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| Trigger points for a GP referral to an occupational therapist- Patient not coping with everyday activities including self-care, toileting, bathing, feeding, shopping and socialising
- Difficulty with transfers such as patient struggling to get out of chair
- Difficulty in reaching perineum e.g. patient presents with frequent urinary tract infections
- Difficulty in reaching extremities such as patient has difficulty in tying shoe laces
- Difficulty with mobility
Trigger points for an occupational therapist referral to a GP- Comorbidity (depression, other acute conditions)
- Failure to progress
- Wounds that do not heal
- Poor compliance to medication regime
- Life crises (sudden changes in life circumstances, such as death of partner, family member or pet)
Potential treatment by an occupational therapist- Splinting to rest joints in an appropriate condition
- Joint protection
- Utensil modification (e.g. built up handles on cutlery, tap turners and levers, door handles)
- Independence in activities of daily living, including dressing, toileting, bathing
- Environmental modification such as correcting the height of chairs, tables, beds, toilets, kitchen benches, trolleys
- Adaptive equipment prescription e.g. chairs, wheelchairs, reaching aids
- Work simplification and energy conservation such as structuring tasks and jobs and routines to make them easier
- Graded activity
- Education in compensatory techniques for residual cognitive or physical deficits
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