Postural Care – Teaching and Home Visits

This morning brought the great pleasure of teaching a class on 24 hour postural care, attended by therapists and other professionals from Yancana Huasy and other community based rehabilitation organizations in Lima. In addition to the formal presentation there was lots of time for practical activities so that each person had a chance to experience the feeling of therapeutic night-time positioning. It was a great group and we look forward to hearing about their experiences sharing postural care with families.

Comparing supine and prone rib cage measurements during lab activities demonstrating the biomechanics of chest distortion.

Comparing supine and prone rib cage measurements during lab activities demonstrating the biomechanics of chest distortion.

A group photo after the class!

A group photo after the class!

After lunch we had the opportunity to visit homes of children who will receive new wheelchairs next week – some known to us and some new. They would all benefit from postural care, so it was a perfect follow-up to the morning class. With Elizabeth (OT), Edward and Dana (PTs) we assessed 4 children in their homes and, with their parents, developed strategies for night-time positioning using household items. Demonstrating and problem solving together was an enriching experience, as was the chance to see the kids in their home context. Several of the families live high on the mountain where there are no roads. The houses are accessed by steps and paths that can be tricky to climb. Imagining how to carry a child or young person with complex disabilities up and down such terrain is mind boggling. Needless to say, many of the wheelchairs are used only in the home, as they cannot be used outside. As always, Sammie and I learned so much.

Going up for a home visit...

Going up for a home visit…

And coming down...

and coming down…

At the end of the day we received the good news that our containers have been cleared and we can begin organizing the wheelchairs at the Caritas del Peru warehouse tomorrow afternoon. In the morning is another postural care class at Yancana Huasy – this one for parents and children! We look forward to working with more beautiful families, and sharing about postural care to protect body shape, muscle tone and quality of life for persons with movement problems.

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