OAR@UM Collection:

Lower limb amputation : towards a successful geriatric rehabilitation

2019-10-20T05:07:29Z

Title: Lower limb amputation : towards a successful geriatric rehabilitation Abstract: Despite the advances in surgical treatment of amputation, particularly in reconstruction, it is a sad fact that the number of amputations performed is increasing. This is due to: an increase in the elderly population, an increase in the number of trauma and accidents, an unhealthy diet, smoking, vascular disease and diabetes. The main aim of an amputation procedure is to save the patients life while conserving as much limb as possible so as to make it easier for the prosthetic fitting.

Discussion of the methods used by the play therapist to encourage a silent child to share his traumatic experiences

2019-10-20T05:07:40Z

Title: Discussion of the methods used by the play therapist to encourage a silent child to share his traumatic experiences Abstract: Play therapy is a method of effective communication with a child in a play setting and it can help the child who is under stress. It allows the child to express his feelings, communicate his anxieties and frustrations. Moreover it helps the child adapt to certain situations in life e.g. bereavement. Non Directive Play Therapy is probably the most common form of play therapy used. It was devised by Virginia Axline from the therapeutic work of Carl Rogers. Axline's work is based on her theory that the child's innate drive to achieve maturity must be given the optimum- facilitating environment to achieve that goal. She highlights that '"the therapeutic value of non-directive play therapy is based upon the child experiencing himself as a capable, responsible person in a relationship that tries to communicate to him two basic truths: that no one ever really knows as much about any human being's inner world as does the individual himself, and that the responsible freedom grows and develops from inside the person" (Axline 1964a:57-58).

Experience at Sandwell General Hospital

2019-10-20T05:07:41Z

Title: Experience at Sandwell General Hospital Abstract: I commenced my duties at Sandwell General Hospital, West Bromwich on 15th July as a Rheumatologist Occupational Therapist Senior II grade. My work period terminated on the 14th December.

The application of a pain assessment tool within a hand therapy unit : a comparison of pain measurements

2019-10-20T05:07:43Z

Title: The application of a pain assessment tool within a hand therapy unit : a comparison of pain measurements Abstract: The aim of this study was to determine a reliable and valid pain assessment tool to quantify the quality and intensity of pain, providing a simple method for the therapist to administer in an acute hand therapy unit and for a hand injured patient to follow. Thirty clinical case notes were evaluated. Two separate groups were divided according to the type of pain assessments. Group 1 consisted of those subjects who were assessed by the Visual Analogue Scale (VAS) and Group 2 consisted of those subjects who were assessed by the McGill Pain Questionnaire (MPQ). The McGilI Pain Questionnaire measured quality and intensity of pain whilst the Visual Analogue Scale measured pain intensity. Pain levels' demonstrated a significant decrease between the initial pain score and the follow-up pain scores. Correlation coefficients were calculated to measure pain intensity and quality of pain attained by the Present Pain Intensity score and the Pain Rating Index score of the MPQ. Other statistical analyses measured the mean time taken to administer the initial pain score and the follow-up pain score for both pain assessments. Results demonstrated a relationship between quality and intensity of pain. Significant results for the Visual Analogue time scales (p