2024 작업치료 개념서 2: 근골격계 작업치료
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작업치료 분야는 그 어떤 영역보다 광범위하고 다차원적인 분야이다. 의학, 심리학, 사회학 등 인간 관련 다영역적 학문으로 매우 다양하고 복합적 성격을 지닌 학문이다. 국내 작업치료 역사는 한국전쟁을 시작으로 이미 반세기가 지났으며, 매우 다양한 분야로 진출하고 있다. 반면, 국내 작업치료의 교육 현실은 예전보다 많이 발전하였으나 전공 교육과정에 필요한 교재는 여전히 부족한 상태이며, 이로 인해 국가시험을 준비해야 하는 재학생들에게 큰 부담이 되고 있다. 이에 본 교재는 부족한 교육과정을 보충하고 중요한 내용들을 요약정리하므로 보다 쉽게 작업치료사 국가고시를 준비할 수 있도록 구성하였다.
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2024년 작업치료 개념서 02-근골격계
CHAPTER 1 관절염 _7
1.1 개요 ·························································································· 9
1.2 류마티스 관절염 ······································································· 9
1.3 골 관절염 ··············································································· 17
1.4 섬유근통 ················································································· 18
1.5 의학적 관리 ············································································ 19
1.6 심리적 요소 ············································································ 20
1.7 작업치료 중재 ········································································· 21
1.8 치료 방법 ··············································································· 23
1.9 부목의 사용 ············································································ 26
1.10 에너지 보존 ·········································································· 30
1.11 관절 보호 ·············································································· 31
1.12 보조 도구 ·············································································· 33
1.13 치료 시 주의 사항 ······························································· 34
1.14 환자 및 가족 교육 ······························································· 35
Summary ······················································································ 40
CHAPTER 2 수부 및 상지 손상 _43
2.1 개요 ························································································ 45
2.2 신체 평가 ··············································································· 45
2.3 기능 평가 ··············································································· 61
2.4 치료 ························································································ 62
Summary ······················································································ 76
CHAPTER 3 엉덩관절전치술 _79
3.1 개요 ························································································ 81
3.2 골절의 일반적 의학적 관리 ···················································· 81
3.3 엉덩관절골절 ·········································································· 83
3.4 엉덩관절전치술 ······································································· 84
3.5 무릎관절전치술 ······································································· 85
3.6 심리적 요소 ············································································ 85
3.7 하지관절의 전치술 시 고려사항 ············································· 86
3.8 재활 ························································································ 86
3.9 작업치료의 역할 ····································································· 87
3.10 ADL ····················································································· 88
Summary ······················································································ 91
CHAPTER 4 요통 _93
4.1 개요 ························································································ 95
4.2 척추사이원판 ·········································································· 96
4.3 요통 환자의 재활 ··································································· 97
Summary ···················································································· 109
CHAPTER 5 화상 _113
5.1 개요 ······················································································ 115
5.2 피부의 기능 ·········································································· 115
5.3 화상의 분류 ·········································································· 116
5.4 초기 의학적 관리 ································································· 120
5.5 상처 관리 ·············································································· 121
5.6 관련된 문제들 ······································································· 121
5.7 화상 재활 ·············································································· 123
5.8 작업치료 평가 ······································································· 125
5.9 작업치료 중재 ······································································· 125
5.10 화상 관련 합병증 ······························································· 136
Summary ···················································································· 139
CHAPTER 6 절단 _143
6.1 개요 ······················································································ 145
6.2 상지 절단 ·············································································· 148
6.3 상지 의수 프로그램 ······························································ 152
6.4 의수족 프로그램 ··································································· 155
6.5 의수 사용 훈련 ····································································· 161
6.6 전동 의수 ·············································································· 162
6.7 하이브리드 의수 ··································································· 163
Summary ···················································································· 164
CHAPTER 7 노화 _167
7.1 개요 ······················································································ 169
7.2 건강 ······················································································ 170
7.3 노화로 인한 변화 ································································· 170
7.4 노인에 대한 오해와 진실 ····················································· 181
7.5 작업치료 ··············································································· 182
CHAPTER 8 심폐질환 _185
8.1 개요 ······················································································ 187
8.2 심장질환 ··············································································· 188
8.3 만성 폐질환 ·········································································· 193
8.4 작업치료의 평가 및 치료 ····················································· 194
8.5 작업치료 중재 ······································································· 195
CHAPTER 9 종양 _201
9.1 개요 ······················································································ 203
9.2 암의 단계 ·············································································· 204
9.3 작업치료 평가 및 중재 ························································· 206
CHAPTER 10 HIV 감염 및 AIDS _209
10.1 개요 ···················································································· 211
10.2 AIDS의 단계 ······································································ 212
10.3 약물 ···················································································· 213
10.4 예방 ···················································································· 214
10.5 평가 ···················································································· 215
10.6 중재 ···················································································· 216
CHAPTER 1 관절염 _7
1.1 개요 ·························································································· 9
1.2 류마티스 관절염 ······································································· 9
1.3 골 관절염 ··············································································· 17
1.4 섬유근통 ················································································· 18
1.5 의학적 관리 ············································································ 19
1.6 심리적 요소 ············································································ 20
1.7 작업치료 중재 ········································································· 21
1.8 치료 방법 ··············································································· 23
1.9 부목의 사용 ············································································ 26
1.10 에너지 보존 ·········································································· 30
1.11 관절 보호 ·············································································· 31
1.12 보조 도구 ·············································································· 33
1.13 치료 시 주의 사항 ······························································· 34
1.14 환자 및 가족 교육 ······························································· 35
Summary ······················································································ 40
CHAPTER 2 수부 및 상지 손상 _43
2.1 개요 ························································································ 45
2.2 신체 평가 ··············································································· 45
2.3 기능 평가 ··············································································· 61
2.4 치료 ························································································ 62
Summary ······················································································ 76
CHAPTER 3 엉덩관절전치술 _79
3.1 개요 ························································································ 81
3.2 골절의 일반적 의학적 관리 ···················································· 81
3.3 엉덩관절골절 ·········································································· 83
3.4 엉덩관절전치술 ······································································· 84
3.5 무릎관절전치술 ······································································· 85
3.6 심리적 요소 ············································································ 85
3.7 하지관절의 전치술 시 고려사항 ············································· 86
3.8 재활 ························································································ 86
3.9 작업치료의 역할 ····································································· 87
3.10 ADL ····················································································· 88
Summary ······················································································ 91
CHAPTER 4 요통 _93
4.1 개요 ························································································ 95
4.2 척추사이원판 ·········································································· 96
4.3 요통 환자의 재활 ··································································· 97
Summary ···················································································· 109
CHAPTER 5 화상 _113
5.1 개요 ······················································································ 115
5.2 피부의 기능 ·········································································· 115
5.3 화상의 분류 ·········································································· 116
5.4 초기 의학적 관리 ································································· 120
5.5 상처 관리 ·············································································· 121
5.6 관련된 문제들 ······································································· 121
5.7 화상 재활 ·············································································· 123
5.8 작업치료 평가 ······································································· 125
5.9 작업치료 중재 ······································································· 125
5.10 화상 관련 합병증 ······························································· 136
Summary ···················································································· 139
CHAPTER 6 절단 _143
6.1 개요 ······················································································ 145
6.2 상지 절단 ·············································································· 148
6.3 상지 의수 프로그램 ······························································ 152
6.4 의수족 프로그램 ··································································· 155
6.5 의수 사용 훈련 ····································································· 161
6.6 전동 의수 ·············································································· 162
6.7 하이브리드 의수 ··································································· 163
Summary ···················································································· 164
CHAPTER 7 노화 _167
7.1 개요 ······················································································ 169
7.2 건강 ······················································································ 170
7.3 노화로 인한 변화 ································································· 170
7.4 노인에 대한 오해와 진실 ····················································· 181
7.5 작업치료 ··············································································· 182
CHAPTER 8 심폐질환 _185
8.1 개요 ······················································································ 187
8.2 심장질환 ··············································································· 188
8.3 만성 폐질환 ·········································································· 193
8.4 작업치료의 평가 및 치료 ····················································· 194
8.5 작업치료 중재 ······································································· 195
CHAPTER 9 종양 _201
9.1 개요 ······················································································ 203
9.2 암의 단계 ·············································································· 204
9.3 작업치료 평가 및 중재 ························································· 206
CHAPTER 10 HIV 감염 및 AIDS _209
10.1 개요 ···················································································· 211
10.2 AIDS의 단계 ······································································ 212
10.3 약물 ···················································································· 213
10.4 예방 ···················································································· 214
10.5 평가 ···················································································· 215
10.6 중재 ···················································································· 216
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