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OTA 215/216 > Adult Populations-Precautions/Activities > Flashcards

Adult Populations-Precautions/Activities Flashcards

1
Q

Muscle Strength
Precautions: Watch for fatigue, shortness of breath, do not offer resistance in the presence of abnormal tone or edema, monitor for pain

A
  1. Re-organize kitchen cabinets (remedial)
  2. Carry laundry basket to washing machine. (Remedial)
  3. Make a cake-mix batter (Remedial)
  4. Push shopping cart filled with groceries (Remedial)
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2
Q

Abnormal Tone-Flaccid
Precautions: Do not offer resistance, watch for subluxation/dislocation, do not overstretch muscles, prevent contractures, no MMT, monitor for pain

A
  1. Disco dancing-PNF (Remedial)
  2. Simple yoga to stretch muscles/prevent contracture (remedial)
  3. Squat to stand-placing lightweight grocery items from the floor to the counter (Remedial)
  4. Stand on wobble cushion while placing ornaments on a Christmas tree (Remedial)
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3
Q

FMC Skills
Precautions: monitor for fatigue, monitor for overstimulation, monitor for pain, monitor for inflammation, prevent joint/movement abnormalities

A
  1. Insert spare coins/change into a piggy bank. (Remedial)
  2. Remove dirty shoelaces from sneakers, wash, and re-lace shoes. (Remedial)
  3. Write holiday greeting cards (remedial)
  4. Prepare a fruit salad by washing and cutting fruit (remedial)
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4
Q

Visual Perceptual Skills
Precautions: Monitor for vertigo/dizziness, monitor for autonomic disturbance, prevent/monitor for overstimulation, prevent/monitor for fatigue, monitor for safety awareness

A
  1. Play a game of velcro darts (Remedial)
  2. Sort buttons by size (Remedial)
  3. Grocery shopping-scan for specific items (remedial)
  4. Measure ingredients for a cooking/baking recipe (remedial)
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5
Q

Sitting Balance
Precautions: monitor for fatigue, monitor for falls, provide adequate supports, monitor for pain, monitor for orthostatic hypotension

A
  1. Roll out dough while seated at a table (remedial)
  2. Wipe down a table while seated in front of it (Remedial)
  3. Seated tai chi exercises (Remedial)
  4. Play bean bag toss while seated (Remedial)
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6
Q

ROM
Precautions: Monitor for pain, monitor for fatigue, watch for subluxation/dislocation, do not complete PROM if contracture is present.

A
  1. Place holiday window decals on windows (Remedial)
  2. Wipe mirrors down (Remedial)
  3. Reach from behind to grab towels and place them in a laundry basket in front of patient (Remedial)
  4. Wash body using long handled sponge (compensatory)
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7
Q

Sensation
Precautions: Monitor for safety, monitor for pain, monitor for autonomic disturbance, Monitor temperature (not too hot/cold)

A
  1. Mold figures using modeling clay (remedial)
  2. Practice incorporating compensatory strategies for sensory loss during cooking activity (compensatory)
  3. Put 1 hand in a bin full of warm rice while the other hand folds small towels (remedial)
  4. Sit on therapy ball while pairing up socks to work on vestibular system (remedial)
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8
Q

Endurance/Activity Tolerance
Precautions: Watch for fatigue, shortness of breath, dizziness, orthostatic hypotension, monitor for pain

A
  1. Take Christmas ornaments off the tree and place them in a box. (Remedial)
  2. Vacuum one small room in the person’s home and gradually increase the area being cleaned (remedial)
  3. Incorporate EC/WS techniques into household chores such a cooking (compensatory)
  4. Set up a bowling game with a lightweight ball (Remedial)
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9
Q

Abnormal Tone-Spasticity
Precautions: Do not offer resistance, no MMT, prevent contractures, prevent increase of abnormal tone, do not overstretch muscles, monitor for pain

A
  1. Play with soothing textures such as rice, beans or sand (Remedial)
  2. Do calming breathing exercises while listening to slow, soft music. (Remedial)
  3. Rock slowly in developmental patterns to relax muscles. (Remedial)
  4. Apply steady/deep pressure before having patient complete oral facial hygiene (remedial)
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10
Q

GMC Skills
Precautions: monitor for fatigue, monitor for overstimulation, monitor for pain, monitor for inflammation, prevent joint/movement abnormalities, monitor for orthostatic hypotension, monitor for imbalance/falls

A
  1. Play a game of balloon volleyball (remedial)
  2. Stand on one leg while playing a game of catch. Switch legs each turn. (Remedial)
  3. Carry laundry basket while navigating obstacles (remedial)
  4. Create a small herb garden outside by digging up soil and planting seeds. (Remedial)
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11
Q

Bed Mobility
Precautions: Monitor for orthostatic hypertension, monitor for autonomic disturbances, monitor for pain, monitor for bed sores, be aware of sitting balance

A
  1. Tap a sticky note to each side of the bed by rolling to each side (remedial)
  2. Squat to put away shoes in shoe rack (Remedial)
  3. Play musical chairs to strengthen BUE (Remedial)
  4. Put light up dance pad on the wall and use feet to tap the pad (remedial)
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11
Q

Cognition
Precautions: watch for mental fatigue, monitor for frustration, give breaks as needed, monitor impulse control, monitor safety awareness, avoid overstimulation,

A
  1. Complete a crossword puzzle (Remedial)
  2. Create a visual schedule to follow everyday (compensatory)
  3. Play jenga (remedial)
  4. Memory game (remedial)
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12
Q

Standing Balance
Precautions: monitor for dizziness, monitor for orthostatic hypotension, monitor for fatigue, monitor for pain, monitor for autonomic disturbances

A
  1. Play a game of “Horse” (remedial)
  2. Load dishes into the dishwasher (remedial)
  3. Tandem walking on a rolled up blanket/towel (remedial)
  4. Remove pieces of tape from wall/cabinets while standing on tip toes. (Remedial)
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13
Q

Pain
Precautions: monitor for excessive pain, monitor for autonomic disturbances, monitor blood pressure, monitor heart rate, monitor for signs of fatigue

A
  1. Practice deep breathing
  2. Use reacher to pick up clothes from the floor (compensatory)
  3. Cover painful area with a warm pack for 10 minutes and follow with gentle stretches (remedial)
  4. Practice guided meditation and mindfulness to decrease pain level (remedial)
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14
Q

Edema
Precautions: Closely monitor edema to prevent impairment of blood flow, Monitor for infection, No edema management activities in the presence of infection, Protect affected extremities in the presence of edema because it may also contribute to a loss of sensation that will put the extremity at risk for mechanical injury, Observe for sensory changes in the affected edematous extremity because of possible nerve compression

A
  1. Use a paint roller to “paint” the wall (remedial)
  2. Complete sudoku while keeping affected limb elevated. (Remedial)
  3. Sort kitchen utensils (remedial)
  4. Paint by number (remedial)
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15
Q

Pacemaker
Precautions: No lifting anything over 5 lbs, Don’t reach overhead, no strenuous activities or exercise, monitor Heart rate, monitor blood pressure, monitor for signs of fatigue, monitor for signs of cardiac distress

A
  1. Reach for lightweight items using the side of the body where the pacemaker was implanted (remedial)
  2. Incorporate precautions into patient’s morning routine (remedial)
  3. Fold lightweight towels to build endurance (remedial)
  4. Make a small meal using lightweight utensils (compensatory)
16
Q

Burns
Precautions: prevent circulatory collapse, prevent contracture formation, prevent skin breakdown, prevent/manage edema, prevent heterotopic ossification, monitor for signs of infection, prevent peripheral nerves from compression, monitor for pneumonia, protect skin from injury due to sensory loss.

A
  1. Shoulder ROM, alternate hands to brush hair. (Remedial)
  2. Put clothespins on a clothesline (Remedial)
  3. Put hooks on christmas ornaments (Remedial)
  4. Practice donning/doffing socks (remedial)
17
Q

TBI-Rancho VII
Precautions: Avoid overstimulation, wear protective devices, observe for seizure occurrence, avoid inversion, avoid aggressive ROM, keep tubes/lines untwisted, avoid rapid rotary movements, prevent/control edema, observe for aspiration precautions.

A
  1. Create a daily journal to remember tasks completed day to day (compensatory)
  2. Memory matching game (remedial)
  3. Practice mindfulness (compensatory)
  4. Simple meal prep (remedial)
18
Q

Back disorders
Precautions: Use proper body mechanics, No excessive bending, do not twist your trunk, do not cross knees or ankles, log roll out of bed, avoid sitting or standing for long periods of time, avoid sitting with knees higher than your hips.

A
  1. Incorporate body mechanics while doing household chores such as taking out the trash (compensatory)
  2. Play log rolling game, patient must log roll in and out of bed to retrieve an item and place it in a basket. (Remedial)
  3. Use a reacher to pick up socks from the floor (compensatory)
  4. Sit in front of a mirror to observe posture and correct alignment of spine. (Remedial)
19
Q

Hip Replacement
Precautions: Monitor for pain, monitor for signs of infection.
Posterolateral-no hip flexion >90 degrees, no internal rotation, no adduction (crossing legs/feet)
Anterolateral-no external rotation, no adduction (crossing legs/feet), no extension

A
  1. Navigate simple obstacles while adhering to precautions (remedial)
  2. Practice using a long handled shoehorn (compensatory)
  3. Practice dressing while adhering to precautions (remedial)
  4. Have patient list daily activities that would need to be modified due to precautions. (Remedial)
20
Q

Knee Replacement
Precautions: Avoid lateral movements of the knee, monitor for pain, Monitor for signs of infection, monitor for signs of fatigue, monitor for dizziness,

A
  1. Practice weight shifting/proper posture while washing lightweight dishes. (Remedial)
  2. Practice toileting while adhering to precautions (remedial)
  3. Incorporate pain management techniques into daily routines (remedial)
  4. Do light sweeping around the house while adhering to precautions (remedial)
21
Q

Parkinson’s disease
Precautions: Falls prevention, monitor for orthostatic hypotension, aspiration precautions, safety precautions, monitor for fatigue, watch for muscle stiffness related to temperature change, monitor for autonomic dysregulation

A
  1. Follow an easy/slow paced dance tutorial (remedial)
  2. Use weighted utensils while eating a meal (compensatory)
  3. Follow instructions to complete a simple craft (remedial)
  4. Play card matching game (remedial)
22
Q

CVA-Brunnstrom 1
Precautions: Protect affected extremities, Avoid fatigue, monitor for/prevent subluxation, address edema, prevent contracture, monitor for autonomic disturbances, monitor for diabetic reactions, monitor for signs of stroke, watch for aspiration precautions, monitor for dehydration, observe falls precautions, monitor HR & BP, prevent skin breakdown

A
  1. Rub lotion on affected arm with unaffected arm(remedial)
  2. Put affected arm in handskate and push cotton balls off a table using handskate (remedial)
  3. Have patient do ROM stretches while listening to soft, slow paced music (remedial)
  4. Weight bear through affected UE while wiping table with unaffected UE (remedial)
23
Q

Dementia
Precautions: Safety precautions, falls precautions, monitor for frustration, monitor for bed sores, prevent skin breakdown, prevent contractures

A
  1. Sort playing cards by suit (remedial)
  2. Play “Name That Tune” (Remedial)
  3. Use a dressing board to practice buttoning. (Remedial)
  4. Balloon volleyball to encourage GMC (remedial)
24
Q

Spinal Cord Injury-C Level
Precautions: Prevention of contractures, monitor/prevent orthostatic hypotension, prevent heterotopic ossification, prevent autonomic dysreflexia, safety precautions due to loss of sensation, prevent skin breakdown, aspiration precautions

A
  1. Practice controlled head movements by playing I spy (remedial)
  2. Aromatherapy to stimulate senses while practicing mindfulness techniques (remedial)
  3. Use universal cuff for self feeding (compensatory)
  4. Practice using simple kitchen tools such as a whisk. (Remedial)
25
Q

CABG
Precautions: Avoid crossing legs, no prolonged bending over, avoid holding breath during activities, avoid static contractions, no lifting over 5lbs, Do not reach behind back or reach both arms out to the side, no driving, monitor for signs of fatigue, monitor for signs of autonomic disturbances, monitor for signs of activity intolerance

A
  1. Discuss coping strategies, support groups to address psychosocial issues. (Compensatory)
  2. Incorporate sternal precautions into ADLs (remedial)
  3. Practice log rolling without bearing weight in arms (remedial)
  4. Keep most used items at chest level to comply with sternal precautions. (Compensatory)
26
Q

COPD
Precautions: Monitor for orthostatic hypotension, monitor for fatigue, monitor for dizziness, monitor heart rate, monitor blood pressure, monitor O2 Saturation, Avoid strenuous activities

A
  1. Use long handled duster to clean hard to reach areas (compensatory)
  2. Do seated yoga exercises (remedial)
  3. Prepare meal while seated (compensatory)
  4. Practice delegating tasks when possible or splitting tasks up. (Compensatory)
27
Q

MS
Precautions: Avoid fatigue, avoid heavy resistive exercise, avoid humidity and heat, avoid stress, avoid chills/sudden cold, prevent contractures, safety precautions, falls precautions, avoid skin breakdown, monitor for side effects of medication, possible aspiration precautions

A
  1. Use cart to move laundry from rooms to laundry room (compensatory)
  2. Make a bracelet with different colored beads. (Remedial)
  3. Create a succulent terrarium (remedial)
  4. Complete a puzzle (remedial)
28
Q

TBI-Rancho V
Precautions: Avoid overstimulation, wear protective devices, observe for seizure occurrence, avoid inversion, avoid aggressive ROM, keep tubes/lines untwisted, avoid rapid rotary movements, prevent/control edema, observe for aspiration precautions.

A
  1. Have patient prioritize environmental adaptations that can be made in their home (compensatory)
  2. Ask patient to line up tooth paste, tooth brush, floss pick, mouthwash in order of use. (Remedial)
  3. Sort makeup products and organize them (remedial)
  4. Play corn hole with bright colored ring around the hole in the board. (Compensatory)
29
Q

Arthritis
Precautions: Avoid fatigue, avoid resistance, avoid joint deforming forces and positions, implement joint protection techniques, monitor for pain, monitor for inflammation, prevent contractures

A
  1. Assertiveness training to incorporate joint protection/ECWS (compensatory)
  2. Make tuna salad using electric can opener for canned tuna (compensatory)
  3. Play jumbo checkers (compensatory)
  4. Practice distraction techniques when experiencing pain (compensatory)
30
Q

Hip ORIF
Precautions: Weight bearing status precautions, monitor for pain, monitor for signs of infection, monitor for dizziness, monitor for signs of fatigue

A
  1. Have patient use scale to practice learning weight bearing restrictions (compensatory)
  2. Remove clothes from washing machine/dryer with reacher (compensatory)
  3. Simulated grocery shopping (Remedial)
  4. Practice setting the table (remedial)
31
Q

Shoulder Replacement
Precautions: Sling should be work for 3 weeks, avoid shoulder AROM, no lifting objects, no driving for 3-6 weeks, do not support body weight by hands/arms, monitor for pain

A
  1. Use jar opener to avoid using shoulder where surgery was done. (Compensatory)
  2. Scar desensitization with gentle massage (remedial)
  3. Hang clothes on a line using clothespins. (Remedial)
  4. Chop soft foods (remedial)
32
Q

Amputation
Precautions: Prevent edema, prevent DVT, monitor skin integrity, prevent infection, no oils/lotions during healing process, prevent contractures, no ice on dressing or cast, keep amputated limb elevated, prevent skin breakdown

A
  1. Play game about residual limb care. Place steps in order (remedial)
  2. Do yoga to stretch limb/prevent contractures (remedial)
  3. Re-train ADL’s to adapt to amputation (compensatory)
  4. Practice lifting body weight in bed by aligning body with sticky notes placed on bed (remedial)
33
Q

CVA-Brunnstrom 5
Precautions: Avoid MMT of spastic muscles, protect affected extremities, Avoid fatigue, monitor for/prevent subluxation, address edema, prevent contracture, monitor for autonomic disturbances, monitor for diabetic reactions, monitor for signs of stroke, watch for aspiration precautions, monitor for dehydration, observe falls precautions, monitor HR & BP, prevent skin breakdown

A
  1. Play a game of dominos (remedial)
  2. Play hangman on a whiteboard (remedial)
  3. Do a block building activity (remedial)
  4. Organize lightweight groceries (remedial)
34
Q

Guillain Barre
Precautions: Safety precautions, prevent contracture, prevent subluxation/dislocation, monitor for pain, monitor for orthostatic hypotension, prevent skin breakdown

A
  1. Provide gentle tactile input using soft brushes. (Remedial)
  2. Manipulate coins into a piggy bank (remedial)
  3. Organize bookshelf (remedial)
  4. Match/fold pairs of socks (remedial)

OTA 215/216 (2 decks)

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