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PhysDys > Documentation > Flashcards

Documentation Flashcards

1
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

consent to tx

A

subjective

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2
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

ROM

A

objective

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3
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

immediate event prior to illness

A

subjective

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4
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

poor balance d/t illness

A

assessment

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5
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

restriction to mvmt because of wheelchair use

A

assessment

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6
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

medication routine

A

subjective

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7
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

level of assistance to task

A

objective

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8
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

uses crutches

A

subjective

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9
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

pt’s response to illness

A

subjective

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10
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

favorite food

A

subjective

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11
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

ano itsura ng bahay niyo

A

subjective

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12
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

nagsisimba ka ba

A

subjective

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13
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

Mukhang kailangan pa po natin magtherapy ng mga ilan buwan pa.

A

assessment

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14
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

alam niyo ba kung anong araw ngayon at kung asan ka?

A

objective

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15
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

namamaga ang kanan paa at kamay

A

objective

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16
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

mahina pa ang balanse at koordinasyon ng katawan sa paglalakad

A

assessment

17
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

hindi kaya itaas ang binti para makatapak sa hagdan

A

objective

18
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

pakitaas ang kamay at idikit sa may tenga

A

objective

19
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

mababa tiyansa ng partisipasyon sa paglalakad

A

assessment

20
Q

Identify whether the info provided is Subjective, Objective or Assessment part:

anong nangyari bakit ka dinala sa OT

A

subjective

21
Q

enumerate what you can find in the subjective findings

A
  • demogs info
  • chief complaint
  • ot goal
  • history of present illness
  • context and environment
  • performance patterns
  • client factors
22
Q

what should be found in the HPI

A
  • location
  • immediate event
  • situation
  • intervention
  • reaction
23
Q

t/f

a non licensed OT cannot do evaluation and treatment to cx

A

false

OTA cannot evaluate but can treat but with supervision

24
Q

habits that interfere with every day activities of cx

A

dominating habits

25
Q

what should be seen in the routine part of the cx

A

premorbid and postmorbid routine

26
Q

enumerate what are the cx factors

A
  • values
  • beliefs
  • spirituality
  • body fxn
  • body structure
27
Q

what can be found in the objective findings

A

non/standardized assessment tools

28
Q

tool used to observe the client in actual performance of the occupation

A

Dynamic performance analysis

29
Q

t/f

it is possible to evaluate only one side

A

false

should be both

30
Q

part of documentation where you summarize clinical reasoning and write conclusion from acquired subjective and objective findings

A

assessment

31
Q

what are included in the assessment part

A
  • strength and weakness
  • OT diagnosis
  • prioritized problem list
  • potential for occupational performance
  • table analysis of occupational performance

PhysDys (11 decks)

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