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Multilevel Perspective on Energy Flow
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Multilevel Perspective on Energy Flow - October 24, 2005 12:54:00 AM
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Sean_Collins
Posts: 74
Joined: October 20, 2005
From: Massachusetts
Status: offline
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PTs and OTs are somewhat unique in the care we provide patients in that we are fully engaged in the examination, evaluation, and intervention across several levels of the disablement process as related to energy flow.
I would like to start a discussion here that highlights examples of positive feedback loops across levels disablement within the energy flow perspective.
Feel free to view an illustration of this perspective at the following site
[URL=http://www.professional-seminars.com/energyflow.htm]web page[/URL]
_____________________________
Sean M. Collins, PT, ScD, CCS
Associate Professor
Research Coordinator
Department of Physical Therapy
Coordinator, Graduate Program in Disability Outcomes
Adjunct Professor, Department of Work Environment
School of Health &
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Re: Multilevel Perspective on Energy Flow - October 24, 2005 12:59:00 AM
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Sean_Collins
Posts: 74
Joined: October 20, 2005
From: Massachusetts
Status: offline
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A classic example is the patient that is discharged after an admission with "dehydration", of course this patient had several other medical conditions. Dehydration is mererly the "leverage" effect that propels them into instability and thus requires admission. They are discharged without consideration to the cumulative impact of a day's work (exerting energy in the environment) on the ability to sustain that days work. Over time they start to fatigue, do less work which means drinking and/or eating less, this reduction in glucose and H2O leads to muscle weakness due to interupting the bioenergetic process, which leads to less work and so on and so on, until finally they are back in the hospital again being diagnosed with dehydration - except maybe they have the benefit of also having a UTI, pneumonia, a bed sore (all consequences of less energy being translated into work in the environment).
Do people have other examples? Does the energy cycle here provide some degree of commonality between them that can be used by PT's and OT's to start to address these "frequent flyers?"
_____________________________
Sean M. Collins, PT, ScD, CCS
Associate Professor
Research Coordinator
Department of Physical Therapy
Coordinator, Graduate Program in Disability Outcomes
Adjunct Professor, Department of Work Environment
School of Health &
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