{"id":2213,"date":"2019-09-22T23:30:52","date_gmt":"2019-09-22T23:30:52","guid":{"rendered":"https:\/\/desis.osu.edu\/seniorthesis\/?p=2213"},"modified":"2019-09-22T16:40:08","modified_gmt":"2019-09-22T16:40:08","slug":"interview-with-lauren-niehaus-pt-dpt","status":"publish","type":"post","link":"https:\/\/desis.osu.edu\/seniorthesis\/index.php\/2019\/09\/22\/interview-with-lauren-niehaus-pt-dpt\/","title":{"rendered":"Interview with Lauren Niehaus, PT, DPT"},"content":{"rendered":"\n
View original document here<\/a>Download<\/a><\/div>\n\n\n\n

T: Going from a hospital to home can be a bit of an adjustment for patients after having doctors, nurses,
and parents close by to help them out of bed and move around. Do you give Pectus Excavatum patients
any certain exercises to practice once they get home? How do you help them with this adjustment?
L: \u201cSo we actually don\u2019t teach them any exercises to make them stronger for the first twelve weeks\u201d [\u2026]
\u201cThe main discomforts are A) getting out of bed and B) putting on a shirt. A lot of these kids don\u2019t want
to wear button up shirts because they aren\u2019t comfortable to lay around the house with, so we teach
them how to put on a t-shirt.\u201d [\u2026] \u201c\u201cA lot of discomfort mainly has to do with them not being able to use
their arms.\u201d [\u2026] \u201cThey can\u2019t lift, push or pull 5 pounds for the first 12 weeks\u201d [\u2026]
<\/p>\n\n\n\n

Notes:
\u2022 Mainly teaches them how to get out of bed and make sure they are staying true to
precautions<\/p>\n\n\n\n

T: Results from one of my surveys show that nearly 22 people experienced not being able to sleep in a certain position, and 59% stating that sleeping was either their first or second most uncomfortable task during recovery. In addition, I read about another hospital saying the patient could sleep on their side as long as it is comfortable but know Children\u2019s does not recommend it. Do you ever have patients from other hospitals come in for treatment? Do you ever communicate with other hospitals? Do you have any recommendations or tactics for people to make sleeping more comfortable?
L: \u201cWe don\u2019t like them to lay on their sides because of the pressure it puts on their side, because it could make them [bars] flip\u201d [\u2026] \u201cour goal is to limit the things we know will be harmful but promote the things that will help them heal,\u201d [\u2026] \u201ca lot of people don\u2019t have means to a recliner, just because they can\u2019t afford one or borrow one from someone. So we recommend a wedge to put on top of the bed\u201d [\u2026] \u201cA lot of kids who sleep in a recliner say it\u2019s the most comfortable\u201d [\u2026] \u201cThey cannot be straight up but need to be elevated slightly\u201d [\u2026] \u201cOne thing that is hard is that they have to scoot forward\u201d [\u2026] \u201cso we teach them to do a lateral side bend and move their hips forward\u201d [\u2026] \u201cIt could be helpful if the bottom of the chair tilted,\u201d [\u2026] \u201crecliners are built always for adults, but teenagers are kind of adults but smaller\u201d
<\/p>\n\n\n\n

Notes:
\u2022 A lot of stair negotiations and walk, walk, walk
\u2022 Wants to get them out of bed as soon as possible. She talked a bit about how one kid who had surgery at a different hospital came in for PT and his mom was excited to see him finally walking around after a few weeks. At Children\u2019s, they want to have the patient walking as soon as possible, usually within the first day or two.
\u2022 We don\u2019t want them to swim unless they\u2019re standing
\u2022 Suggested looking into electric operating recliners but making them into a lower profile chair<\/p>\n\n\n\n

T: Is there anything else you think is important to the recovery process? Any tips, movements, or preparation patients should do to help them recover comfortably? Do you have any final thoughts as we wrap up the interview?
L: \u201cMindfulness and meditation, moving is a huge piece to pain but it\u2019s a huge mindset\u201d [\u2026] \u201cWe control a lot of pain in our head. If you can get your mind into the right place, [it can be a lot easier]\u201d [\u2026] \u201cWhat can be good about our pain and how could we make it better?\u201d [\u2026] \u201cNature, apps, a lot of kids do better after getting home because they are in their natural environment\u201d [\u2026] \u201cthere could be some pre-op stuff that could be done to make pain better or to mayber reduce the amount of kids who actually need it done\u201d [\u2026] \u201cpostural things to make surgery not so bad\u201d<\/p>\n\n\n\n

Notes:
\n\u2022 Children\u2019s offers music therapy, video games
\n\u2022 Mary Mathery does a lot of rib stuff and Lauren wants to go to her courses
\n\u2022 Laurent is interested in researching the ways one can prep fore surge<\/p>\n","protected":false},"excerpt":{"rendered":"

T: Going from a hospital to home can be a bit of an adjustment for patients after having doctors, nurses, and parents close by to help them out of bed and move around. Do you give Pectus Excavatum patients any certain exercises to practice once they get home? How do you help them with this […]<\/p>\n","protected":false},"author":19,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,24,35],"tags":[228,253],"class_list":{"0":"post-2213","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-featured","7":"category-voices","8":"category-voices-featured","9":"tag-interview","10":"tag-professional"},"_links":{"self":[{"href":"https:\/\/desis.osu.edu\/seniorthesis\/index.php\/wp-json\/wp\/v2\/posts\/2213","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/desis.osu.edu\/seniorthesis\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/desis.osu.edu\/seniorthesis\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/desis.osu.edu\/seniorthesis\/index.php\/wp-json\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/desis.osu.edu\/seniorthesis\/index.php\/wp-json\/wp\/v2\/comments?post=2213"}],"version-history":[{"count":1,"href":"https:\/\/desis.osu.edu\/seniorthesis\/index.php\/wp-json\/wp\/v2\/posts\/2213\/revisions"}],"predecessor-version":[{"id":2219,"href":"https:\/\/desis.osu.edu\/seniorthesis\/index.php\/wp-json\/wp\/v2\/posts\/2213\/revisions\/2219"}],"wp:attachment":[{"href":"https:\/\/desis.osu.edu\/seniorthesis\/index.php\/wp-json\/wp\/v2\/media?parent=2213"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/desis.osu.edu\/seniorthesis\/index.php\/wp-json\/wp\/v2\/categories?post=2213"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/desis.osu.edu\/seniorthesis\/index.php\/wp-json\/wp\/v2\/tags?post=2213"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}