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NBCOT Study > Community Mobility and Driving > Flashcards

Community Mobility and Driving Flashcards

1
Q

Certified driver rehabilitation specialist

A

provider of driver rehab services that completes driving assessments, equipment evals, and restores driver skills

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2
Q

Comprehensive mobility assessment

A

establishing where client needs and wants to go, determining what is accessible and available at CLOF

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3
Q

comprehensive driving evaluation

A

thorough evaluation of driving knowledge, skills, and abilities

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4
Q

driving and community mobility

A

planning and moving around in community using public or private transportation

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5
Q

driving risk assessment

A

assessing primary client factors essential for driving

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6
Q

fitness to driving

A

description of drivers skills and abilities

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7
Q

medical fitness to drive

A

when fitness is questioned d/t change or progression in medical condition

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8
Q

on-demand transportation network system

A

curb-to-curb transports, rideshare, taxi, etc.

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9
Q

transportation plan

A

comprehensive plan for maintaining social participation

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10
Q

public transportation

A

services by public agencies and funds available to anyone

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11
Q

fixed route systems

A
  • published schedule with predetermined routes and stops
  • economical and predictable
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12
Q

demand-responsive systems

A
  • transportation alternative for clients with functional impairments
  • origin and destination are requested by traveler
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13
Q

paratransit services

A

-alternative public transportation required by ADA for those unable to access fixed-route systems
- curb-to-curb or door-to-door

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14
Q

supplemental transportation

A
  • provided by private, non-profit, government, places of worship
  • for those who need more assistance or more flexible travel
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15
Q

5 A’s of senior friendly transportation

A
  • Availability
  • Acceptability
    -Accessibility
  • Adaptability
  • Affordability
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16
Q

Personal transportation

A
  • Private automobile
  • motorized or non-motorized vehicles
  • walking
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17
Q

commercial transportation

A
  • for-profit and privately paid
    -trains, taxi, rideshare, shuttle, vans
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18
Q

ADA policies

A

guidelines for public transportation including w/c lifts, tie downs and ramps

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19
Q

Where does paratransit fall into the ADA

A

Title II Part B

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20
Q

SAFETEA-LU

A

safe routes to school program

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21
Q

Medicaid poicies

A

may be eligible for subsidized transportation for health care and life maintenance trips

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22
Q

Disparities in community mobility

A
  • 80% of rural areas have public transport but is mostly demand responsive
  • 35% of rural residents have access to long-distance travel
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23
Q

OT evaluation of cognitive skills for community mobility

A
  • ability to consider options and read a schedule
  • calculate the time required to travel and pick optimal departure and arrival times
  • ability to use stop-request control appropriately
24
Q

OT evaluation of motor and praxis skills for community mobility

A
  • ambulation to and from pickup location
    -stepping on and off vehicle
  • balance and postural control with standing or sitting in vehicle
25
Q

OT evaluation of Sensory - perceptual skills for community mobility

A

ability to identify obstacles, seats, stop-request button, gaps between seats and platforms

26
Q

OT evaluation of emotional regulation for community mobility

A

ability to adjust to crowds and handle unexpected events

27
Q

OT evaluation of communication and social skills for community mobility

A

ability to ask for directions and obtain information

28
Q

OT evaluation of money management skills for community mobility

A

have the correct fare ready, use change or ticket machines, apps

29
Q

OT intervention for fixed route and paratransit community mobility

A
  • orientation to system, schedules, stops
  • transferring and securing w/c or other devices
30
Q

OT intervention for taxi and rideshare

A

-practice using computer or phone app to make appointments, payments, track progress

31
Q

OT intervention for personal community mobility

A
  • understand and follow rules of the road
  • endurance for walking or other physical demands
32
Q

OT intervention for children using w/c

A
  • safe school bus transport and vehicle restraints
33
Q

OT intervention for children with sensory processing disorders

A
  • Education for transport providers
  • interventions for adaptations
34
Q

OT intervention for neonatal community mobility

A

parent education on infant car seats and use

35
Q

OT intervention for older adults with dementia

A

Driving cessation and mobility alternatives

36
Q

OT intervention for older adults facing driving cessation

A
  • education on alternatives
    -psychosocial support
  • travel training
37
Q

OT intervention for healthy older adults

A
  • maintenance of driving fitness
  • mobility options and safety
    -education on age-related changes
38
Q

What is the hierarchy of driving

A

Drivers must be fully competent in 3 levels of behavior: strategic behaviors, tactical behaviors, and operational behaviors

39
Q

describe strategic behaviors

A
  • occur in minutes hours
  • general goal decisions
40
Q

describe tactical behaviors

A
  • occur is seconds to minutes
  • conscious decisions while operating the vehicle
  • maneuvers and car handling
41
Q
A
42
Q

vision skills required for driving

A

acuity, ocular motor skills, visual field, contrast sensitivity

42
Q

acuity required for driving

A

worse than 20/40 on snellen chart must see vision specialist

42
Q

operational behaviors

A
  • occur in seconds
  • primarily subconscious such as staying in the lane
42
Q

visual perception skills required for driving

A
  • must see, evaluate and respond to environment
  • must fill in blanks when environment is occluded
  • must know where they are in relation to others
42
Q

cognitive skills required for driving

A

attention, processing speed, memory, executive functions

43
Q

General assessment of driving-related skills

A

general screenings and assessments with interventions, ethical and legal issues

43
Q

motor skills required for driving

A

strength, ROM, endurance and balance, manual dexterity

44
Q

Driving health intventory

A

computer-based assessment of vision, cog, and motor in relation to crash risk

45
Q

OT-DRIVE model

A

model presenting decision indicators

46
Q

MVPT-4

A

Assessment of visual-perceptual abilities

47
Q

Clock draw test

A

visual spatial and perceptual memory, executive fxn, abstract thinking,

48
Q

Useful field of view

A

3 part computer based test of central vision loss, processing speed, divided attention and selective attention

49
Q

Assessment of motor and process skills

A

performance quality during ADL task

50
Q

Trail making test

A

cognitive flexibilty, motor control, visual scanning, executive funciton

51
Q

OT intervention for driving

A
  • focus on general community mobility issues unless certified
  • address pre-driving and community mobility skills for teens
  • compensatory strategies

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