Chapter 16 NBCOT Mastery of Environment Eval and Intervention Flashcards
Know the following environments
- Physical
- Sensory
- Social
- Physical - Everything non human (buildings, objects, tools, devices, animals, trees)
- Sensory
- Visual: lighting, colors, clutter
- Auditory: loudness of radios, loudspeakers, classroom noise
- Tactile: room temp, seating textures
- Olfactory: pleasant or offensive odors.
- Gustatory: pleasant or offensive tastes
- Social-cultural
- social roles: (student, parent. worker)
- Social network: social relationships
- Cultural aspects: structures, values, shared by a people
- Psychological aspect: environmental characteristics that can effect mood and stress.
5.
ADA
Civil right s law aimed at allowing full participation in society fo rpeople with disabilities.
- accessible environments
- policies for employment, public accommodations and public service
IDEA
- Mandates that children with disabilities recieve education in the least restrictive and most natural enviroment.
Universal design principle 1
- The design is useful and marketable to people with diverse abiliteis
- provide means of use for all users. avoid segregating or stigmatizing, privacy security, and safty for all users. design appealing to all users
Universal design principle 2
- accommodates a wide range of individual preferences adn abilitities
- provide choice in method of use, accommodate ri or left handed access, facilitate user accuracy , provde adaptability to the user’s pace
Universal design principles 3
design is easy to understand, regardless of experience
eliminat unnecessary complexity, consistent with user expectation and intuition
universal design principle 4
design communicates necessary info
uses different modes, pictorial, verbal, tactile, make essential info clear
if an individual with a disability is to be discharged hom, a home eval should be done….
before the discharge date
types of performance skills to assess when conducting an environmental eval
- sensory skill - tactile, sensation
- visual -perceptual processing skills - to assess difficulties interacting with environment
- Musculoskeletal skills - coordination, tone, to assess mobility in environment and object manipulation
- Cognitive skills - to assess if person is away of limitations and able to problems solve
- Psychocsocial skills - social support, able to ask for assistance
Physical considerations
arrangement of furniture, accessibility of items, ease of use, workplace/houseing design, neighborhood accessibility
Characteristics of the home environment
- type of dwelling (2 story etc),
- driveway,
- level where person lives
- dwelling entrance (ramp, stairs, railing)
- number of steps
- width of elevator doorway, hallway, entrance (esp for wheelchair)
- presence of smoke detectors, space heaters, emergency
bedroom characteristics
- bed - size height, position
- side patient uses
- room for bedside commode
bathroom considerations
- number of bathrooms
- location
- width of doorway
- type of bathing the individual performs
- type of shower (tub shower combo, stall shower
- grabbars
- rental home?
- nonskid mats, in and around the tub
- throw rugs
- antiscald valves
- handheld shower
Kitchen Considerations
- location of meal prep devices
- accessible food, pots,
- countertop space
- direction of fridge opening, cabinetry
- fire extinguishers
- antiscald
fall statistics
- 30-50% of persons over 65 years old fall
- falls result in - fractures, increased caution and fear of falling, loss of confidence to function, increased risk of recurrent falls
Intrinsic Risk factors for falls
- vision - presbyopia, impaired depth perception, reduced night fvision and low light situations
- vestibula - vertigo
- neuromuscular systerm age related changes - decreased muscle fibers decreased stregth and endurance, difficulties in rising from a chair.
- disease - CHF, arrhythmias, hypotension, parkinsons’s disease, medication side effects, delirium, anxiety/depression, prior history of falls, fear of falling can lead to progressing deconditioning