Mr. Smith has secondary-progressive MS and has recently been admitted to an inpatient rehab facility due to an exacerbation of his MS. He lives with his spouse who is his primary caregiver. He is modified independent for transfers to and from his power scooter which he uses for in-home and community mobility. Lately, he has had a decline in function and needs moderate assistance for BADLs, bed mobility, and transfers. What would be the MOST IMPORTANT aim to focus on at this time, to ensure that the patient will be safe once he is discharged?
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Explore the option of assistive technology, focusing on remote access control for energy conservation.
c) Co-ordinate with the caregiver, to establish a schedule for her to participate in the patient’s therapy sessions. Patients typically progress from relapse-remitting to secondary-progressive MS (SPMS). The relapses and remissions that used to come and go change into symptoms that steadily get worse over time. The overall expectation in this scenario is a further decline or deterioration in function. Since the patient is expected to decline in function over time, it is important to involve the primary caregiver early on during therapy sessions to maximize function for the patient and prevent secondary complications upon discharge home. http://www.neuropt.org/docs/default-source/csm-2016-handouts/ptnow-and-ms-edge-supplement-ptnow-severe-late-stage-ms-case.pdf?sfvrsn=2
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