Daily Dose

Pediatric Unit, Occupational Therapy Training School and Center, Seth G. S. Medical College, King Edward Memorial Hospital, Parel, Mumbai - 400012 T O B E A C C O M P A N I E D B Y T H E S T U D E N T S 1. Goniometer – finger, full circle 2. Reflex hammer 3. Measuring tape 4. Stethoscope 5. Apron 6. Pair of Scissors 7. ADL evaluation form 8. ROM evaluation form 9. Gait evalauation form 10.Muscle power evaluation form 11.Reflex evalauation form 12.Developemntal chart 13.ASIA chart 14.Low Back Pain Questionnaire 15.Splint check out chart 16.100 page notebook for homework 17.Log book for attendance 18.splint checkout form 19.Please have heavy breakfast before coming 20.Please report on time 0900 a.m. (please inform if you have any other lectures and appointments)

Š Nandgaonkar Hemant P. November 2010

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Pediatric Unit, Occupational Therapy Training School and Center, Seth G. S. Medical College, King Edward Memorial Hospital, Parel, Mumbai - 400012 RULES & REGULATIONS • • • • • • • • • • • • • • • • • • • •

Evaluate the cases on the same day Get the evaluation corrected on the same day or the next day.

Identify the problem areas Write the Occupational Therapy program within three days Read about the condition before writing the final condition Mention the references which you have gone through at the end of the case Write down the summary of your readings Do not take the next case unless the previous is completed For taking any leave inform in advance In case of emergency, inform the respective staff In either case, do not forget to hand over the work In case of long leave, take a permission before joining Discussions—please read & come for the discussions Ward examination—DO NOT give your ward examination before you complete cases, submit & get it corrected Please follow Universal precautions while handling the patients.

Maintain diary, in which write daily notes which will include…

Patient treated...brief evaluation and goals, methods, techniques, approach used Patient observed Please take daily dose regularly...

Get Clinical Training card signed by the teaching staff at the end of the assignment, after completion of the course work.

© Nandgaonkar Hemant P. November 2010

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Pediatric Unit, Occupational Therapy Training School and Center, Seth G. S. Medical College, King Edward Memorial Hospital, Parel, Mumbai - 400012 DAILY DOSE Daily Dose is set of headings of different topics of clinical importance and will be helpful for clinical assignment & ward examination. Undergraduate students are suppose to study set of headings per day and discusss them together. Daily Dose Discussion is the first thing you have to do after coming to clinical setting under the supervision of the staff or post graduate student.

1. Cerebral palsy classification 2. APGAR score 3. NDT principles 4. Key points of control 5. Primitive reflexes 6. Midbrain level reflexes 7. Spinal level reflexes 8. Cortical reflexes 9. Lower brain level reflexes 10.Gross motor development 11.fine motor 12.oral motor 13.Speech 14.Personal social 15.Arm hand control 16.Play behavoir 17.Sensory integration assumptions 18.Fidelity to SI 19.Mobility aids 20.CP chair 21.Muscle strenghtening 22.Rood's facilitatory techniques 23.Rood's inhibitory techniques 24.NICU 25.Oromotor stimulation 26.CTEV

Š Nandgaonkar Hemant P. November 2010

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Pediatric Unit, Occupational Therapy Training School and Center, Seth G. S. Medical College, King Edward Memorial Hospital, Parel, Mumbai - 400012 27.CDH 28.GBS 29.MMC 30.HIE 31.High risk infants 32.Post natal factors 33.Pre natal factors 34.Developemntal scales 35.ADL scales 36.Frames of reference 37.Tenodesis 38.Functional position of the hand 39.Non functional position of the hand 40.Levels of Amputation – UE 41.Levels of Amputation – LE 42.Splint classification 43.Apparent shortening of LE 44.True shortening of LE 45.Radial Nerve muscle supply 46.Ulnar Nerve muscle supply 47.Median Nerve muscle supply 48.Axillary Nerve muscle supply 49.Musculocutaneous Nerve muscle supply 50.Common peroneal Nerve muscle supply 51.Definition – contracture 52.Deformity 53.Resting position of the hand 54.OT objectives in Orthopedic condition 55.Classification of fractures 56.Intrinsic tightness 57.Phalen’s test 58.Reverse Phalen Test 59.Brachial Plexus Traction Test

© Nandgaonkar Hemant P. November 2010

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Pediatric Unit, Occupational Therapy Training School and Center, Seth G. S. Medical College, King Edward Memorial Hospital, Parel, Mumbai - 400012 60.Allen’s Test 61.Thomas Test 62.Wrinkle test 63.Joint play 64.Egawa’s sign 65.TA length 66.Hamstring length 67.Reflex grading 68.Trendelenberg’s sign 69.Trendelenberg’s gait 70.Safe position of the hand 71.Ashwarth’s scale for muscle tone 72.Froment’s sign 73.Drop Arm test 74.ORL tightness 75.Tinel’s sign 76.Ninhydrin Test 77.Babinski sign 78.Scapulo humeral rhythm 79.ASIA scale 80.Causalgia 81.Pain analog scale 82.Fracture healing stages 83.Muscle testing grading 84.End feels during ROM 85.Grasp types & definition 86.Prehension types & definition 87.Pressure sores management 88.Claw hand biomechanics 89.Splinting in UNP 90.Splinting in RNP 91.Splinting in MNP 92.Wartenberg’s sign

© Nandgaonkar Hemant P. November 2010

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Pediatric Unit, Occupational Therapy Training School and Center, Seth G. S. Medical College, King Edward Memorial Hospital, Parel, Mumbai - 400012 93.Stretch classification 94.Types of exercises 95.Abdominal strength grades 96.Back Extensor strength grades 97.Reflexes roots (DTR) 98.Ape hand deformity 99.Lag v/s contracture 100.

Clubbing grades

101.

Level Of Consciousness

102.

Swan neck deformity

103.

Boutonnière deformity

104.

Mallet finger

105.

Factors affecting tone

106.

Tightness, shortness

107.

Grip strength evaluation

108.

Pinch strength evaluation

109.

Brachial Plexus

110.

Nerve injury classification

111.

Crutch measurement

112.

Spinal orthosis

113.

ADL grading

114.

Classification of sensation

115.

TFL tightness

116.

Mobility aids

117.

Classification of epilepsy

118.

Handling of the epileptic child

Š Nandgaonkar Hemant P. November 2010

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Pediatric Unit, Occupational Therapy Training School and Center, Seth G. S. Medical College, King Edward Memorial Hospital, Parel, Mumbai - 400012 M.O.Th. Program Skill demonstration Discussion Case presentation Teaching assistance Standardized tests administration Research Documentation Clinical treatment Administration Supervision Article review Case study.....3 cases per assignment Evidence based...Present the narrative All interns and post graduate students are supposed to write down the notes (evaluation findings, advice, intervention details and any other details applicable to the case) in the case papers. Please write date and time in appropriate places.

Š Nandgaonkar Hemant P. November 2010

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Pediatric Unit, Occupational Therapy Training School and Center, Seth G. S. Medical College, King Edward Memorial Hospital, Parel, Mumbai - 400012 Interns opting for Sensory Integration as an elective Administration of 10 Sensory Profile and 10 clinical observations 10 cases minimum per day Readings •

Sensory Integration: Theory and Practice, Anita Bundy, 3rd Edition

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Sensory Integration/ Learning Disability, Willard 8th Edition

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Pediatric Occupational Therapy, Jane Case Smith: 5th Edition

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Frames of References for Pediatric Occupational Therapy, Patrica Kramer

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Amrical Journal of Occupational Therapy, March/ April 2007 issue

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Clinical Observations by Erna Blanche

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Sensory Profile by Winnie Dunn WARDS NO LOCATION 1 2 3 NICU SI

GROUND FLOOR, OLD BUIDING, KEM HOSPITAL GROUND FLOOR, OLD BUIDING, KEM HOSPITAL NINTH FLOOR, MULTISTORY BUILDING, KEM HOSPITAL TENTH FLOOR, MULTISTORY BUILDING, KEM HOSPITAL FIRST FLOOR, ORTHOPEDIC CENTRE, KEM HOSPITAL

SPECIALIZED OPD DEVLOPMENTAL OPD SENSORY INTEGRATION

WEDNESDAY 1300 Hrs TUESDAY 1300 Hrs FRIDAY 1300 Hrs THURSDAY 1300 Hrs

NEW EVALUATION

SATURDAY 0900 Hrs

© Nandgaonkar Hemant P. November 2010

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