TUBIGRIP

REPLACE HERE

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S...
Patient claimed had not yet oedema at right arm

O...
Patient was seen in OCT dept PG room
Patient was cooperative

1. Activity Daily Living Skills
ADL	SCORE
	SCORE
	SCORE	SCORE	SCORE	SCORE	SCORE
Personal Hygiene  	5						
Bathing 	5						
Feeding 	10						
Toilet 	10						
Dressing	10						
Stair Climbing	10						
Bowel Control	10						
Bladder Control	10						
Chair/Bed transfer	15						
Ambulation	15						
Wheelchair	NA						
TOTAL SCORE (100)	100/100						

ADL: 100/100: independence in ADL

2. Pain
Rest : 0/10
Movement: 1/10

3. Oedema
Right 
Right	Maximum circumference	10 cm from elbow circumference	Length(cm)
Arm			
Forearm			

4. Groove Pegboard
	RIGHT(mm:ss)	LEFT(mm:ss)
In	1:	1:
Out	0:	0:



A...
No oedema as of yet
Independence in daily living activities due to her condition

P...
STG
To provide pressure garment if still had oedema in three months

LTG
To prevent oedema worsening

Occ therapy modalities
1.Pressure garment /tubigrip
Provide 1 tubigrip (size D + C ) as measured at right UL.


Treatment plan
Patient will be seen to provide pressure garment/ tubigrips if needed as outpatient.

Pt education and home programme...
1. Pressure garments should be worn 23 hours per day and removed only for bathing.
2. Garments should be hand-washed daily using a mild laundry detergent in cold to lukewarm water and should be set to dry naturally in a shaded area. Do not launder pressure garments in a washing machine; do not dry them in a machine dryer, or hang to dry in direct sun. Failure to follow these instructions will damage the garment.
3. Pressure garments are only to be worn on dry skin, as various creams, oils and ointments may damage the fabric.
4. Treatment time with pressure garments varies between 12-24 months, and is determined by your therapist.
5. The fabric’s unique properties last for between two to four months, according to each specific case. Your therapist will 	     decide when a new garment should be ordered.
6. You may engage in any activity while wearing pressure garments, including sports. If you swim in the ocean or in a     	     chlorinated pool with your pressure garment on, be sure to rinse it immediately after with fresh water. If performing   	     manual labor, protect your pressure gloves by wearing work
gloves over them.
7. In order to preserve the fabric’s elasticity, handle the pressure garment carefully. Pull only on the cloth itself when   	    donning the garment, and not on the elastic bands and stitches.
8. Should you experience any abnormal symptoms (intense pain, swelling, changes in skin color or temperature), remove the pressure garment immediately and refer to your therapist

Patient education on lifestyle
Pacing of IADL.
Perform IADL and do rest with elevated affected upper limb in between IADLs
 
(patient understood)