Summary
Summary Impairments
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Impairments Shortness of breath
- (Dyspnea) inability to draw breath into the lungs involved in the pulmonary system. It
can be short terms or last as a chronic condition- less oxygen can get to your organs
causing reduced energy levels.
- Can be caused by physical condition COPD reduces elasticity of bronchi’s, COVID
which affects the lungs, asthma irritates the airways causes oxygen saturation to drop
lifestyle factors smoking reduces rate of gas exchange, , allergy, mental health
conditions such as anxiety,
- More risk of falls and fatigue or pain in chest.
- Can affect rest and sleep if there is pain.
- doing occupation whilst sitting down to reduce risk of falls and maintain energy levels to
pace.
- ESTABLISH AND RESTORATIVE- Breathing techniques can be used to reduce
breathlessness increases the airflow and oxygen intake.
- COPD Bathing- - shower stool or bath board, store shower items in close reach, use
warm not hot water steam increases shortness of breath.
- EDUCATION- help someone stop smoking and a healthier lifestyle via leaflets or
sessions.
Fatigue
- Extreme tiredness from mental or physical exertion or illness that is harder to overcome
by rest or sleep.
- Depression, anaemia, stroke,
- Affect participation in occupations, no motivation, lower energy levels.
- ESTABLISH AND RESTORE a routine- Plan pace priorities activities, take breaks.
Make timetables.
- COMPENSATORY- When dressing dress lower half more energy, sit down, collect
clothes before you start use sock aid or button hook. Bathing- bath boards, stuff in
reach.
Reduced strength (globalised deconditioning)
- Is caused by physiological factors like inactivity or bed rest.
- Bedridden in hospital can cause this.
- May not be able to lift or raise iadls such as shampoo bottles.
- When shopping pushing trolly and picking up bags will be harder with less strength.
- Muscle strengthening activities that involve occupations.
- Filling the kettle and boiling it, grade the activity, restorative approach. Or glass of
water.
- Dressing or cooking as an intervention
Reduce stability (static and dynamic balance
- Stability is in terms of how you manage your centre or gravity.
- Parkinson’s- shaky, gait impairments- mobility issues, frailty with co-ordination
difficulties , CP, Stroke brain damage.
- Fearful of falls, reduce independents, reduces social participation,
- Static balance is when the person is stationary (affects standing and posture).
- Frames without wheels and walking sticks are used to increase the centre of gravity
when stationary.
- Dynamic balance is balance and centre of gravity when moving.
- This will affect moving like walking or transfers.
- Frames that have wheels are used to increase the centre of gravity when moving.
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