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NCTRC > Everything > Flashcards

Everything Flashcards

1
Q

Leisure Assessment Inventory (LAI)

A 
Measures adult leisure behaviors
4 Components:
1. Leisure Activity Participation Index
2. Leisure Preference Index
3. Leisure Interest Index
4. Leisure Constraint Index
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2
Q

Leisure Barriers Inventory

A

Interview style assessment used to measure leisure barriers in 8 areas: leisure partners, activity skills, time, money, leisure resources, transportation, age, disability

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3
Q

State Technical Institute Assessment Process (STIAP)

A

Adults with physical disabilities
Measures general scope of leisure activity skills which provides the basis for program decision making
More balanced program and leisure skills

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4
Q

Leisure Competence Measure

A

Coincides with FIM and can be used with most populations

Measures OUTCOMES of recreational therapy

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5
Q

Leisure Diagnostic Battery (LDB)

A 
Assesses current leisure functioning and perceived freedom in leisure 
Based on attribution theory
5 sections:
1. Freedom
2. Control
3. Needs
4. Involvement
5. Playfulness
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6
Q

Leisurescope

A

Measures interest in leisure, emotional motivation and risk-taking activity attraction
Uses pictures

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7
Q

Intake Assessment Report

A

Helps RT set goals consistent with a lead doctors treatment goals

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8
Q

Health Protection/Health Promotion Model

A

Emphasizes self actualization

  1. Help person recover from threats to health (health protection)
  2. Help person achieve optimal health (health promotion)

-use prescriptive activities, recreation and leisure

Clients health behavior is influenced by 8 beliefs

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9
Q

Therapeutic Recreation Activity Assessment (TRAA)

A

Adult clients with TBI, DD, psychiatric disabilities, or receiving supported care like residents of a nursing home, group home, adult daycare center, or assisted living facility. Originally piloted with clients with Alzheimer’s. burlingame noted the assessment is one of the best for use with people who have severe mental illness. Also can be used with geriatric and gero-pscyhiatric clients.

Purpose: To assess basic functional skills as demonstrated in a group setting

Measures 6 areas: Fine motor skills, gross motor skills, receptive communication, expressive communication, cognitive skills, and social behaviors

Uses interview and series of activities (game, exercises, and arts and crafts activity)Has a protocol for establishing departmental levels of interrater reliability

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10
Q

Sentinel Event

A

Unplanned incident within a healthcare facility that results in death or psychological damage to a patient

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11
Q

Prospective Payment System PPS

A

Purpose:

  1. Focus on client-centered provision of services
  2. Sets but does not limit costs
  3. Making sure that medicare recipients do have access to the same heath care services as others
  4. Assure quality of health care services provided

RT is included in #1

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12
Q

Problem-Oriented Medical Record (POMR)

A

organized around patient problems

Divided into data base, a problem list, an initial plan and progress notes

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13
Q

Source-Oriented Medical Record (SOMR)

A

Divides each section by discipline

Nurse notes, TR notes, medical notes, etc

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14
Q

Quality Improvement

A

Purpose: Implement specific changes to healthcare which have measurable improvement for a group of patients

Measured through patient satisfaction

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15
Q

Utilization Review

A

focuses on resources of department or agency that are over utilized and under utilized
Should be included in the TR written written plan of operation

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16
Q

3rd Party Payer

A

Health insurance company

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17
Q

Multiple Sclerosis

A

Affects the nervous system and can cause atrophy and restrict ROM and flexibility.

ROM exercises are important
Exercise Therapy helps with QOL, physical and numerological function

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18
Q

Muscular Dystrophy

A

group of hereditary diseases characterized by degeneration of muscle and weakness

Activities that encourage movement are important

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19
Q

Spina Bifida

A

Activities to strengthen muscles are important

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20
Q

Cerebral Palsy

A

GMS Activities (coordination)

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21
Q

Left Hemisphere Brain Damage

A

Impaired language, memory

Use physical gestures, modeling, demonstrations, reality orientation

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22
Q

Right Hemisphere Brain Damage

A

Impair visual, spatial, dept perception

Use verbal directions, remove distractions, Leisure education

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23
Q

Phenylketonuria

A

Metabolic disorder where the body can’t process trace amounts of copper in foods

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24
Q

Ottis Media

A

Conductive hearing loss

Middle ear infection from fluid buildup, if untreated pressure build up can lead to ruptured eardrum

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25
Q

Conductive

A

Any hearing loss caused by outer or middle ear

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26
Q

Sensorineural

A

hearing loss caused in inner ear, nerves, and or brain

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27
Q

TBI

A

Acquired injury resulting from trauma to the brain

Mild: GCS 13-15 (concussion like symptoms)

Moderate: GCS 8-12 w/ loss of consciousness (persistent confusion and functional impairments)

Severe: GCS 7 or lower with prolonged unconsciousness and/or coma (severe functional impairments)

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28
Q

Ranchos Los Amigos Scale

A

TBI outlines predictable sequence of cognitive and behavioral recovery seen w/ brain injury

Level 1: no response (coma)
Level 2: Generalized response (limited & delayed)
Level 3: Localized Response (reacts to light/sound, pain)
Level 4: Confused-agitated (alert, restless)
Level 5: Confused-non agitated
Level 6: Confused-Appropriate (follows simple direction)
Level 7: Automatic-appropriate
Level 8: Purposeful-Appropriate

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29
Q

Glasgow Coma Scale

A

measures motor response, verbal response, and eye opening

levels based on points

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30
Q

Frontal Lobe

A

judgement, reasoning, motivation

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31
Q

Parietal lobes

A

sensations of touch, perception

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32
Q

Temporal lobes

A

memory function, receptive language and behavior

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33
Q

Occipital lobes

A

vision

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34
Q

Brain stem

A

controls basic functions

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35
Q

cerebellum

A

controls motor coordination, muscle tone & balance

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36
Q

Life Satisfaction Scale

A

measures perceived satisfaction with life

  1. Pleasure vs. Apathy
  2. Determination
  3. Desired/ Achieved goals
  4. Mood
  5. Self Concept
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37
Q

Gullian Barre Syndrome

A

autoimmune disorder that attacks the nervous system causing weakness, ataxia and progressing paralysis
Begins with lower extremities and ascends bilaterally

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38
Q

TR for Gullian Barre Syndrome

A

Relaxation Therapy, stress management, leisure education, adaptive activities, movement activities

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39
Q

TR for TBI

A

Leisure ed, endurance, safety, functional skills, compensation strategies, community re-entry

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40
Q

Bond-Howard Assessment on Neglect in RT (BANRT)

A

Measures scope and density of individuals with visual neglect

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41
Q

SCI

A 
Cervical 8
C4: Diaphragm 
C5: Shoulder
C6: Wrist
T1: Hand
L2: Hips
L4-S1: Foot
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42
Q

General Recreation Screening Tool (GRST)

A

Developmental Disabilities
0-6 months 7-10 years
Measures general development of functioning

43
Q

CERT-PB

A

Psychiatric setting

44
Q

4 Areas of functional intervention

A
  1. Physical
  2. Cog/ Mental
  3. Affective
  4. Social
45
Q

4 Behavioral Domains

A
  1. Psycho-motor (physical)
  2. Affective (psych)
  3. Social (interactional)
  4. Cognitive (intellectual)
46
Q

ABC Framework of International Functioning

A

A: clarify relationship with activating events
B: Beliefs about them
C: Cog, emotional, or behavioral consequences of our beliefs

47
Q

5 Basic Needs of Glasser’s Reality Therapy

A
  1. Power 2. Love + Belonging 3. Freedom 4. Fun 5. Survival
48
Q

The Recreation Behavior Inventory

A

Observe the clients behavior in 20 different activities in order to evaluate skills (Sensory, Motor and Cognitive) as a pre-rec to leisure participation

Intended use for children, also used in psychiatric and long term care settings

49
Q

Five stages of substance abuse

A
  1. Experimentation
  2. Regular Use
  3. Problem Use
  4. Dependence
  5. Addiction
50
Q

Task/Activity Analysis Steps

A
  1. Separate the activity into component parts
  2. determine what the client needs to know to participate
  3. Assess the client for physical skills required
  4. Assess what modifications are required
51
Q

Attribution Model

A

To what I attribute my success and failures
4 Factors to determine success or failure:
1. Ability
2. Effort
3. Difficulty to task
4. Luck

52
Q

Type 1 Outcome Oriented Program

A

Designed to a large group of clients so there is little focus on individual needs and goals

All clients receive the same program, program usually intended for socialization & entertainment (movies, games like bingo)

Long-term care facilities and group homes

53
Q

Flat

A

Blank facial expression

54
Q

Blunted

A

Reduced or minimal emotional response

55
Q

Labile Affect

A

Changing rapidly

56
Q

Under the IDEA requirements, A functional behavioral assessment for children includes assessment of the following

A
  1. Precipitating Conditions (Setting, Situation prior to onset of behavior)
  2. Specific Behavior Observed
  3. Consequences
  4. Function of Behavior (assumed reason for behavior)
57
Q

CAGE Tool

A

C: Cutting down
A: Annoyed at criticism
G: Guilty feeling
E: Eye opener

2 out 4 indicates drinking problem

58
Q

4 Criteria for Active Treatment

A
  1. Prescribed and supervised by physician
  2. Based on assessment & individualized treatment plan
  3. Specified duration. intensity, & frequency of interventions
  4. Positive outcomes expected
59
Q

Therapeutic Recreation Outcome Model

A
  • extension of Service Delivery Model
  • looks at products / outcomes of the delivery of TR services
  • takes into account changes in functional capacities and health status that will impact quality of life
60
Q

Steps to Ethical Decision Making

A
  1. Gather facts and info
  2. Assess if ethical problem is present
  3. Identify alternative actions
  4. Identify consequences
  5. Choose action
  6. Evaluate
61
Q

4 Core Values of Recreational Therapy

A
  1. Right to leisure
  2. Autonomy
  3. Optimal Health
  4. Quality of life
62
Q

Digital Repetition Test

A

Used to assess attention

Scores less then 5 indicate impaired attention

63
Q

Leisure Activity Blank (LAB)

A

Focuses on past and future
Assesses types and degrees of activity client participated in prior to disability and can serve as a guide for selecting activities clients may enjoy

64
Q

Proprioceptive

A

position and movement impairment

65
Q

Clinical Problem Solving

A
  1. Define the issue
  2. Collect data
  3. Identify important concepts
  4. Consider reasons
  5. Decision
66
Q

Negligent conduct

A

Failure to provide reasonable care to another, based on standards and expertise

67
Q

Gross Negligence

A

Willful provision of inadequate care

68
Q

Therapeutic Recreation Accountability Model

A
  1. Assessment
  2. Treatment plan
  3. Progress Notes
  4. Discharge/referral summaries

Focuses on accountability and documentation

69
Q

4 Steps of Risk Management

A
  1. Identify
  2. Analysis
  3. Prevention
  4. Assessment
70
Q

Therapeutic Service Delivery Model

A
  1. Diagnosis/needs assessment
  2. Treatment/ rehabilitation
  3. Leisure Education
  4. Health Prevention/ Health Promotion
71
Q

Motivational Interviewing

A

Role motivation has to bring about change
Elements:
Collaboration
Evocation (Draw ideas out of clients)
Autonomy (clients responsible to make change)

72
Q

Activity Therapy Model

A

Similar to the medical model but is a blurring of different departments

73
Q

Experimental Learning Model

A

The process of making meaning from direct experience.

Experiential Learning is learning from experience.

The experience can be staged or left open.

Staged experiential learning is often called a Dynamic Learning Experience (DLE)

Kolb’s Model of Experiential Learning

74
Q

Theory if Reasoned Action (TRA)

A

Derived from the attitude model

Can predict actions based on personal attitude and perception of how others will view them

Used as a basis for the practices of health education

Developed in the 1960’s

Tool for observing behaviour and developing interventions based on those observations

Person intention is the main factor

Intention is a function of attitude and subjective norm:
Attitude: concerns a person’s belief that their behaviour will produce a beneficial outcome
Subjective norm: whether key people in the person’s life support the behaviour, and whether the subject Is inclined to agree with them

75
Q

Theory of Planned Behavior (TPB)

A

A persons intention of doing something is the main factor in determining whether he will actually do it

Behavior attention does not necessarily result in action

Builds on TRA by adding a their indicator of a person’s intent:

Perceived behavioral control: whether the person believes he can control the conditions necessary for change to occur

76
Q

Transtheoretical Model

A

Six stages of behaviour change and advocated various interventions to keep clients motivated:

  1. Pre-contemplation - client does not feel they have a problem. (Interventions would involve making him/her aware of the problems)
  2. Contemplation - client admits a problem, but is still not sure if he/she wants to change. (Interventions would include encouraging the subject to make specific plans to change.)
  3. Preparation/commitment - client realizes a need to change and gathers information. (Interventions would include setting goals; awareness of the positives vs. the negatives of change)
  4. Action - client follow a plan for change behaviors.
    (Interventions involve providing feedback and support.)
  5. Maintenance - client sees the benefits of the new behaviors. (Interventions including helping in case of relapse; continues feedback and support)
  6. Termination - client can’t imagine ever doing the old behavior. (Interventions include proving help when needed and continuing to offer support.)
77
Q

Therapeutic Milieu Model

A

Where every person & interaction can be therapeutic.

Everyone has equal impact.

Emotional problems are often the product of unhealthy interactions with one’s environment

Staff are organized as a caring community

Primary therapist = most effective relationship

78
Q

Rehabilitative Model

A

Activities of Daily Living: Activities related to personal care

These Include: bathing, showering, dressing, getting in and out of bed or a chair, using the toilet, and eating

A plan of care must be developed that allows for meeting both the physical and psychosocial needs of the client/patient

Two types of goals:

  1. Rehabilitative - the goal of restoring independence
  2. Habilitative - helping the person function at their highest level
79
Q

Optimizing Lifelong Health Model

A

Therapeutic recreation specialists work with individuals who have illness, disease, and/or lifelong disability to achieve and maintain leisure lifestyles that will enhance their health and well-being across the life course.

Through the elements of 
o selecting 
o optimizing 
o compensating
o evaluating
80
Q

Havighurst developmental tasks

A

Early childhood: learn walking, toilet, talk
Middle childhood: school related skills, conscious + values, independence
Adolescence: skills for occupation, emotional independence, social role
Early Adulthood: life partner, establish family, +career, take care of a home
Middle Adulthood: civic + social responsibility, maintain standard of living, caring for teens, adjust to physiological change
Late Maturity: Deteriorating health, retirement, loss of spouse

81
Q

Health Belief Model

A

Predicts health behavior w/ understanding that people take health action to avoid negative outcome.

82
Q

CTRS credential

A

Rectified every 5 years

Recertification requires 50 hours of continuing ed and 480 total hours of work

83
Q

Diverging

A

Concrete experience and reflective observation

84
Q

Assimilating

A

Abstract conceptualization and reflective observation

85
Q

Converging

A

Abstract conceptualization and active experimentation

Accommodating: concrete experience and active experimentation

86
Q

Accommodating

A

Concrete experience and active experimentation

87
Q

Kolb Model

A

Acquiring knowledge through grasping experiences and transforming that experience into knowledge through cognitive process and perception

88
Q

Pseudohypertrophic (Duchenne) muscular dystrophy

A

Enlargement of muscles by fatty infiltration, which causes contractors and deformities of joints
Progresses rapdily

89
Q

Facioscapulohumeral (MD)

A

weakness in upper arms, shoulders angled forward, and lack of facial mobility

90
Q

Limb Girdle MD

A

weakness of proximal musical of the pelvic and shoulder girdles

91
Q

Oculopharyngeal MD

A

weakness of eyelid muscles and throat muscles

92
Q

FIM

A

Purpose: make measurements and data on disability and rehabilitation
Level 7 = complete independence;
Level 6=modified independence;
Level 5= client requires supervision or set up;
Level 4= minimal contact assistance, client performs 75% or more of the task;
Level 3= moderate assistance, client performs 50-74% of task;
Level 2=maximum assistance, client performs 25-49% of task;
Level 1= dependent/total assistance, client performs less than 25% of task;

93
Q

Pre transfer assessment should include

A

Physical, cognitive and emotional status

94
Q

Screening child for hearing loss

A

0-6 months: Otoacoustic emissions or auditory brain stem response
6-24 months: visual reinforcement audiometry
2-5: conditioned play audiometry
5+: standard audiometry

95
Q

PPO

A

Provides discounted rates for those on medicare who have agreed to accept medicare assignment

96
Q

COPD

A

Progressive airflow limitation.
Inflammatory response that causes a narrowing of the peripheral airways and a thickening of the vessel walls of the pulmonary vasculature.
Exertional dyspnea and chronic cough.

97
Q

Mini-Cog Test

A

Assesses dementia

Remember and repeat common objects and draw a clock face with a time

98
Q

MMSE

A

Assesses dementia w/ a series of tests (remembering names, counting backwards, providing location, copying shapes and following directions

99
Q

Digit Repition test

A

Assesses attention

100
Q

ASIA (American Spinal Injury Association) Impairment Scale

A

Used to classify the degree of Spinal Cord Injury and degree of strength of 10 key muscles

101
Q

WHODAS

A

Psychiatric assessment

102
Q

Global Assessment of Functioning GAF

A

This is considered one of the most often used scales for assessing impairment in clients with psychiatric disorders. Mental health and social work practitioners use it during patient or caregiver interviews. It is a helpful tool for tracking individual patient’s clinical progress.

103
Q

Global Deterioration Scale

A

also called the Reisberg Scale, to measure the progression of Alzheimer’s disease. This scale divides Alzheimer’s disease into seven stages of ability.

104
Q

Ohio Scale of Leisure Functioning

A

Evaluation for recreational therapy
Individuals with MR/DD
Purpose: To obtain functioning levels
Measures 3 areas: functional skills, behavioral skills, and social/communication skillsd.Used specific activities to assess area

NCTRC (7 decks)

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