Exam 4 Flashcards
Case Management Process
Evaluation
Intervention
Measuring Outcomes
Health Belief Model
Perceived Susceptibility
Perceived Severity
Perceived Benefits
Perceived Barriers
Cues to Action
Social Cognitive Theory
Promotes reinforcement and observational learning as important aspects of
engaging in and changing health behaviors
Primary Prevention
Strategies that reduce risk for disease before its onset
Secondary Prevention
Identification and treatment of persons with early, minimally symptomatic
disease to improve outcomes and maintain health
Tertiary Prevention
Prevention of the progression of existing conditions
Barriers to taking medication
▪ Cognition
▪ Lack of understanding
▪ Cost
▪ Don’t like side effects
▪ Can’t keep track of all meds
OTA Role in Med Management
Remedial
Establish Routine, Practice, Cognitive Strategies, Preparatory Methods
Advocacy
Health Literacy Skills
Sensory System Changes Affecting Nutrition
Loss of taste makes food less appealing
Loss of smell decreases taste
Weight Changes
Loss of muscle mass = Weight Loss
Burn Fewer Calories = Weight gain
Finding a balance in weight is crucial
Issues caused by reduction in thirst Sensations
Risk of dehydration
Fatigue
Dizziness
Confusion
Some adults may drink less because they don’t want to have to use the bathroom frequently or deal with incontinence
Other Factors and Challenges Influencing Nutrition
Economic/ Financial
Ill Fitting Dentures
Limited Mobility
Loss of appetite
Lack of motivation
Forgetfulness/ memory loss
Factors Influencing Aging
Psychological-
Loneliness, sadness, isolation, depression
Dementia
Least Restrictive Mobility Devices
Hemi/ side walker
Quad Cane
Single tip cane
Walkers
Standard
Platform
Front wheeled
Rolling
Considerations for wheelchair ordering and sizing
Wheelchair Type (Standard, Bariatric, Sport, etc.)
How will the person be propelling themselves
Frame style
Time frame of use (is renting or buying the better option)
Seating and Positioning in wheelchair considerations
Pressure Reduction
Prevention of deformity
Body alignment
Respiratory function
Maximum Sitting tolerance
Promotion of function
Safety considerations for wheelchairs
Elbows should not protrude
Inspect and Tighten Parts
Never stand on footplates
Swing footplates away or take off for transfers
Lock brakes during transfers
Tilt In Space Wheelchair
Decreases weight bearing
Maintains 90 degree angle
Restraints
Anything that keeps a client in place that they are unable to remove themselves
Must be prescribed by a physician
Wheelchair measurement procedure
Arms- Two inches below bent elbow
Back- Mid back at inferior angle
Seat depth- Two inches behind bent knees, 4 inches if self propelling
Seat width- 1-2 Inches on either side of the hips (not including bars)
ADA
Americans with disabilities act
Title II
“No qualified individual with a disability shall, by reason of such
disability, be excluded from participation in or be denied the benefits
of services, programs, or activities of a public entity, or be subjected
to discrimination by any such entity.”
Title III
“No individual shall be discriminated against on the basis of disability
in the full and equal enjoyment of the goods, services, facilities,
privileges, advantages, or accommodations of any place of public
accommodation by any person who owns, leases (or leases to), or
operates a place of public accommodation.”
