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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
OT evaluation of Sensory - perceptual skills for community mobility
ability to identify obstacles, seats, stop-request button, gaps between seats and platforms
26
OT evaluation of emotional regulation for community mobility
ability to adjust to crowds and handle unexpected events
27
OT evaluation of communication and social skills for community mobility
ability to ask for directions and obtain information
28
OT evaluation of money management skills for community mobility
have the correct fare ready, use change or ticket machines, apps
29
OT intervention for fixed route and paratransit community mobility
- orientation to system, schedules, stops - transferring and securing w/c or other devices
30
OT intervention for taxi and rideshare
-practice using computer or phone app to make appointments, payments, track progress
31
OT intervention for personal community mobility
- understand and follow rules of the road - endurance for walking or other physical demands
32
OT intervention for children using w/c
- safe school bus transport and vehicle restraints
33
OT intervention for children with sensory processing disorders
- Education for transport providers - interventions for adaptations
34
OT intervention for neonatal community mobility
parent education on infant car seats and use
35
OT intervention for older adults with dementia
Driving cessation and mobility alternatives
36
OT intervention for older adults facing driving cessation
- education on alternatives -psychosocial support - travel training
37
OT intervention for healthy older adults
- maintenance of driving fitness - mobility options and safety -education on age-related changes
38
What is the hierarchy of driving
Drivers must be fully competent in 3 levels of behavior: strategic behaviors, tactical behaviors, and operational behaviors
39
describe strategic behaviors
- occur in minutes hours - general goal decisions
40
describe tactical behaviors
- occur is seconds to minutes - conscious decisions while operating the vehicle - maneuvers and car handling
41
42
vision skills required for driving
acuity, ocular motor skills, visual field, contrast sensitivity
42
acuity required for driving
worse than 20/40 on snellen chart must see vision specialist
42
operational behaviors
- occur in seconds - primarily subconscious such as staying in the lane
42
visual perception skills required for driving
- 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
cognitive skills required for driving
attention, processing speed, memory, executive functions
43
General assessment of driving-related skills
general screenings and assessments with interventions, ethical and legal issues
43
motor skills required for driving
strength, ROM, endurance and balance, manual dexterity
44
Driving health intventory
computer-based assessment of vision, cog, and motor in relation to crash risk
45
OT-DRIVE model
model presenting decision indicators
46
MVPT-4
Assessment of visual-perceptual abilities
47
Clock draw test
visual spatial and perceptual memory, executive fxn, abstract thinking,
48
Useful field of view
3 part computer based test of central vision loss, processing speed, divided attention and selective attention
49
Assessment of motor and process skills
performance quality during ADL task
50
Trail making test
cognitive flexibilty, motor control, visual scanning, executive funciton
51
OT intervention for driving
- focus on general community mobility issues unless certified - address pre-driving and community mobility skills for teens - compensatory strategies

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