Evaluation and Intervention Flashcards
what must you assess in ortho pts to determine loss of fx?
which soft tissue is affected
posture + symmetry
assess pain, muscle weakness or spasm
adaptive shortening (from static posture)
what is the difference btwn evaluation and assessment?
eval = gather data to form hypothesis to justify OT assessment = tools used in eval
what are examples of assessments?
ROM
strength
sensibility testing
endurance
what is the biomechanical FOR concerned with?
structural stability low/high-level endurance edema control PROM strength
what are the assumptions of the biomechanical FOR?
purposeful activity can tx deficits which will AUTOMATICALLY regain fx
what technique does biomechanical FOR use?
rest & strength to heal and regain ROM etc.
who is biomechanical FOR suited for?
intact CNS
can perform smooth, isolated movements
what is considered in the dx phase for integration of medical and OT dx?
the relationship btwn what is wrong with pt and the fxning level
steps for tx planning
- problem identification + prioritizing
- tx goals
- intervention strategies
what is important to know when observing a pt?
TIME ELAPSED
i.e. time from surgery, how long immobile
how to choose assessment
tools that provide clear, complete image of level of fx with least expenditure of time, energy, cost
what are the key elements from pt history?
safety issues
other dxs
what should the evaluator find about the pt?
cause, course, prognosis of the dysfx
what sets us apart from COTA’s?
ability to analyze the data
what does analysis of the data help us to do?
identify tx objectives
prioritize
is baseline for non-prejudicial determination of progress
what is found during the intervention phase?
prognosis
goals/outcomes
intervention by other professionals
what to observe when pt enters room
posture: guarding or disregarding? gross to fine
substitution?
symmetry
affect, attitude, support system?
what is noted for subjective observation?
course/duration of pain sys pt complaints problem description in pts own words factors that increase/decrease sys
what types of injury specific info should you get for UE?
location
tx to date (surgery, meds)
characteristics of pain
what types of general health info should you get for UE?
comorbidities
prior injuries
smoker? drug use?
fall risk
what should you look for when examining pt?
movement quality
posture from all angle
contour
sling/splint/swelling
what should you look for in skin changes?
callouses, wrinkles, signs of wear sudomotor (dryness) trophic changes (nails, finger pulp)
what causes changes to finger pulp?
atrophy caused by n. problems
what should you look for in wounds?
size, color, drainage, temp, vascularity, odor
what should you look for in scars?
whether it is adherent, pliable, hypertrophic
what is edema?
accumulation of excess fluid in cells, tissues, serous cavities
