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One handed dressing techniques for stroke patients PDF

Tying Shoelaces One Handed To Lace 1. Tie a knot on one end of the lace 2. Thread through (upwards) eyelet number 1 3. Thread down number 2, up 3 and so on to no. 7 4. Thread lace down eyelet 8 and bring back up through eyelet 2 Knot 2 1 4 6 8 3 5 7 INTERVENTIONS WITH STROKE PATIENTS COMPARED WITH OCCUPATIONAL THERAPIST INTERVENTIONS.....59 . 8 4.8 DRESSING AFTER A STROKE: A SURVEY OF OCCUPATIONAL 6.5.3 Improvement in dressing between the one handed and two handed dressing groups.....103 6.5.4 Improvement in dressing between the cognitive and. stroke. l It includes useful tips on how to manage everyday activities independently using one arm or hand. l This leaflet has been developed by people who are one handed in conjunction with Occupational Therapists. l The layout is designed so that you can use it either as a reference, to look up specific issues as they occur, or rea A group of stroke patients were assessed over four occasions using the Nottingham stroke dressing assessment. A similar pattern of difficulty in dressing was found for both males and females Occupational Therapy One Handed Dressing Techniques (Hemiparesis, Stroke, Amputation) December 20, 2020 Instructions are provided in step-by-step sequential order for clients to participate in dressing with one hand

(PDF) Reacquisition of dressing skills after strok

Occupational Therapy One Handed Dressing Techniques

  1. After a spinal cord injury, daily activities like dressing can be challenging. Certain tricks can help you do more by yourself. Some clothes are easy to put on while others are more difficult. Using adapted devices or adapting your current clothing can help. Also, using the right techniques and positions can make it much easier for you to dress
  2. Helpful One-Handed Techniques for Personal Care Tasks . Washing and Drying To wash with a soap flannel/sponge: Place it across the knee and rub soap on it. To wash using a toweling mitt, rub it over soap which is held firmly by a magnetic/suction soap holder. Use a self soaping sponge or a body puff sponge, as this will hold soap in the sponge
  3. ing patients how to dress using a one-handed technique. Y et those able to use both hands and a two-handed tech- n ique still showed greater improvement in dressing ability
  4. The amount of recovery after a stroke varies from person to person. You may fully recover, or find some activities remain harder than before your stroke. Some may struggle with everyday tasks or activities. Occupational therapists can help you relearn everyday activities such as kitchen activities, showering, dressing, and writing
  5. BED POSITIONING FOR STROKE PATIENTS When one's arm has been paralyzed by a stroke, it can be difficult to dress oneself. Occupational therapists teach patients one-handed or hemi-plegic dressing techniques so that patients can become independent with dressing. Some of these techniques and other tips may include: donned/doffed from th

Use a bath bench to make showering and bathing easier. A few styles are available. Check your local pharmacy for options. Install grab bars to make movement easier. Use bathmats with suction cups to avoid slipping. Add non-skid strips in a tub or shower. Make sure you have all the soap, washcloths and towels you need Tips for putting on pants: If you wear a belt, loop it into your pants before you put your pants on. While sitting down, use your strong hand to put your weak leg into the pant leg. Then, step in using your strong leg. Carefully stand up and use your strong hand to pull your pants up

However, being able to cook for themselves allows stroke survivors to become more self reliant and save money buying expensive pre-made food or take out. While it will involve some practice and a few adaptive tools, cooking one-handed after stroke is possible. One-Handed Cooking Tip Join a support group for stroke survivors to share ideas and resources. Show you one-handed techniques for how to do things like open packages, get dressed, cut food, and use a computer. Provide you with adapted equipment to increase your ability to accomplish things on your own The following tips are from occupa-tional therapy practitioners who work with people recovering from a stroke. An occupational therapy practitioner offers expertise to: For Living Life To Its Fullest Be as independent as possible if one side is paralyzed. • Show you one-handed techniques for how to d

with stroke disability adapt in light of societal expectations and norms, arguing that rehabilitation seeks to teach patients to redefine stroke as an inconvenience that can be overcome through new techniques.39 Findings from a UK study indicated that physiotherapy was valued because it was felt to lead directly to functiona Dressing Techniques - One Handed. Put On a T-shirt with One Hand - Left Side Weakness Educate patient and caregivers about stroke, availability of community resources. Encourage participation in support groups. Navigate the PDF eBook. on a desktop on a tablet

Gather Your Supplies. Before you get in the shower, double check that you have all the supplies you need, including washcloths, soap, shampoo and conditioner, a towel, bathrobe, and anything else you use to clean up. The last thing you want is to have to leave the shower and walk across the room on a slippery floor to get something you forgot Found in Topic: Daily living activities. Tagged: Dressing. Dressing: shoes and socks video. 00:00. 00:00. Video running time: 02.50 minutes. The film may take time to download depending on your broadband speed. To enlarge to full screen click on the arrows at the bottom right of the frame. If you are having problems Occupational Therapy One Handed Dressing Techniques (Hemiparesis, Stroke, Amputation) Modified date: December 20, 2020. Donning a Bra One-Handed Occupational Therapy. for a family member, or patient... Dorsiflexion Assist Wrap Instructions for Occupational Therapy. ADLs Modified date: April 8, 2020. Using a theraband for dressing can focus on range of motion, problem solving, dynamic sitting balance, safety, ADL task components, etc of donning a shirt, pants and bra. I also make sure I have some theraband in the basket that I carry around from room to room when working with patients that have had a stroke. This eliminates running back and.

Dressing Tips for Stroke Survivors American Stroke

  1. steps and elements of functional dressing including duration of the task, orientation of clothing items and donning/doffing common adaptations to support functional dressing including pacing, adapted clothing, one handed dressing techniques and dressing equipment e.g. long handled reacher, button hooks, sock aids, sho
  2. Follow a consistent sequence and technique when dressing: o Place clothes in a pile in the order in which they need to be put on. o Follow the same technique for each garment, e.g. t-shirt is put over the head first and then the arms are put through the sleeves. o The order and technique can be written down so that it can be followed b
  3. Stroke is a common neurological medical condition. Every year, approximately 60,000 people with stroke and transient ischemic attack are treated in Canadian hospitals . . . [and there are] some 315,000 Canadians living with the effects of stroke (Lindsay et al., 2014, p. 4). Stroke impacts an individual'
  4. Stroke/CVA . 70. Urinary Incontinence . 71. Vertebral Compression Fractures . 72. Dressing . 5. Adaptive Equipment for Dressing . 6. Dressing Tips . 7. Putting on Open Front Garment Using a Dressing Stick . 8. Putting on Pants and Underwear Using a Dressing Stick Dressing Using One-Handed Method - Left Side Affected . 23. Putting on.
  5. lower body bathing and dressing. There are tools that you can use to enable you to be independent with managing these tasks. Your occupational therapist will educate you on how to use these tools if indicated and will also order this equipment for you during your hospital stay
  6. To learn more about tying your shoes with one hand, call Rehabilitation Services at 595-3621. If you are inside the hospital, dial 3621. If you are outside the Memphis area, call toll-free 1-866-2ST JUDE (1-866-278-5833), extension 3621. This document is not intended to take the place of the care and attention of your personal physician or.

Independence in personal care, including dressing, lays the foundation for patients to move on to other activities. The use of handouts included in the Occupational Therapy Toolkit will reinforce your instruction during the therapy session and provide a visual reference for caregivers and patients Scooper Plate with Suction Cup Base MA74535. $9.95. * *. Shop Now. Scooper Plate with Non Skid Base MA74537. $12.99. * *. Shop Now. Hole In One Key Holder MA75412 THR Patient Stroke Patient A stroke often affects movement and use of one side of the body. Aurora Health Care has outlined. Place strong leg directly in front of body with foot flat on floor. Cross weak leg over strong leg. Slip pant leg over weak foot and up to knee. Uncross leg. Put strong leg up as far as possible The activities of daily living are the basics of self-care: tasks oriented towards taking care of one's own body and enabling basic survival and well-being. They include nine activities: eating/swallowing, feeding (setting up and bringing the food to your mouth), bathing, dressing, grooming, toileting, personal device care (using/maintaining personal care items), functional mobility, and. provided by Ryan and Sullivan (2011, p. 725) for those recovering from stroke. Although client has not suffered a stroke, she has limited B UE AROM and so dressing one arm at a time may be a good way of conserving energy.) Solution: will give the client an adaptive technique to make it easier to Outcome: enable client to dress her own upper body

Dressing Aids for One-Handed People/ There are many people in this world that cannot use both their hands. This disability might have been caused due to an amputation, paralysis or any other permanent of temporary illness of a similar nature. Among other things, it is challenging to dress using only one hand Try different techniques to help at first such as backward or forward chaining or hand-over-hand. Keep in mind the following general principles in all dressing and undressing tasks for a child with a left hemiplegia: The right side goes in first when getting dressed. The right side comes out last when getting undressed Children's OT Developing Dressing skills December 2011.doc Page 2 of 5 Adapted with kind permission from Northumberland PCT Children's Occupational Therapy Service Development of dressing skills Dressing should not be seen as a chore. Try to keep it fun by playing dressing up games and dressing toys One-Handed Catch-MJ Auch 2009-03-03 There's no way a little thing like losing his hand will keep Norm from trying out for baseball. One-Handed in a Two-Handed World-Tommye-Karen Mayer 2013 Tommye-Karen Mayer survived a stroke at the age of 23 and has been managing single-handedly in a two-handed world for three decades. After a period of wonderin

• The ultimate goal for dressing would be for the patient to be as independent as possible in the most normal environment, for example, sitting on the bed or standing in the bedroom or bathroom. • Adaptations such as elastic shoe laces or Velcro shoes/trainers are often useful, or teaching the patient a one-handed James Patient Education Handouts (A - Z) Click on the title to see the handout To narrow your search use trl + F and enter a keyword The Ohio State University Comprehensive Cancer Center - Arthur G. James Cancer Hospital and Richard J. Solove Research Institute 7/30/2021 Central Venous Catheter (CVC) Sterile Dressing Change - The Jame

Appendix: One-Handed Techniques - Wile

Independence with Self-Dressing and Fine Motor Skills. I can do it myself!. It's a phrase that most parents hear at one time or another as their child begins to develop the skills needed for independence in self-care. Sometimes, however, there are factors that interfere with appropriate development of function Personal care & dressing - The OT Practice. Call on 0330 024 9910. Call for more information and costs or if you are enquiring for yourself or a family member you can use our online cost guide for individuals This four-part series is directed toward completion of bi-manual tasks using such adaptive strategies with one hand, the residual limb, and a prosthesis, and may include the use of assistive devices. The first part of this series focuses on completing personal care tasks including feeding, hygiene, toileting, and dressing

He first learned the coat technique when he was about two and a bit and it gave him such enormous pleasure that he was independent in this way and could put a coat on like his peers. Those Pesky Buttons. Most children are able to learn buttoning one-handed, albeit a year or two later developmentally than when most kids button Tips for dressing Fastenings: Ideally, choose clothes without fastenings, such as t-shirts, polo shirts, casual tops, and trousers or skirts with elasticated waste bands. Zips are extremely difficult to manage with one hand and are best avoided. When dressing, it is much easier to dress the affected side first, and undress last There are commercially available holders for playing cards, but you can use a clean hairbrush to hold the cards. Most other games are fine one-handed. Crafts are generally pretty easy to adapt. The hardest are knitting and crocheting, but they, too can be done if the individual is well-motivated. There is non-stick sheeting that can be placed. PDF. ETC. All 21. PDF. Accomodation after stroke. Hannah's One-Handed Shoe Tying Technique. Learn how to tie your shoes with one hand! Unlike other one-handed shoe tying methods, the bow on your shoe stays tied and looks normal. This video was made from the perspective of an occupational therapist. Dressing Tips for Stroke Survivors Stroke Statistics • Stroke kills about 140,000 Americans each year—that's1 out of every 20 deaths.1 • Someone in the United States has a stroke every 40 seconds. Every 4 minutes, someone dies of stroke.2 • Every year, more than 795,000 people in the United States have a stroke. About 610,000 of these are first or new strokes.

Occupational therapy tools for stroke patients enable individuals to become more independent and achieve their goals for everyday tasks after a stroke. You're about to discover 19 occupational therapy tools for stroke patients that will help you live your best life after stroke. We will also take a explain how these tools can impact recovery Apr 7, 2021 - Explore OT {Mandy} Occupationa's board Adaptive Dressing, followed by 12088 people on Pinterest. See more ideas about. Some Common One Handed Aids. Dressing and Grooming Aids - Dressing and grooming aids like dressing sticks, zipper pulls, shoehorns, bathing sponges, etc. make it easy for users to dress and groom themselves with one hand. Their unique design only requires a single hand to perform a task and adds to user independence

Video: Occupational Therapy Managing Everyday Activities One Hande

One year after the onset of the first stroke, physical independence (for 66% of the stroke survivors) and occupation (for 75% of the stroke survivors) are the most affected domains of handicap. 1 This necessitates the multidisciplinary rehabilitation of stroke patients, which is aimed at decreasing the consequences of the illness in daily functioning 1. Pt. will complete EOB UB dressing using AE PRN with Mod A by 2 weeks. 2. Pt. will complete UB bathing with Min A requiring less than two verbal cues by 1 week. 3. Pt. will don shirt with Min A using hemi technique sitting EOB by 2 weeks. 4. Pt. will brush teeth standing at sink with Min A for safety by 3 weeks This technique can be used during performance of activities to assist in attending to the neglected side (Unsworth, 2007). _____ I hope this helps give you a starter guide of interventions to help your patients experiencing neglect or inattention using either compensatory or remedial strategies, depending on what you feel will work best for. Red Lace, Yellow Lace - Learn to tie your shoe book. The Red Lace Yellow Lace book offers an ingenious approach to teaching little ones to tie their shoes. Inside, rhyming text guides children through the process step-by-step. The shoe model at the bottom of the book has a red lace and a yellow lace and the different colors makes shoe tying easier for kids who are using one hand to tie shoes For patients who drove before their stroke, the occupational therapist provides information and advice on their post-stroke driving responsibilities. In Australia, it is recommended that the patient should not drive for a minimum of 1 month after stroke or transient ischemic attack (TIA), and perhaps longer if there is significant neurological.

Handgrip limitation during daily activities is a major problem for people with stroke, 1 and may arise due to difficulty in applying and adapting grip force.2, 3 However, it is difficult to specifically analyze how people with stroke control grip force within the clinical setting. 4 Clinicians tend to quantify handgrip limitation using observations of task performance and components of grip. 9 OT Intervention Patient will verbalize at least 5 different fatigue management and energy conservation strategies utilized with morning routine. • One handed dressing techniques for UB/LB dressing • Adaptive equipment education • Adapt patient's home and bathroom environment in order to ensure optimal performance with morning routine

Introduction. The World Health Organization (WHO) estimates that stroke events in EU countries are likely to increase by 30% between 2000 and 2025 (Truelsen et al., 2006).The most common deficit after stroke is hemiparesis of the contralateral upper limb, with more than 80% of stroke patients experiencing this condition acutely and more than 40% chronically (Cramer et al., 1997) About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators. OTs provide comprehensive evaluations and work with patients and families to identify goals that are important to their daily function, values and life roles. The following are all possibilities with occupational therapy: Helping a person adapt to one-handed dressing; Teaching someone with memory issues ways to compensate for return to wor

OTClinic - Adult Resource

Adaptive cooking equipment includes a variety of cooking utensils and appliances for individuals who have had a stroke. Ergonomically designed food preparation items allow stroke survivors to prepare, cook, serve and eat meals independently. GRID LIST. Products (Total Items: 10 Other Techniques to Help With Arm Recovery. In addition to stretching, functional, and strengthening exercises, other techniques may also help you recover use of your arm after a stroke Jul 19, 2021 - Explore OT {Mandy} Occupationa's board Stroke and CVA information, followed by 12145 people on Pinterest. See more. A stroke occurs when the blood supply to a portion of your brain is reduced or interrupted 3. During a stroke, brain cells begin to die 1 3. As a result, you may develop paralysis on one side of your body, pain, memory loss, trouble understanding, difficulty talking or swallowing, and changes in behavior. Recovery from a stroke is a long.

Our team helps patients with a wide range of conditions of the finger, hand, wrist, forearm, elbow and upper arm. Some of the more common finger and hand conditions we see include damage or injuries to: Nerves, such as carpal tunnel syndrome, complex regional pain syndrome or digital nerve lacerations. Layers of the skin, such as Dupuytren's. A stroke is a life-changing event that can affect an individual's emotional well-being as much as his/her physical function. Many of us know and understand the physical (weakness, paralysis), cognitive (memory, processing), and communication (speech, language) challenges stoke survivors face, but we may not be aware of the challenges faced. How to Dress After a Shoulder Surgery. Download Article. Explore this Article. methods. 1 Choosing Clothing. 2 Wearing Front-Opening Shirts. 3 Dressing in Over-the-Head Shirts. 4 Putting Your Immobilizer on. + Show 1 more..

Pin on Post-Stroke Intervention Ideas

All information on the Website is presented as informational only and is not a replacement for therapy assessment, diagnosis, intervention, or medical advice stroke-induced aphasia and a review of existing spoken Chinese databases is in order. Stroke has been listed as one of the target diseases on the global agenda for prevention and control by the World Health Organization. The burden of stroke is particularly serious in Asian countries (Kim, 2014) because of their rapidly aging population. The. Patient treatment and assessment videos filmed in ICU. Specific handling methods for functional mobility and self-care. Complex equipment in the ICU. Protocols for aspiration precautions. Faculty Guide in PDF format, complete with assignments, exam and practice labs. Student Workbook in PDF format, complete with assignments and practice lab StrokEngine - Family/Patient Information: Assistive Devices Grooming, dressing, preparing and eating meals 3 • General advices: o Dressing and undressing should be done in a warm, comfortable environment. It will help the individuals to focus on the task

Helpful One-Handed Strategies for Personal Care ADL Tasks

Dressing stick You can use a dressing stick to dress the lower part of your body: 1. Hook the dressing stick through the belt loop at the front of your pants. Or place the hook inside the front of the waistband (for pants, skirt or underwear). 2. Lower the clothing to the floor. 3. Put your foot in. (For skirts, put both feet in.) 4 Therapy for rehabilitation of patients with stroke Self Care Abilities (dressing, grooming, self-feeding, toilet, Retraining in basic Self Care, incl teaching one handed techniques if needed Transfer training out of bed in order to use toilet/commode or t Do not get your dressing, splint or cast wet (if you have one). Protect it by wrapping it in a plastic bag or cling-film. You can buy purpose-made protective covers from local chemists if needed. Bathing/showering Use a non-slip mat. You may feel safer using a bath board to sit on over the bath to lower the risk of slipping devices available for dressing, cooking, and eating. 2. Know 14 suggestions to help a stroke client com-municate as well as possible. 3. Understand the main principles of safely transfer-ring a stroke client, as well as the types of equipment that may be appropriate for making such transfers. 4. Be able to name and recognize the five most com

(PDF) The Influence of Hand Use on Dressing Outcome in

stroke patients was a 'high touch' experience, teaching the stroke survivor how to compensate for their deficits. for example, one-handed shoe tying was taught, long-handled 'reachers' and shoehorns were prescribed, and clumsy and uncomfortable splints were applied. for years, conventional wisdom was what i call 'The humpty Dumpty. Every 2 hours change the position of a person who is bed or wheelchair-bound. Avoid dragging the person when you move them in bed. Friction can cause skin breakdown. Apply lotion to dry skin regularly (except between the toes where it can cause fungal growth.) Give a light massage while rubbing in the lotion

Bathing Tips for Survivors American Stroke Associatio

Preface. This assessment guide is designed to provide occupational therapists and physical therapists with recommendations and suggestions for the development and assessment of skills in the educationa ©01/10 Fazzi Associates, Inc. · Assessment of Patient Performance · Page 5 of 10 M1860 Ambulation position self). M1850 Transferring another surface M1810 & M1820 Dressing Upper and Lower body they Get into bedget from bed to chair (If bedfast ask patient to turn and or assistive device Select 1 Select eithe The patient will walk 25 feet from the family room to the kitchen with one hand held at dinner time 5/7 days per week. • Short Term Goals (within 3 months): -The patient will transition to standing from the floor through half-kneeling with supervision 4/5 trials for 3 consecutive treatment sessions 5 Tips for Teaching Dressing Skills in Occupational Therapy. Try completing the dressing skills in different positions. Laying on the floor on the back or side may be easier for some children. If the child is unable to maintain his/her balance, try sitting in a corner or on a bench. If minimal support is needed in standing provide a grab bar or. (e.g., learning one-handed dressing techniques), use of selected activities (e.g., playing a game to achieve fine motor movements needed for ADL or IADL), and preparatory treatments (e.g., prolonged stretch to a muscle group to decrease spasticity and improve available movement

Getting dressed — Stroke Recover

Tips and Tools for One Handed Cooking If you've recently lost the use of your hand or arm due to a stroke or amputation, it may take you longer to get the hang of things. That's okay, with practice you'll become more comfortable in the kitchen The therapist assessing the patient’s tone and range of motion can alert the nursing staff to any problems associated with improper patient positioning or developing contractures. The occupational therapist can begin teaching one-handed techniques for feeding, grooming, and dressing, depending upon the patient’s level of alertness Ambulation Training Ambulation A primary functional goal for many residents Often requires therapist intervention and oversight Gait belts should be used as directed Safe body mechanics should be practiced by all involved in ambulation training Gait Training The purpose of a gait-training program is to provide the resident with

Tips for One-Handed Cooking After Stroke Saeb

to these stroke patients is constrained by the context of the hospital methods and by making use of one handed techniques 24 thus, they should also be taught compensatory techniques to accommodate hygiene tasks, dressing and grooming as these are crucial for social interaction and social participation. A sense o Assistive devices, adaptive equipment and techniques can help patients with physical limitations complete daily activities more independently. Some assistive devices for physical deficits include: (Shoes) Long-handled shoe horns and sock-aids, velcro or elastic shoelaces. (Clothing) Velcro or snaps on clothing to replace zippers or buttons 1.7 Swallowing. 1.7.1 Assess swallowing in people after stroke in line with recommendations in the NICE guideline on stroke. 1.7.2 Offer swallowing therapy at least 3 times a week to people with dysphagia after stroke who are able to participate, for as long as they continue to make functional gains Supporting a stroke survivor. A guide for family, friends and carers of people who have had a stroke, from the Stroke Association. Packed with information about the emotional impact of stroke, rehabilitation and recovery, and the support available to carers

Tips for Recovering From Stroke: AOTA Tip Sheet - AOT

1. INTRODUCTION In the UK, stroke is the most significant cause of adult disability. Reports (DoH, 2000) showed that six months after stroke, 49% of patients need help with bathing, 31% of patients need help with dressing and 33% of patients need help with feeding Adaptive equipment common used after stroke can help facilities tasks such as dressing, grooming, feeding &eating, bathing etc. It is therefore important that individuals use the adaptive equipment and practice the techniques daily so that they become as proficient and as independent as possible In some cases, strengthening exercises can't adequately restore function in the upper body, such as frequently occurs after stroke. Occupational therapy practitioners use adapted equipment in therapy activities to practice one-handed techniques for daily tasks such as dressing, preparing food and using a computer

A Systematic Review - Home AHA/ASA Journal

WALLY ⦿ Mental and physical status - appears to be very neat, clean and well groomed. Inconsistent eye contact, especially when approached from the right side. Motor ability is impaired and does not ambulate at this time. Right arm and leg are flaccid and has right facial droop. Slurred speech and difficulty finding words. Affect is depressed since the injury One-handed dressing techniques Ted is recovering from a THA, and the surgeon tells him that he is to be toe-touch weight bearing (TTWB) for 6 weeks. He is confused by this recommendation and asks the COTA for clarification 2) $8 Gripware Plastic Scoop Dish. Features: Non-skid feet grip the table, low front edge and high back edge helps scoop food onto fork. Helpful for: Single-handed eating and people with poor eyesight, limited coordination, Parkinson's, stroke, or tremors. 3) $10 Maddak Partitioned Scoop Dish with Lid Crafting the Ideal OT Note. Post author. By Sarah Lyon, OTR/L. Post date. May 12, 2021. OT practitioners spend lots of time on documentation. Our notes help us track patients' progress, communicate with other healthcare providers, and defend our rationale for our treatment choices. Documentation is a key factor in our patients' well-being.

stroke. Second, an OT helps patients cope with any residual physical deficits by providing education and exploring compensatory strategies and adaptations. For example, an occupational therapist may provide a patient with range of motion and strengthening exercises to help regain upper extremity function. Patients will learn and practice one-handed Initial evaluation 72 hours after stroke according to the patient's medical condition bed mobility Adaptive and one-handed methods for performing activities of daily living assistive technology Educate family and caregiver to facilitate daily activities such brushing , washing hands and face , grading of activitie Question Hello, my patient was attacked by pontine stroke 4 months ago. He is able to do only elbow flexion and mild finger flexion but arm remains flaccid. He can walk with help but arm remains the same. Give any tips. He is currently getting electrical stimulation, mild stretch and passive ROM up to pain free movement