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- Introduction to Splinting: A Clinical Reasoning and Problem-Solving Approach
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Brenda M. Louis, Missouri
Introduction to Splinting: A Clinical Reasoning and Problem-Solving Approach
Brenda M. Louis, Missouri All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. It is the responsibility of the treating practitioner, relying on independent expertise and knowledge of the patient, to determine the best treatment and method of application for the patient.
The Publisher. With the writing of this book one can say that life happens. Therefore, I appreciate the patience of everyone involved. I specifically dedicate this book to my family, friends, and students, who continue to inspire me.
Omaha, Nebraska Orlando, Florida. Deborah A. Marlene A. As instructors in a professional occupational therapy pro- illustrations and photographs than in the previous editions. Case studies, splint analyses, and edition of Introduction to Splinting: A Clinical Reasoning documentation exercises are examples of learning activities and Problem-Solving Approach. Entry-level occupational ther- designed to stimulate problem solving.
The learning apy practitioners are expected to have fundamental skills in exercises and laboratory experiences provide opportunities splinting theory, design, and fabrication. It is unrealistic to to test clinical reasoning and the technical skills of splint think that students gain these skills through observation and pattern design and splint fabrication. A cadre of expert contributors led to several new or With the growing emphasis in the health care environment expanded chapters that reflect current practice.
This edition on accountability, productivity, and efficacy, educators of Introduction to Splinting contains 19 chapters. The must consider what skills students need to apply theory to first five chapters consist of an introduction to splinting; practice.
These the chapters both in narrative and chart formats. A focus on chapters provide fundamental information and are applied occupation-based splinting is present, including a chapter throughout the remaining chapters. The Occupational Therapy Practice Chapter 6 addresses thorough clinical reasoning processes Framework terminology is incorporated throughout the book.
The material presented in this Reasoning and Problem-Solving Approach was again designed chapter helps answer questions in case studies presented in with a pedagogy to facilitate the process of learning how to later chapters. This text Chapters 7 through 13 present the theory, design, is primarily designed for entry-level occupational therapy and fabrication process of common splints used in general students, occupational therapy practitioners and interdisci- clinical practice.
The specific splints include wrist splints, plinary practitioners who need to develop skills in splinting, hand immobilization splints, thumb immobilization splints, therapists reentering the field, and students on fieldwork. In dynamic or mobilizing splints, and splints for the elbow and past editions, students found the book beneficial because it fingers. Instructors enthusiastically welcomed splinting. Topics for these chapters include splinting for the text because the text was targeted for novice occupa- nerve injuries, antispasticity splinting, splinting on elders, tional therapy students.
Novice practitioners also reported splinting on children with congenital and developmental dis- that the book was beneficial in developing their knowledge abilities, splinting on the lower extremity, prosthetics, and and skills related to splinting.
The pedagogy employed within the book facilitates learn- A glossary of terms used throughout the book follows ing. This book also contains four appendixes. There are addi- cises, and case studies. Appendix B contains updated copies tional case studies to stimulate clinical reasoning and of self-evaluation forms that appear in the chapters. Readers problem-solving skills. Self-quizzes and review questions can complete these forms based on the splints they fabricate.
Readers are appear in the chapters. Appendixes B and C have perforated guided through splint fabrication in the laboratory with more pages. Appendix D contains a list of web resources. Although many therapists reviewed this book, each expe- We hope this third edition of the book complements your rienced therapist and physician may have a personal view on professional development! This book represents the authors perspectives and is not intended Brenda M. Additionally, we Preparing the artwork and filming for this book is time appreciate the talent and expertise of the following contrib- and labor intensive.
We are grateful for the skills of Thomas utor authors to the current and previous editions: Debbie H. Herbert photographer and J. Serena M. Coppard Deborah A. Coppard Linda S. Scheirton Dulcey G. Key Terms systems, and biomechanics to best design splints for persons. Orthosis In addition, therapists must consider and appreciate the aes- Mobilization thetic value of splints. Beginning splintmakers should be aware Immobilization that each person is different, requiring a customized approach Torque transmission to splinting.
The use of occupation-based and evidence-based Dorsal approaches to splinting guides a therapist to consider a persons Volar valued occupations. As a result, those occupations are used Evidence-based practice as both a means e.
Chapter Objectives Therapists must also develop and use clinical reasoning 1. Define the terms splint and orthosis.
Identify the health professionals who may provide splint- extremity conditions, and when necessary splint them. This ing services. Appreciate the historical development of splinting as a makers in general practice areas.
After therapists are knowl- therapeutic intervention. Apply the Occupational Therapy Practice Framework including instructing clients on their use and on precautions OTPF to optimize evaluation and treatment for a client. Describe how frame-of-reference approaches are as deemed appropriate , practical experience is essential for applied to splinting. Familiarize yourself with splint nomenclature of past and present. Definition of a Splint 7.
List the purposes of immobilization static splints. List the purposes of mobilization dynamic splints. Describe the six splint designs. Define evidence-based practice. Describe the steps involved in evidence-based practice. The text also defines orthosis as a force system designed to Cite the hierarchy of evidence for critical appraisals of control, correct, or compensate for a bone deformity, deform- research. Today, these health care field terms are often used syn- onymously.
Technically, the term splint refers to a temporary etermining splint design and fabricating hand splints device that is part of a treatment program, whereas the term D are extremely important aspects in providing optimal care for persons with upper extremity injuries and functional orthosis refers to a permanent device to replace or substitute for loss of muscle function.
Splint fabrication is a combination of science and art. Therapists must apply knowledge of occupation, pathology, Note: This chapter includes content from previous contributions from physiology, kinesiology, anatomy, psychology, reimbursement Peggy Lynn, OTR, CHT. Splints and orthoses not only immobilize but also mobi- providing splints for the lower extremities.
In addition, lize, position, and protect a joint or specific body part. Dentists frequently fabricate condition. Occasionally, nurses who have had special training fabricate splints. Splint design must be based on scientific principles. Historical Synopsis of Splinting A given diagnosis does not specify the splint the clinician Reports of primitive splints date back to ancient Egypt [Fess will make.
Splint fabrication often requires creative problem ]. Decades ago, blacksmiths and carpenters constructed solving. Such factors as a clients occupational needs the first splints. Materials used to make the splints were lim- and interests influence a splint design, even among clients ited to cloth, wood, leather, and metal [War Department who have common diagnoses. Health care professionals ]. Hand splinting became an important aspect of who make splints must allow themselves to be creative and physical rehabilitation during World War II.
Survival rates take calculated risks. Splintmaking requires practice for the of injured troops dramatically increased because of clinician to be at ease with the design and fabrication medical, pharmacologic e.
Students or therapists beginning to design and technological advances. During this period, occupational fabricate splints should be aware of personal expectations and physical therapists collaborated with orthotic and realize that their skills will likely evolve with practice. States [Rossi , p. In the mid s, under the guidance of Dr.
Bunnell many splints were made and sold Occupational Therapy Theories, commercially. During the s, many children and adults Models, and Frame-of-Reference needed splints to assist them in carrying out activities of Approaches for Splinting daily living secondary to poliomyelitis [Rossi ].
During this time, orthotists made splints from high-temperature The OTPF outlines the occupational therapy process of eval- plastics. With the advent of low-temperature thermoplastics uation and intervention and highlights the emphasis on the in the s, hand splinting became a common practice in use of occupation [AOTA ]. Performance areas of clinics. Hand therapy evolved from a group of therapists in of daily living IADL , education, work, play, leisure, and the s who were interested in researching and rehabili- social participation.
Performance areas of occupation place tating clients with hand injuries [Daus ].
Introduction To Splinting A Critical Thinking And Problem
Published October 19, by Mosby. Written in English. Access Introduction to Splinting 3rd Edition solutions now. Our solutions are written by Chegg experts so you can be assured of the highest quality! It emphasizes upper extremity splinting, with additional coverage of lower extremity orthotics and upper. Click Download or Read Online button to get the technique of bandaging and splinting book now. This site is like a library, Use search box in the widget to get ebook that you want.
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Read e-book Introduction to Splinting- E-Book: A Clinical Reasoning and Problem-Solving Approach
It emphasizes upper extremity splinting, with additional coverage of lower extremity orthotics and upper extremity prosthetics, and offers case studies promoting clinical reasoning and problem solving. This edition includes new chapters on orthotics of the shoulder and orthotic systems, plus online videos demonstrating fabrication and fitting techniques. Student Resources on Evolve Video clipsLearning activitiesAdditional case studiesReview questions and answersSelf-quiz questions and answersFabrication procedures from the textForms from the textGrading sheets from the textHow-To videos on the Evolve companion website let you watch the construction of orthotics again and again to increase your proficiency.
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Free download. Book file PDF easily for everyone and every device. This Book have some digital formats such us :paperbook, ebook, kindle, epub, fb2 and another formats. Table of contents. Coppard , Helene Lohman.
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