PTH 845 Advanced Therapeutics: Part 1 Task A Field Observation Guide Form

Name: Elizabeth Osantowski Neuro Case #4

Task Specific Field Notes: Identify the movements required to complete the tasks associated with the assigned occupations.

Occupation: Nurse – Labor and Delivery Occupation: Chemical Engineer

 Ability to walk a lot throughout the day
 Trunk flexion when taking care of patient in their bed
 Trunk extension to stand upright
 Balance while UE is over toes
 Repeatedly reaching for objects like BP cuff or other cord
monitors with UE’s
 Helps aid in medical interventions if baby or mom requires it
 UE strength to move equipment or patient
 UE ROM to perform reaching tasks
 Writing / explaining what is going to happen to mother
 Ability to document how the patient is doing
 A lot of communication with the patient via checking on the
patient every 30 minutes to 1 hour
 Performs any task the patient asks/needs
 Walking with the patient while guarding/looking towards
them with trunk rotation
 Help the doctor deliver baby
 Puts blanket on mom’s belly, dry baby
 Needs to be able to sit and stand
 Navigate around others and equipment
 Ability to walk short distances in the office
 Ability to walk long distances at plants or facilities
 Sit to stand
 Stand to sit
 Don/Doffing gloves
 UE ROM to work behind a computer or in lab
 Ability to drive to plants via UE and LE multitasking
 UE strength to formulate products in lab
 Trunk flexion to see product closer in the lab
 Trunk extension to stand upright
 Head movements to observe equipment or lab materials
 LE strength to ascend and descend stairs
 LE strength to climb ladders
 Balance to walk on uneven surfaces at plants or different
ground surfaces
 Posture in desk chairs, specifically head, neck, shoulders
 LE ROM to sit at desk to stand upright
 LE ABD/ADD to navigate in tight spaces
 Ability to turn 180 degrees

https://www.youtube.com/watch?v=jWLnfB_gHw8 https://www.youtube.com/watch?v=k-7B_YfHWXQ

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PTH 845 Advanced Therapeutics: Part 1 Task A Field Observation Guide Form

Contextual Field Notes: Identify environmental, social, emotional, or other factors that might impact the execution of the movement based on
observations.

Occupation: Nurse – Labor and Delivery Occupation: Chemical Engineer

Environmental  Spacious rooms Environmental  Office/Cubical
Factors  Spacious bathroom with jacuzzi tub Factors  Desk
(option for labor)  Chair
 Bed  Carpet flooring
 Monitors  Tile flooring
 Table  Escalator
 Shelf on wall  Lab
 Tile flooring  Manufacturing facilities/plants
 Safety glasses/gloves
Social Factors  Performs job activity with the mindset of Social Factors  Works with a team/other professional
“if you were my family, this is what I  Meetings with other professionals
would do for you”  Tries to please the consumer wants
 Tries to keep mom and baby together
 Encourages patients to walk around
 Checking on patient every 30 minutes to 1
hour
Emotional  Wants moms and babies to have a positive Emotional  Variety of fields to work in, so passion for
Factors experience Factors what they do
 Skin to skin transition with mom and baby  Working on more than 1 project at a time =
 Personal joy to see a baby come into the stress
world  Having deadlines/requirements to meet
 Forms personal connections to the  Allowed to be creative
mothers
 Stress during emergencies
Other Factors  Noise from monitors, patient, and other Other Factors  Noise from plants
healthcare professionals  She has hobbies like cooking, art, drawing,
 Reads the moms birth plan to understand and painting
the mothers needs

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PTH 845 Advanced Therapeutics: Part 1 Task A Field Observation Guide Form

Age & Generational Field Notes: Identify any generational considerations based on your field observations.

Occupation: Nurse – Labor and Delivery Occupation: Chemical Engineer

 The lady I observed has been a labor and delivery nurse for
37 years, so she has a lot of experience in her field. She said
that each birth is different in their own way. She often
remembers her patients and her patients remember her if
they have multiple births, so she formulates a lot of personal
connections, which may attribute to being older and having a
“motherly instinct.”
 The lady I watched appears to be younger and in good shape.
She did not have any impairments and did not appear to have
any postural abnormalities. I think since she was younger, she
was newer to the field and had less insight than someone
with more experience. She was very enthusiastic about her
profession and showed numerous settings to be in.

Other Observations:

Nurse – Labor and Delivery: I believe the nurse does alot more physical requirements than what the video gave me to observe

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PTH 845 Advanced Therapeutics: Part 1 Task A Field Observation Guide Form

Task Specific Field Notes: Identify the movements required to complete the tasks associated with the assigned occupations.

ADL/Activity: Brushing Teeth ADL/ACTIVITY: Getting in/out Tub Shower

 Ability to walk into bathroom independently
 LE movements to navigate turns or smaller spaces like
doorway
 Bilateral UE ROM including wrist, fingers, elbow, and
shoulder flexion and extension to perform the task
 Wrist and Forearm strength to get toothpaste out and hold
toothbrush
 Shoulder and wrist strength to turn on/off facet, and to brush
teeth
 Facial and jaw muscle control to open mouth
 Cervical movement to facility head turning while brushing
teeth
 LE strength to stand upright for 2 minutes while brushing
 LE ability to withstand UE perturbations
 Trunk flexion to bend over sink / spit into sink
 Trunk extension to stand upright
 Cervical extension to rinse mouth with water from cup
 Wrist and forearm movement to put toothpaste cap back on
 UE movement to put away all the items
 UE and cervical movement to wipe face with towel/wash
cloth
 Bilateral LE movement to walk to trash can
 Ability to walk into bathroom independently
 LE strength to walk
 Balance to stand on one foot while the other foot goes up
and over tub height
 LE ROM to clear the tub height
 LE Abduction and Adduction getting into and out of tub
 Lateral trunk flexion to help weight shift LE’s
 UE ROM help stabilize getting into tub
 Full body flexion to get from upright to seated in bath tub
 UE strength to control decent into tub
 UE strength to push up to arise from tub
 LE ROM to flex to extend upright
 Ability to turn 90 degrees to get out of tub
 LE strength to stand on one leg while other leg clears the tub
(with hand against wall)
 Ability to weight shift diagonal while clearing tub with foot
 Trunk strength to stand upright
 Ability to stand and balance on uneven surfaces / slippery
surfaces

*Watched my sister get in and out of tub shower since I couldn’t find
https://www.youtube.com/watch?v=osIBbQM7OXw videos of someone with no impairments*

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PTH 845 Advanced Therapeutics: Part 1 Task A Field Observation Guide Form

Contextual Field Notes: Identify environmental, social, emotional, or other factors that might impact the execution of the movement based on
observations.

ADL/Activity: Brushing Teeth ADL/Activity: Getting in/out Tub Shower

Environmental  Hallway Environmental  Bathroom / Doorway
Factors  Bathroom / Doorway Factors  Mirror
 Sink  Tile flooring
 Water  Rugs on floor
 Towel  Tub has ridges on bottom
 Change of floor (from carpet to tile onto  Water on the bottom of tub
rug)  No handles to get in/out
 Items: toothbrush, toothpaste, cups  Tub height
 Mirror

Social Factors  Personal hygiene Social Factors  Personal hygiene

 4 kids and/or husband who may run
around her or need to use the bathroom
during activity

Emotional  Being able to perform activity Emotional  Being able to perform activity independently
Factors independently Factors  Performing activity in front of mirror /
 Standing in front of mirror / looking at seeing themselves naked
themselves in the mirror

Other Factors  Duration to perform activity (about 2-3 Other Factors  Whether the water is running prior to
minutes total) getting into tub
 Noise of water and fan

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PTH 845 Advanced Therapeutics: Part 1 Task A Field Observation Guide Form

Age & Generational Field Notes: Identify any generational considerations based on your field observations.

ADL/Activity: Brushing Teeth ADL/Activity: Getting in/out Tub Shower

 Everyone has their own unique way of brushing their teeth
whether it is circular, up/down, front/back, etc. This person
used several methods including a lot of up/down and circular
motions.
 Patient is 31-year-old who has performed this task every day
for years, so the task has a lot of muscle memory.
 I observed a young, 19-year-old female perform the activity
who has no impairments. She has great strength, ROM,
balance, and coordination to perform activity fluidly without
any hesitation. Since she is younger and we have tub/shower
separate in our house, when I observed her to get in/out of
tub, she sat down as if she was going to bathe rather than to
stand to shower.

Other Observations:

 For both activities/ADL’s, the patient’s head and eye movement showed which way they were going to move to perform the activity

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