You are working with a patient that is at a Rancho level Sta…

You are working with a patient that is at a Rancho level Stage IV on a locked brain injury unit. Your ADL activity for the day is lower body dressing.  Patient is ambulatory and displays minimal balance deficits.  The patient is struggling with the task and patient agitation increases.  The patient starts to shout, “This is ridiculous, I already know how to put my shoe on.” The patient throws the shoe at you and heads for the door way.  You should:

John is working with OT 5 days post CVA in an acute care hos…

John is working with OT 5 days post CVA in an acute care hospital.  John appears confused and has trouble responding to questions during therapy.  He also displays the pushing syndrome. The OT continues working with John on the rehabilitation unit of the same hospital 3 weeks later.  He is now able to use his hand as a gross assist.   He continues to appear confused and has trouble following commands during therapy sessions.  Which technique to facilitate right upper extremity functioning is the most appropriate for this client?