Domain 1 Flashcards
Cardiopulmonary system: changes associated with aging
-Thickening of inner lining of heart
-decreased cardiac output
-changes in elastin of the arterial walls
-reduced lung volume
Oculomotor control
Ability to move eyes in all directions/together
Oculomotor impairments may cause
Increased head movement
Difficulty keeping place
Stereognosis
Ability to perceive objects through touch without visual or auditory cues
Tactile discrimination, haptic/tactile gnosia
Strabismus
“Wandering eye”
Condition in which the eyes do not align when looking at an object that may impact accurately reaching for objects or reading
Strabismus
Visual ability to differentiate between shades of color and an object and its background
Contrast sensitivity
The ability to see 3-dimensional objects and perceive depth; may be impaired by:
• monocular vision
• strabismus
Stereopsis
mechanism of the eye that allows clarity of vision when a visual stimulus moves close to or away from the eyes
Eye accommodation
The ability to move the eyes horizontally or vertically
OR
The ability of the eyes to systematically search
Visual scanning
Visual scanning impairments:
Decreased visual attention
Difficulty reading
Difficulty navigating
The ability of the visual system to clearly discriminate shapes and details in the environment
Visual acuity
Impaired central vision
Central scotoma
The area that a person can see via central and peripheral vision
Visual field
Examples of visual field deficits:
• central scotoma
• homonymous hemianopia
• quadrantanopia
Cranial nerve associated with motor movement of the tongue
Cranial nerve XII: hypoglossal nerve
Cranial nerve innervating the SCM and trapezius muscles for motor movements of shoulder and neck
Cranial nerve XI: spinal accessory nerve
Cranial nerves that are tested together and are associated with the following functions:
-gag reflex
-regulation of blood pressure
-sense of taste for posterior one-third of tongue
-innervate pharyngeal and laryngeal muscles
-parasympathetic innervation of chest and abdomen
Cranial nerve associated with hearing, balance, and postural control
Cranial nerve VIII: vestibulocochlear nerve
Visual field deficit characterized by decreased vision in one quadrant of the visual field
Quadrantanopia
Cranial nerve associated with facial expression and senses of taste for anterior two-thirds of tongue
Cranial nerve VII: facial nerve
Ability to maintain gaze on visual stimuli
Visual attention
The ability to capture a visual image and transfer it to short- and long-term memory for recognition and retrieval at a later time
Visual memory
Structured dialogue or conversation to collect information from the client, client’s caregivers or relevant others
Interview
Act of watching a client perform an action or occupation-based activity
Observation
Part of the OT process completed during evaluation and refined throughout intervention used to gain an understanding of typical level of performance and participation in occupations and client identified priorities
Occupational profile
Standardized or non-standardized tool used to collect specific information for the evaluation
Assessment
A comprehensive process to determine client-centered priorities and goals, components typically include:
• creating an occupational profile
• administering standardized and non-standardized assessments
• formulating conclusions regarding needs and priorities
• collaboration to develop a targeted plan
Evaluation
Type of assessment in which occupational performance is measured through observation and analysis of the client engaging in a functional task
Performance-based test
The ability to identify information and determine similarities and differences in the stimulus to form a meaningful pattern
Pattern recognition
A quick method used for acquiring general information about a client’s diagnosis or condition
Often used to determine rehabilitation potential or need for more in-depth assessment
Screening
Process of gathering relevant information to support a safe and effective therapeutic process
Examples include:
• medical chart
• radiology or lab reports
• prior therapy notes
• reports from interprofessional team members
Record review
Written document that contains data pertaining to the client’s situation
Client record
The ability to focus on a single detail in a busy background
Figure ground discrimination
Figure ground impairments may cause difficulty…
• locating personal items in a cluttered space
• finding information on a blackboard
• locating a person in a crowd
The ability to orient oneself to the surroundings using visuospatial skills
Topographic orientation