从病患与临床治疗师的观点来看辅具器材之机会与挑战.pdfVIP

從病患與臨床治療師的觀點來看輔具器 材之機會與挑戰 楊育昇 復健科學博士 職能治療學系 副教授 高雄醫學大學 個案分享: 一位四肢骨折的個案 個案A • 主要診斷：四肢骨折－左手肘肱骨遠端 骨折、左手橈骨尺骨遠端骨折、右手尺 骨遠端骨折、左大腿股骨頸骨折、右小 腿脛骨朏骨骨折 • 住院三個月後回家療養復健 輔具 • 住院期間：轉位機、輪椅、個人照顧與 保護輔具、姿勢擺位類輔具 • 出院居家期間：輪椅、個人照顧與保護 輔具 • 復健期間(6個月後) ：助行器、腋下柺杖 、單腳柺杖 輔具會隨時間而有所變化 • Medical Profile • Diagnosis • Static : SCI • Progressive: stroke, fracture, dementia • Personal need From a case viewpoint • 住院期間: easy to buy and use, not expensive device, small space (foldable) • 出院期間: home environment, small space (foldable) • 復健期間: match the needs (work or current life style) 費用 • 買？或租？ • 清潔的問題 • 社福補助 • 浪費閒置的問題 From a viewpoint of therapist • Needs and Goals • What do you want in a new device? (new case) • What is currently working that you do not want to change? (old case) • Family goals Personal Profile • Age, medical status • Anthropometry – Height, Weight, Length of arm/leg • Occupational Performance – ADL, ...etc • Living Situation – Roles Routines, accessibility • Equipment – Current Equipment, Other existing Technologies Low v.s High technology • Low Technology: “Simple to make and easy to obtain” “inexpensive device”. • High Technology: “more difficult to make and harder to obtain” “expensive device” 個人移動輔具 • 以移動為例: iBOT wheelchair 低科技 高科技 • 特性: •特性: – 結構簡單 –結構複雜 – 價格低廉 –價格昂貴 – 通常不具備電子儀器 –通常具備電子儀器 – 容易取得 –取得不易 Assistive Tech