfere with your ability to do the things that are important to you. It can also prevent a problem or minimize its effects.
When an injury, illness, disability or other problem limits your ability to:
Take care of yourself,
Participate in paid or unpaid work, or
Enjoy your leisure time, e.g. hobbies, sports, spending time with family,
Then you may want to learn some new skills for the job of living from an occupational therapist.
Occupational therapists believe that occupations (activities) describe who you are and how you feel about yourself. If you are unable to do the things you want, or need to do, to live and enjoy your life, your general well-being may be affected.
What are treatment of Occupational therapy?
The Occupational Therapy (OT) services in the Spinal Cord Injury start from admission to discharge into the community. The main areas of OT intervention are:
Bed mobility and functional transfers: for example - training and practice in bed mobility and in getting to and from the bed, wheelchair, shower chair, toilet, bath, stair lift, sofa, car and other transfers for daily living.
Daily living skills: for example - training and practice in self-care and domestic tasks such as washing, dressing, feeding, drinking, grooming and housekeeping. Wheelchair, posture and cushion requirements: for example - trial and assessment for a wheelchair (manual and/or powered) that allows for maximum independence. Identification of appropriate pressure relieving cushions. Posture assessment and identification of correction/support systems required. Liaison then takes place with each patients local wheelchair service for provision of equipment
Hand therapy: for example - maintaining range of movement, oedema management, assessment and training of functional potential, splint provision to prevent deformity, maintain aesthetics and replace function.
Communication aids: for example - trial of equipment to aid communication such as telephone adaptations, writing splints, computer keyboard hand splints, mouth sticks, environmental control units.
Community living skills: for example - advice on returning to work, returning to driving, training and practice in advanced wheelchair skills (slopes, kerbs, rough terrain, stairs), arranging driving lessons, assistance with establishing routines and problem solving.
Leisure Vocational Training Involve the patient in different leisure activities as well as select vocational training area according to preference.
Home Modification: Occupational Therapist modifies the patients home according to needs.
From where you will get the treatment
In Bangladesh,only Centre for Rehabilitation of the Paralysed (CRP) is working with this of patient from acute phase to community reintegration phase. As we have four phases of treatment.Occupational therapist work these four phases: Acute Phase,Active Phase,Rehabilitation Phase Community reintegration phase. All phasess are equal importance.
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