Please list payment source.
Please list your current employer or facility.
Please provide a short statement that summarizes your educational and clinical experiences which prove competancy in your area(s) of practice.
Share relevant details of patient’s medical history.
Provide a description of the patient’s prognosis and if they do not start or continue a standing program – how would that affect it?
Patient was evaluated for a standing program and determined appropriate because…..(should tie together medical history, prognosis, co-morbid conditions and make clear potential negative outcomes if standing program does not start or continue)
A one position upright or prone only stander would not allow patients to rest between short bursts of upright or prone standing as is necessary to build head control. A supine only stander would not provide the option of prone positioning to work on head control.
Multi-position stander will not provide adequate positioning capabilities to address Range of Motion (ROM) concerns.
Patient will be using the stander on a daily basis, beginning with 30 minutes, 2x/day at 10 degrees of abduction; increasing to 30 degrees of hip abduction, a minimum of 2x/day for 30 minutes. Patient is currently in foster care and the carryover with standing program is excellent with 60-90 minutes of standing a day.