| Negative experiences - falls - loss of
self-confidence, insecurity, apprehension, uncertainty, frustration,
fear outside or even indoors, avoidance of essential tasks, loss of
independence. Use of personal alarm. Weekly check. Balance -
sitting, standing, moving. Knowledge of home environment - using
furniture as an aide. |
Accidents, treatments, duration of restricted
mobility? Walking aids. Physiotherapy and O.T. assessment. Discharge
planning. Ability to self-care. Gait assessment. Posture. Aetiology.
Pathological changes. Investigations - X-rays. Disease processes.
Infection. Podiatry. Signs and symptoms - at risk groups - #femur.
Paediatrics. Elderly. Non-accidental injury. Ability to drive.
Footwear. Effects of (new) environment - non-activity; (plus zero
gravity?). Disruption of regular routines. Lack of exercise -
constipation. |
| Availability of support /assistance. Social
isolation. Pressure on carers, coping strategies, need for carers
needs to be assessed. Diurnal variation in ability. Home assessment
with carer present. Education - safe moving and handling. |
Information to patient and carers on resources.
Access to resources. Stroke clubs. Alternative transport. Autonomy,
choices. Provision of stairlifts/special vehicles. Mobility benefit
/ allowances. Policy on bus / train passes. Access to buildings.
Lack of access facilities - ramps, rails, makes people 'disabled'.
Politics of disability - "Does he take sugar." |