Environment & WC Flashcards

1
Q

Environment

A

The aggregate of phenomena that surrounds the individual and influences their development and existence

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2
Q

Sensory Environment

A

Visual: lighting, color, clutter; Auditory; Tactile: room temp, seating textures; Olfactory; Gustatory

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3
Q

Socio-cultural/human environment

A

Social roles; Social Network: web of voluntary relations; Cultural: soc norms accepted by a group of people; Psychological: mood/stress level

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4
Q

Context

A

A variety of interrelated conditions that are within/surrounding the pt.
Less tangible than phys/soc
Include: Cultural, personal, temporal & virtual

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5
Q

Cultural Context

A

Includes customs, beliefs, activity patterns, behavior standards and expectations accepted by the pts society

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6
Q

Personal Context

A

Demographic features of individual: age, gender, socioecon status and educational level that are not part of the health condition

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7
Q

Temporal Context

A

Stages of life, time of year/day, and duration of activity/hx

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8
Q

Virtual Context

A

Environment in which communication occurs thru airways/comps
Absence of phys contact

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9
Q

ADA

A

Americans with Disabilities Act: A civil rights law aimed at allowing full participation in society for people with disabilities
(Public service, employment, public accommodations)

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10
Q

OBRA

A

Omnibus Budget Reconciliation Act: Mandates restraints cannot be ised without proper justification/agreement/documentation

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11
Q

IDEA

A

Individuals with Disabilities Edu Act: Mandates that all children with disabilities are entitled to a free public education in the most least restrictive (natural) environment; uses inclusive models
Child must be edu on living independently, employment, soc participation

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12
Q

Comprehensive environmental eval should assess

A

Sensory, visual-perceptual processing, musculoskeletal, neuromuscular, cognitive and psychosocial skills

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13
Q

The Safety Assessment of Function and the Environment for Rehab (SAFER) focus

A

ID possible safety concerns in home environment/assesses if person is able to respond to safety situations
Interview/observation covering 128 safety items conducted in home

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14
Q

SAFER scoring and population

A

Scored using percent (addressed, not applicable, problem)

Originally for psychogeratrics - but now used for home-residing pts of all ages

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15
Q

Safety Assessment Scale (SAS) foucs

A

Assesses potential safety risks of people with dementia who live at home
Observation and caregiver interview (19-32 Q’s)

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16
Q

SAS scoring and population

A

Rating scale of most of the time, occasionally and never

Older adults with cog impairments but also community dwelling elders w/o impairments

17
Q

Presbyopia

A

Decreased acuity: farsightedness caused by loss of elasticity of the lens of the eye, occurring typically in middle and old age

18
Q

Fall Efficacy Scale (FES) focus

A

Measure a persons FOF during non hazardous ADLs - asking about FOF while pt completes

19
Q

FES scoring and population

A
Likert scale (1 not concerned and 4 very)
Comm-dwelling older adults w or w/o hx of FOF
20
Q

Average w/c width
Average w/c length
W/c height from seat to floor

A

24”-26” rim to rim
42-43”
19-19.5”

21
Q

Min/ideal clearance for w/c use with door widths

A

32” & 36”

26” is needed beside the door for door swing

22
Q

Hallways should be _____ “ wide

23
Q

W/c height to push handles from floor

W/c height from floor to armrest

A

36”

29-30”

24
Q

A 360 degree turning space req clearance space of

A

60” x 60”

25
Max reach height forward/sideways from sitting
48" and at least 15"(min) is needed to prevent tipping | 46" sideways when obstruction present
26
Max w/c user countertop
31"
27
Space for w/c maneuver at parking spot
4 feet
28
Pathways/walkways ______ wide
48'
29
Ramps ______ wide | Slope to rise and railings
36" with non skid surface on U and L levels Slope to rise = 1:12 which means 1" of vertical rise for ever 12" Railings: between 29"-36" - 32" = average
30
Ramp curbs and turns
4" high min 90 degree turn = 4' x 4' 180 degree turn = 4' x 6'
31
If ramps lead to a door there must be
5' X 5' platform b4 door that extends at least 12" (preferably 18") along the side of the door to allow for door swing w/o backing up
32
Intrinsic factors contributing to need for fall evalq
``` Vision difficulties: presbyopia/impaired depth perception, reduced night vision Vestibular difficulties: vertigo, postural sway Neuromuscular age related changes Pathological conditions Meds/Side effects Delirium/Dementia Anxiety/Depression Prior fall hx or FOF ```
33
Restraint reduction is needed to ensure ______ and as a result is mandated by______
Ensure a persons dignity, health and safety | Omnibus Budget Reconciliation Act (OBRA)