title: Independent insulin administration by the hemiplegic patient: stabilization of an insulin pen with a new device.
abstract: Diabetes mellitus is an independent risk factor for stroke, and the incidence of diabetes in patients presenting with stroke is 16% to 20%. Administration of insulin is an important activity of daily living that should be addressed in hemiplegic patients with diabetes. Presented here is a table-top clamp that can be used with an insulin pen allowing independent insulin dosing and subcutaneous administration with one hand. The clamp is built on a wood block base that is mounted to a smooth table surface by suction cups. Construction of the device is simple, inexpensive, and can be incorporated as a therapeutic project for the patient during the rehabilitation stay. A diabetic patient with a left hemiplegia is presented who demonstrated independence with the device prior to her discharge home.
authors.affiliation: Department of Rehabilitation Medicine, Medical College of Ohio, Toledo 43699.
authors.forename: R L
authors.initials: RL
authors.lastname: Harvey
authors.forename: K M
authors.initials: KM
authors.lastname: Stachowski
authors.forename: S K
authors.initials: SK
authors.lastname: Dewulf
mesh_terms: D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000188:drug therapy*; D006429:Hemiplegia / Q000150:complications / Q000534:rehabilitation*; D006801:Humans; D007328:Insulin / Q000008:administration & dosage*; D008297:Male; D012656:Self-Help Devices; D013594:Syringes
chemical_list: D007328:Insulin