HomeMy WebLinkAboutThe Huron Expositor, 1997-07-23, Page 3New occupational therapist likes
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versity of hospital
BY DAVID SCOTT
Expositor Editor
Seaforth Community
Hospital now has its own
occupational therapist - a
gold medalist.
Mark Jellous, 28, of
London, graduated as 1
gold medalist for UWO's
T)
ar.
rs
n
cs
` occupational therapy (0
course in April of this ye
He also holds an Honou
Bachelor of Arts i
Kinesiology and Economi
from Western.
He started working June 23
at Seaforth hospital and is
available to see patients
Mondays, Wednesdays and
every other Friday with a
doctor's referral.
Best Caseload
"It's difficult to find a job
now in OT," said Jellous. He
says Seaforth had the best
mix and caseload of the hos-
pitals he applied to.
"It's a nice diversity. I see
inpatients and outpatients and
get to see people ar all stages
of recovery - from post-
surgery till they leave the
hospital."
Many of the outpatients he
sees suffer from upper
extremities injuries, accumu-
lative trauma disorders and
repetitive strain injuries.
"There's sustained crush
injuries in presses, etc. in
industrial accidents."
As an occupational thera-
pist he looks at a person's
abilities to do things every-
day - get out of bed, dress,
cook, etc. - and how their
injury is interfering with the
things they want or need to
do everyday. (Eg. work in a
factory, cook and clean, key-
boarding, play cards, etc.)
"With each client we devel-
op goals to get them back
doing things most important
to them," said the new thera-
he
NEW OT - New occupational therapist Mark Jellous, of London, has eenvworki goat j
PHOTO BSeaforth Community Hospital since June 23. He•sees patients Mondays, Wednesdays and e
every other Friday with a doctor's referral.
There's really no age Iimit a Hol• t• 1 n
dation is from repetitive
movement and prolonged sta-
tic posture of wrists. It shows
up in people who do a lot of
keyboarding or have factory
jobs that create stress on the
wrists.
Prevention is the best thing
for Carpal Tunnel, says
Jellous. Make sure people
are taking appropriate work
breaks, avoid sustained pos-
tures, rotate from one job to
another." Stretching the
upper body also helps.
Doctors Excited
Jellous says he's met the
Seaforth medical staff and
says "all the doctors are quite
excited there's an OT here." DGGOO�0000ooG0
He will be doing a presents- a $urbrt fountg's Complete
tion in August to the physi- 0 O
clans to familiarize them
follow-up he can provide. r RENTAL
Having been at the hospital
1
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• KEYS RECOVERED
• DAIJPP CHASERS
• REGULATING
• BENCHES _
OD
fully the services about and a 13
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too. He
for people undergoing occu- life of theic • lient t he says. o deals twith a lotdealth of people tr
national therapy. Jellous now "Often an injury will affect with arthritis. "How to pro- re
treats patients from eight multiple areas of your life." tect the joints, assistive iu
st
years old to people in their Jellous also works with devices There's _ _-• co
nineties.
He also sees a large number
of patients who have gone to
London for initial surgery or
treatments and can now go to
the local hospital for follow-
up care. "It's a lot nicer than
ust about one month, he's v Headquarters
njoying it. "I like it. It's a Q
ice hospital, the staff are a O Small & Mid-sized Cars
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to
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iendly." He says it has a
al family atmosphere where
aft "become friends, not
st co-workers." Jellous also
mmented on the new facili-
s, good qualified staff and
odern equipment.
y agencies, retirement ber of arthritic conditions." tie
homes and nursing homes. Carpal 'lflinnelSyndrome
"We recommend assistive Another increasingly com-
devices, where they can be mon ailment is Carpal Tunnel
purchased and make sure Syndrome. It's basically an
they're fitted correctly." inflammatory condition of de
f
sss
Volunteers in Rehab
Volunteering in the Rehab.
partment, as their time per-
ts, are Marcy McCall and p
yley Mills. Marcy is start-
her second year in kinesi- 0 Il)
gy at McMaster, while a CAR &n`R TRUCK
RENTALS 13
yley is beginning fourth 0
El
r kinesiology at Western. 500 Huron Rd., Goderich
it time in the department a0 CMZ. COST Ask for Helen 1313
pent volunteering with a 524.8347
)cal duties and observing 010
ssments and treatments. Oeeeeeeeeeeee eso
H
travelling back and forth to tioning fora repetitive stress and theondi- the median nervet. There are ma
London or Stratford."Ka
Differences in OT injuries. "We try to improve together tightly in your wrist ing
• endurance and overall condi- between bones. "If you olo
Although both physiothera- tion." Ka
py and occupational therapy Tdoveruse (your wrist) the ten -
are c lent -centred in their is one dons become inflamed. When yea
More
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I ra itionally this d
with outpatients. A homthey swell up there's no The
goals, there are a few differ-
goals, says Jellous. program is set up and regular where to go. The nerve gets is s
"Physiotherapy visits are scheduled to the compressed." cler
py is more hospital where the client will People with Ca I T asse
owe
focussed on lower extremities
Carpal
unreel
- knees, hips. OT deals with a do things to mimic job tasks. Syndrome may experience
lot of upper extremities.Treatments are done using numbness in their fingers and
It
tends to look at the individual ultrasound, whirlpools, heat, thumbs - or experience night
etc.
as a whole. Physiotherapypain where they wake up and
tends to treat the injury Often in older people there have to shake their hands to
J ry.,,
pest. Occas Occupational them takes will be one acute problem get rid of numbness, says
p therapy and other s
Geriatric assessment a
CONTINUED from page 1
distribute it to all those who
deal with the health needs of
the elderly person.
By eliminating the barriers
between the different health
agencies, money can be saved
said Woldnik.
"Geriatrics is an expens
proposition if there is no s
tem in place. You can spen
lot of money quickly."
While the London Regio
Geriatric Assessment Progra
does monthly clinics at t
Goderich hospital, both Spit
and Woldnik said the ar
benefits by having a loc
team.
Huron and Perth Counti
have a disproportionate num
ber of seniors said Spittal, in
June presentation to the boa
of Alexandra Marine an
General Hospital.
Woldnik also struck upo
the high percentage of fragil
elderly in the area, noting, i
his own practice, he once ha
six patients over the age o
100.
If the expertise for assessin
this population is here, then
the service becomes more
available, said Spittal.
She noted it is easier for a
local team to follow-up the
elderly patients.
That's important in geri-
atrics, said Woldnik.
Geriatrics is not like "fix a
hip and it's done. Geriatrics is
ongoing."
From what she has
observed, Spittal said geri-
atrics also connects a number
of different areas in the lives
of the elderly.
The scope of the team's
examination becomes evident
after looking at their testing
check list.
During an assessment, team
members investigate the phys-
ical, mental, social and medic-
inal condition of patients.
In the physical assessment,
the team checks such things as
blood pressure, reflexes and p
respiration. It examines how
well patients can move their e
body. It checks whether,the
patient has common geriatric w
problems like thyroid,
cataracts, diabetes or arthritis.
As, a part of the mental p s
assessment, the team tests p
patients' memory and judge-
ment to determine if there is 10
depression, delirium or m
dementia.
de
The social lives of patients
are probed to see whether they
econdary prob- Jellous. The cause of the con
es an ongoing
process
exile* SOLD a �'
•,
ive .:.-
ys-
d a sr-
nal
m
he
tal
ea
al
es
a
rd
d
n
e
n
d
f
8
e
son, said Spittal.
She said there may be
something more at work in the
overall health of person who
cannot control her bladder.
Perhaps she feels ashamed of
her problem and as a result,
stops going out to different
social activities. Then, she
becomes lonely and
depressed.
To address such problems,
it does not require huge inter-
ventions in life of the elderly,
said Woldnik.
"Subtle" adjustments can
sometimes let elderly people
remain in their own homes, he
said.
Even if the changes cannot
revent sending an elderly
person to a nursing home, that
erson will appreciate the
ffort and eventually realize it
s the only alternative, said
oldnik.
If you let the elderly take
art in the decision-making
rocess, they will persist, he
aid.
Otherwise, a 90 -year-old
Id to go to a nursing home
ay just die out of "spite or
pression."
Anyone can refer an elderly
person for a geriapic assess -
GERIATRIC TEAM - Members of the Huron Geriatric Assessment Team accept a medical
PHOTO BY TRISH WILKINSON
bag from Dr. Mark Woldnik, right, that contains equipment to help in their assessments of
elderly patients. Woldnik, through various fundraising, raised the money to purchase about
eight bags. Team members present are, back row, from left to right: Sharon McClenaghan,
Joanne Hardy, Heather O'Neill, Pam Gordan and Janice Hayter -Oke. Front row: Joanne
Ryan, Joan Spittal and Stephanie Peters. Missing are Kathy Turner-Adkin and Helene
Moore.
•
have support from family, ment. tact Seaforth Community
friends or others. Referrals go through the Hospital for geriatric assess
There is also some investi- London Regional Geriatric ments when the London team
gation about how medications Program or, its host for begins clinics there this fall.
affect patients. Are the drugs monthly clinics, Goderich's Currently, the London team
being taken correctly? Are Alexandra Marine and does geriatric assessments at
they interacting adversely General Hospital. Alexandra Marine and
with other drugs or alcohol. Contact the London General Hospital on the last
All of these areas, when Regional Geriatric
xamined together, create a Assessment Program at (519) Friday of every month.
more holistic and true picture 646-6075 or Lynn Million at In otma, Spittaloonid it the
f the health of an elderlyAlexandra Marine and local possible six
contact the
per- team of six registe
•
General Hospital at (5)9) 524- nurses, two social work.
8323 extension 283. one occupational therapist a
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