'oCcupaTioNaL tHerapY for sPeciaL eDucaTion cHiLdren'

26.10.11 (rabu= depavali)

happy depavali..

aku dijemput oleh sekolah kebangsaan putrajaya presint 8(2) untuk berkongsi info berkenaan occupational therapy for special education children.

talk aku berkenaan apakah rawatan terapi carakerja untuk kanak2 berpendidikan khas.

bile nak cite tentang rawatan mmg la sgt banyak. setiap kanak2 berpendidikan khas memerlukan rawatan yg berbeza bergantung kepada keperluan masing2.

walaupon dari segi diagnose sama, tetapi, setiap kanak2 adalah unik, dah berbeza. 

atucara berlansung dari pukul 8.30 pagi sehingga 12.30 tgh hari

kami di beri satu slot selama 1 jam 30 minit

so, aku berkongsi info berkenaan occupational therapy dan rakan setugas aku membincangkan tetang physiotherapy

 perkara2 yg aku disampaikan:

Kondisi Kanak- Kanak yang Dirawat

Kemampuan fizikal yang terhad , žKes Otopedik, Sindrom Down’s, Cerebral Palsi, žMasalah Neurologi, žAutism, Ketidakupayaan Psikologi, Masalah pembelajaran, dll

  

PERANAN TERAPI CARA KERJA

1.Menjalankan penilaian dan ujian permulaan (initial assessment)

2.Mencadangkan matlamat rawatan

3.Menjalankan rawatan

4.Menyediakan splin jika perlu 

5.Melakukan penilaian dan ujian semula

6.Menyediakan laporan guru dan doktor 

JENIS – JENIS RAWATAN

• žSensory integration therapy
• žCognitive- behavioral therapy
• žGross motor and fine motor training
• žSelf-care training
• žSchool setting training
• dll

ni rakan setugas saya yg membincangkan peranan physioterapy untuk kanak2 physical impairment

sambutan daripada ibubapa terhadap ceramah kami amat menberansangkan.. banyak soalan ditujukan.. anyway, i'm happy sharing the info with the parents, and taught them some simple home programme.

alhamdulillah segala nya berjalan lancar..

Dyke-Davidoff MasSon SyndroMe

happy nye dapat patient baru ari ni..
anyway, aku selalu happy dapat patient baru..
walaupon penat, tp puas dapat treat patient seikhlas hati.

ape yg aku nak kongsi pada entry kali ni, aku dapat satu special case..
case yg tak pernah aku blajar selama ni..
well, walaupon dah keje kite still kene blajar, blajar and blajar..

case yg aku dapat hari ni adalah diagnose sebagai Dyke-Davidoff Masson Syndrome

serba sedikit tentang condition ni:
- berlaku sejak lahir
- saiz antara cerebral kanan (otak kanan) dan cerebral kiri (otak kiri) tidak sama, kesan daripada pengecilan atau pembesaran tisu otak.
- penebalan atau penipisan cranial vault (tengkorak kepala)
- kemungkinan besar mengalami seizures (sawan) , mental retarded (terencat akal), schizoprenia.
- physical limitation on one side.. boleh jadi sebelah kiri atau sebelah kanan.. bergantung kepada otak yg bermasalah.

so, kanak-kanak yg aku rawat ini berumur 2 tahun 4 bulan, perempuan dan sangat comel. boleh berjalan, but with little bit awkward walking gait. dalam case ini, kanak2 ini mengalami physical limitation on right side.

pada hari pertama rawatan, beberapa penilaian dijalankan. kanak2 ini bukan mengalami physical limitation due to weakness, but its because of unilateral neglect (abai sebelah badan). maksud nye, kanak2 ni tak nak gune tangan kanan nye sbb die sendiri pon xsedar tangan kanan nye wujud. so, perkembangan tangan kanan nya delay (terbantut).

dalam rawatan, aku menggunakan pendekatan sensory integration approach.. sensory diterapkan pada bahagian badan yg affected untuk improve the propriception (deria sendi). memandangkan kanak2 ini dalam fasa crucial development (perkembangan yg cepat), pendekatan sensory sangat berkesan dalam meransang otak nya.

the treatment of course through playing process.

matlamat rawatan 
- improve proprioception
- improve hand function
- improve walking gait
- improve trunk balance
- reduce unilateral neglect
-etc

rawatan2 yg dijalankan

1) ball pool

ni la ruoa ball pool

letak je kanak2 tu dalam ball pool ni.. so die akan menggerakkan seluruh badan nye untuk bergerak..

2) hit the drum

tgk kanak2 di atas, dorg akan gune dua2 belah tangan untuk ketuk drum tu, indirectly this girl use the affected hand. cube demo kat kanak2 tu nak main cam mane, nati die akan ikut ape yg kite buat.

3) throw and catch the ball
semestinya, bola yg besar kene pegang dua2 belah tangan kan?? tak kira la semasa yg baling ke, nak tangkap ke.. so, die akan gune affected hand jugak.


4) joint compression technique and brushing technique.
teknik ni adalah untuk bagi proprioception (joint sense). pastikan kanak2 tu dalam keadaan rilex. kanak2 tu boleh dalam keadaan berbaring, atau pon duduk. terapis akan ajar ibu bapa kepada kanak2 tersebut untuk continue kat rumah.

5) gym ball
byk activity boleh buat dgn gym ball. untuk improve balance, limbs reflex bile nak jatuh n sebagai nye.

6) trampoline

kanak2 akan lompat2 atas trampolin ni.. kl die x pandai lompat, lompat la bersama2 ngan die.. nanti die akan cuba ikut. lompat2 ni akan bagi tekanan pada sendi paha, lutut, buku lali, segala sendi jari kaki, tulang belakang dan sebagai nye. maksudnye boleh improve proprioception jugak. nanti die dapat rasa bahagian badan yg die neglect sebelum ni.

6) home program
ni adalah aktiviti2 yg parents kene buat kat umah
- continue joint compresion and brushing technique hari2
- pimpin tangan kanak2 tu on the affected hand
- pakaikan gelang atau jam pada tangan yg affected
- selalu tepuk tgn.. so kanak2 tu akan guna affected hand mase tepuk
- galakkan kanak2 tu untuk guna tangan yg affected..

itu sajalah info yg boleh aku kongsi.. sebenar nye byk lagi, tp terlalu byk nak cite.. hihi, ape2 soalan boleh la tanya kat komen di bawah  ye..

enjoy reading..

briEf aboUt

occupational therapist is one pf multidisciplinary team in rehabilitation service besides doctors, nurses, physiotehrapist and speech therapist. in fact, it is rarely known by public compare to physiotherapist. we are also involve in treating clients regarding their physical limitations and mentally illnesses. 

in rehabilitation, therapy done by the specialist in their area and we need to work in team in achieving clients aims such as improve the joint range of motion, strengthening, reduce pain, increase daily function, come back to the independent life to the optimal level, and many more

we are treating a lot of illness of a few area such as;

1) physical rehabiltation

2) pediatric rehabilitation

3) psychiatric rehabilitation

4) work rehabilitation

5) special education

6) gerontology

PHYSICAL REHABILITATION

physical rehabilitation is therapy done for the client with physical limitation for example stroke, fractures, Parkinson's disease, post surgery, oncology clients and etc. we will help patient to improve their life and get back their previous life to the optimal level.
 

PEDIATRIC REHABILITATION

while, pediatric rehabilitation is therapy for children with special needs. as an occupational therapist, we are very concern about the sensory integration. our treatment are differ compare to the other multidisciplinary team which is, we use sensory approach almost of interventions. the chidren with special needs that we are treated are; cerebral palsy, Down's syndrome, hyperactive, learning disability, mentally retarded, developmental delay, autism and also Duchenne muscular dystrophy. 

PSYCHIATRIC REHABILITATION

in psychiatric rehabilitation, we will help client to be functional in their life according their role. we will maintain the effectiveness of the drugs which are given by doctors so that their will achieve their goals indirectly prevent them to be worst and prone to have serious side effect of the drugs.

WORK REHABILITATION

furthemore, in work rehabilitation occupational therapist will train the client to get back to their job or to get a new job. the occupational therapist will do a few assessment to see their potential and what are the job scope most suitable for them. if they are not able to get back to their previous job, it is possible to them to train in vocational rehabilitation where they will learn a new skill according their abilities and get a job.

SPECIAL EDUCATION

in special education, occupational therapist have to work together with the teachers in school settings. the occupational therapist will help the children in improving their attention and concentration, eye contact, behaviors, social skills and also hand function for writing.

GERIATRIC REHABILITATION

geriatric rehabilitation is the rehabilitation for elderly which have suffer from fall history, weakness, unable to be fully independent and so on. they will undergo the rehabilitation in strengthening muscles to reduce the risk of fall, alert about hazards, safety precautions and also engage in leisure activities.

in process of rehabilitation;

• occupational therapist will do a few assessment regarding the diagnose, illness, complains and limitations
• the therapist will discuss about the goals and aims with the clients or parents or caregiver.
• treatment will be given according to the assessment results such as the limitations, pain and disabilities in achieving their aims. treatment session usually 45 to 1 hour and 15 minutes
• reassessment will be done in follow up session to see any progression or not
• splinting will be prescribed to the clients who need the splint
• we also provide report to the doctors and teachers upon request by the clients or the other respective personnel

that's all briefly about occupational therapy which I can share with you all

thank you for visiting and enjoy reading

have a nice day.