A Case Study about Management of Individuals with Parkinson Disease: Rationale
In this article, we present a systematic approach to physical therapy management of individuals with Parkinson’s disease. This approach is based on a model that relates knowledge of the underlying pathology of the disease to impairments and disability. We discuss use of the model to evaluate, interpret, and treat impairments and disabilities of the patient with Parkinson’s disease. We emphasize the relative influence of impairments that arise directly from then euro anatomical pathology and those that arise indirectly through subsequent musculoskeletal alterations. We illustrate the use of the model in setting goals and in developing a treatment program. Two case studies are presented to illustrate the application of this approach to specific patient care.
These case studies suggest the efficacy of physical therapy initiated early in the disease process. The first case study illustrates improvements of balance, gait, and functional movement made by an individual who was not yet receiving medication for Parkinson’s disease. The second case study illustrates improvements of balance, gait, and functional movement made by an individual who was already receiving medication for the disease. These case studies illustrate the dramatic improvements that can be achieved in the patient with Parkinsons disease. Keep reading…
A Case Studies about Functional Limitations of Vocational Rehabilitation (VR) Consumers
Introduction: In the more than 30 years since the enactment of the Rehabilitation Act of 1973, Congress has consistently emphasized targeting VR services to persons whose disabilities are significant. This pattern culminated in the requirement of the Rehabilitation Amendments of 1992, which mandated that Designated State Units (DSUs) target services to the individuals whose disabilities are “most significant,” and charged each of the 83 DSUs responsible for implementing the VR service program with defining “most significant” within its jurisdiction.
Three years after this statutory change, the distribution of VR consumers in terms of severity of disability reflected the new requirement, with over one-quarter of consumers classified as having a “most significant disability,” about half classified as “significantly disabled” and less than 20 percent determined to be “nonsignificantly disabled”. Keep reading…
When one thinks of theatre, live performances, musicals, Shakespeare, and drama are certain to come to mind – surely not IT security. But for Richard Bevan, IT security manager at the UK-based National Theatre, security always is top of mind. To keep the business – and the performances – running, the theatre relies on about 60 servers, 1,000 networked workstations, and hosts and manages its own Web site that processes more than $20 million in ticket sales annually.
While most every company that process online credit card payments must comply with the Payment Card Industry Data Security Standard (PCI DSS), the National Theatre also must adhere to numerous other privacy regulations that include data about its employees and customers such as name, address, listings of disabilities, among other data points. “We have many regulations, from the UK and the European Union that mandate the proper processing and protecting of personal information,” Bevan says. “It’s also about doing the right thing, and protecting the information we manage,” he adds. Read more..