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A patient presents with an extremely painful corn on the sole of their foot. The corn is located directly under the first metatarso-phalangeal joint. What gait pattern would be expected? What would th ...

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Ankle-foot orthosis (AFO)

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Task 1  Explain how technology can be used to support Sally in living independently. Analyse barriers to the use of technology to support Sally in living independently 1.3 Explain the benefits of these technologies to health and social care organisations and their users (You can relate example with Sally’s case study). (All questions in task 1 also achieve M2 & D2) The first part of the assignment addresses learning outcomes: This section of the essay should consist of 1000 words. Case Study: Sally is a 42-year-old female who presents to her GP with complaints of tingling and numbness in her left foot, 18 months later she also complained of double vision. Consultation with a neurologist at that time results in a diagnosis of multiple sclerosis. She is placed on diseasemodulating medication and educated about lifestyle changes to avoid fatigue, which manages her double vision, with the exception of long workdays. The GP refers her to a vision specialist for management of the impairment of double vision that interferes with activities and participation in her job as an account executive. The GP has also requested the assistive technology specialist to provide information and education about other assistive devices that are available should she develop additional impairments. A vision specialist recommends an eye patch for use when warranted and suggests she stay in touch with the assistive technology specialist should other problems arise. Two years later, Sally returns to her GP with complaints of weakness and numbness in her right side (upper and lower body). These new impairments interfere with her ability to drive to and from work and chauffeur her children to soccer and other after-school activities. Her function at work has been greatly compromised as well. She is experiencing difficulty with typing, maneuvering around the building, holding her lunch tray, and performing other activities of daily living. She is referred to the Occupation Therapist for an ankle-foot orthosis (AFO) for the right foot and a cane to improve her mobility, and she is also referred to the Assistive Technology Specialist for consideration of alternate input methods for the keyboard. A keyboard was chosen that covered a larger surface with large black letters surrounded by a yellow background. Both specialists worked together to identify other aids to facilitate additional activities, such as Sally's personal care activities using a dressing stick and toothbrush handles; cooking using kitchen aids, including jar openers, recipe card holders, and large-handled pots and pans; and gardening using adapted gardening tools. The GP refers her to a driver's trainer specialist to adapt her vehicle with a spinner knob and left foot accelerator and to train her in this new way of driving. At this time, the GP also referred her to a social worker for support and counseling regarding her finances, work, and personal life decisions. Throughout the previous 4 years, Sally's family has noticed changes in her memory function. After the psychologist completes a cognitive evaluation and identifies strengths and weaknesses, Sally is provided a hand-held personal digital assistant (PDA), called the "PocketCoach," to aid in her memory skills. This device enables her to push a single button to remember "what to do next." It assists her to remember to complete task activities and to manage important aspects of her healthcare, such as taking medications and nutritional supplements.

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