Environment & WC Flashcards
Environment
The aggregate of phenomena that surrounds the individual and influences their development and existence
Sensory Environment
Visual: lighting, color, clutter; Auditory; Tactile: room temp, seating textures; Olfactory; Gustatory
Socio-cultural/human environment
Social roles; Social Network: web of voluntary relations; Cultural: soc norms accepted by a group of people; Psychological: mood/stress level
Context
A variety of interrelated conditions that are within/surrounding the pt.
Less tangible than phys/soc
Include: Cultural, personal, temporal & virtual
Cultural Context
Includes customs, beliefs, activity patterns, behavior standards and expectations accepted by the pts society
Personal Context
Demographic features of individual: age, gender, socioecon status and educational level that are not part of the health condition
Temporal Context
Stages of life, time of year/day, and duration of activity/hx
Virtual Context
Environment in which communication occurs thru airways/comps
Absence of phys contact
ADA
Americans with Disabilities Act: A civil rights law aimed at allowing full participation in society for people with disabilities
(Public service, employment, public accommodations)
OBRA
Omnibus Budget Reconciliation Act: Mandates restraints cannot be ised without proper justification/agreement/documentation
IDEA
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
Comprehensive environmental eval should assess
Sensory, visual-perceptual processing, musculoskeletal, neuromuscular, cognitive and psychosocial skills
The Safety Assessment of Function and the Environment for Rehab (SAFER) focus
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
SAFER scoring and population
Scored using percent (addressed, not applicable, problem)
Originally for psychogeratrics - but now used for home-residing pts of all ages
Safety Assessment Scale (SAS) foucs
Assesses potential safety risks of people with dementia who live at home
Observation and caregiver interview (19-32 Q’s)