Evaluation and Intervention

Question 1

what must you assess in ortho pts to determine loss of fx?

Answer 1

which soft tissue is affected
posture + symmetry
assess pain, muscle weakness or spasm
adaptive shortening (from static posture)

Question 2

what is the difference btwn evaluation and assessment?

Answer 2

eval = gather data to form hypothesis to justify OT
assessment = tools used in eval

Question 3

what are examples of assessments?

Answer 3

ROM
strength
sensibility testing
endurance

Question 4

what is the biomechanical FOR concerned with?

Answer 4

structural stability
low/high-level endurance
edema control
PROM
strength

Question 5

what are the assumptions of the biomechanical FOR?

Answer 5

purposeful activity can tx deficits which will AUTOMATICALLY regain fx

Question 6

what technique does biomechanical FOR use?

Answer 6

rest & strength to heal and regain ROM etc.

Question 7

who is biomechanical FOR suited for?

Answer 7

intact CNS

can perform smooth, isolated movements

Question 8

what is considered in the dx phase for integration of medical and OT dx?

Answer 8

the relationship btwn what is wrong with pt and the fxning level

Question 9

steps for tx planning

Answer 9

1. problem identification + prioritizing
2. tx goals
3. intervention strategies

Question 10

what is important to know when observing a pt?

Answer 10

TIME ELAPSED

i.e. time from surgery, how long immobile

Question 11

how to choose assessment

Answer 11

tools that provide clear, complete image of level of fx with least expenditure of time, energy, cost

Question 12

what are the key elements from pt history?

Answer 12

safety issues

other dxs

Question 13

what should the evaluator find about the pt?

Answer 13

cause, course, prognosis of the dysfx

Question 14

what sets us apart from COTA’s?

Answer 14

ability to analyze the data

Question 15

what does analysis of the data help us to do?

Answer 15

identify tx objectives
prioritize
is baseline for non-prejudicial determination of progress

Question 16

what is found during the intervention phase?

Answer 16

prognosis
goals/outcomes
intervention by other professionals

Question 17

what to observe when pt enters room

Answer 17

posture: guarding or disregarding? gross to fine
substitution?
symmetry
affect, attitude, support system?

Question 18

what is noted for subjective observation?

Answer 18

course/duration of pain
sys
pt complaints
problem description in pts own words
factors that increase/decrease sys

Question 19

what types of injury specific info should you get for UE?

Answer 19

location
tx to date (surgery, meds)
characteristics of pain

Question 20

what types of general health info should you get for UE?

Answer 20

comorbidities
prior injuries
smoker? drug use?
fall risk

Question 21

what should you look for when examining pt?

Answer 21

movement quality
posture from all angle
contour
sling/splint/swelling

Question 22

what should you look for in skin changes?

Answer 22

callouses, wrinkles, signs of wear
sudomotor (dryness)
trophic changes (nails, finger pulp)

Question 23

what causes changes to finger pulp?

Answer 23

atrophy caused by n. problems

Question 24

what should you look for in wounds?

Answer 24

size, color, drainage, temp, vascularity, odor

Question 25

what should you look for in scars?

Answer 25

whether it is adherent, pliable, hypertrophic

Question 26

what is edema?

Answer 26

accumulation of excess fluid in cells, tissues, serous cavities