Final Exam Flashcards
Steps to creating a relapse prvention plan (4)
1) develop a list of symptoms
2) Develop a list of ways to “stay well”
3) Brainstorm a list of triggers
4) Developing strategies
Wellness Action Recovery Plan (WRAP) - 3 aspects
Daily maintenance (defining wellness; what is required to stay well each day/week etc.)
Early warning signs
When things are breaking down (Signs things are getting worse/advanced care directive)
Define social role valorisation
Involves establishing, enhancing, maintaining social roles for people at risk. Welfare is dependent on the social roles people have and those who are socially devalued by others experience wounds.
first generation antipsychotics
Chlorpromazine Flupenthixol Fluphenazine Halperidol Thioridazine
second generation antipsychotics
Clozapine Aripiprazole Amisulpride Olanzapine Risperidone Quetiapine
Positive Symptoms: major psychotic conditions (3)
Hallucinations
Delusions
Disorganised thoughts
Negative symptoms: major psychotic conditions (3)
Blunting of affect
lack of motivation or pleasure
social withdrawal
Mood symptoms: major psychotic conditions
Insight
Depression/euphoria
Suicide
Key features of personality disorders
Disturbances in self-image
inability to have successful interpersonal relationships
Poor impluse control
Treatment personality disorders
Antipsychotics (calm)
Lithium carbonate (moods)
Antidepressants
Substance missuse (deal) Help person cope with or avoid situations that cause distress Talk therapies like DBT
Key goals of the NDIS
Ensures support by mainstream services
Building independence and increasing participation
Ablity to achieve goals and to be included in community life
Choice and control through reasonable and necessary supports!
How to provide person centred supports (WK 5 intellectual disability) (6)
1) know person’s preferred routines, likes, dislikes, skills, hopes and goals
2) identify meaningful occupations
3) support friendships/networks
4) support engagement in community life
5) support communication
6) assist new learning in natural contexts
Define Complex Communication Needs (CNN)
People with disabilities who have severe speech and language impairments
What is Augmentative and Alternative Communication (AAC)?
Other types of communication used to enhance or replace speech
e.g. gestures, sign, facial expression, alphabet picture boards and even computer programs
Core communication skills (3) for people with CNN using AAC
1) identify/develop a method to initiate conversation
2) Indentify or develop an intelligible “yes/no”
3) Competent and supportive communication partners
Manual systems - low tech AAC devices (3)
1) Visual communication aids (signs, cards, boards, buttons)
2) visual reminders (may help give choice or an order they can do things in; adaptive communication to aid with regulation)
3) Pragmatic Organisation Dynamic Display (PODD) or Electronic/high-tech systems (complex system; may be used on an ipad display or some for books)
General communication tips for people with CCN
Respond to gestures like words Know the power of your own gestures Keep language simple Use moderate or slow speech rate Pacing (allow longer time for response) Consider your affect & how to support the person's own affect regulation Ask open questions were possible Make comments back to person
What kind of housing supports can be provided under the NDIS? (wk6 intellectual disability)
Capacity building supports Assistance with daily living Support with personal care, help around home Home modificaitons or assistive tech Life transation planning
How can an OT support home and community living? (wk6 itellectual disability)
Housing selection
Identify lvl of support needed in home
Home modifications
Community skill training
Working with a person to identify possible new occupations at home or in the community
Considering environment when addressing specific occupational or task areas
How do we best support occupations at home and in the community? (wk6 itellectual disability)
Skill development Adapt task Environmental adaptions Support workers, family & person; education, coaching, problem solving Record keeping/info sharing is critical
What is active support in the context of accomodation services (wk6 intellectual disability)
Doing with, not for - Designed to bridge to participation in everyday activities for people who lack the skills to participate independently.
If participation leads to skill development and independence, this is a bonus
Key housing considerations
wk6 intellectual disability
Safety issues
Need for support systems to be accommodated
Space for separate activities/privacy
Consideration of needs (e.g. location of windows if person is unaware of privacy)
Consideration of future needs
Cultural considerations (e.g. diet, religion)
What was the purpose of the Burdekin report (National Inquiry into Human Rights of People With Mental Illness)?
To address the ignorance of the nature and prevalnce of mental illness in the community, address discrimination and to dispel misconceptions that people with mental illness are dangerous and never recover
How has the Burdekin report informed practice? (Key principles)
Services =optimal quality of life Facilitating sustained recovery Consumers involved in care Choice Right to nominated carer(s) involved in all aspects of care Carers' needs/capacity should be considered Tailored to individual needs Least restriction on rights/choices
What to consider in the MSE heading: APPEARANCE
Grooming/clothing Weight/size Unique physcial features (e.g. tattoos) Facial features Gender Age Hair/beard Ethnicity
What to consider in the MSE heading: BEHAVIOUR
Psychomotor agitation or retardation Repetition (e.g. tremour or fidgeting) Gait (hunched vs chest out) Eye contact (severe, intense or avoiding) Checking doors, looking around Posture (down/up)
What to consider in the MSE heading: SPEECH
Not what is said but rather HOW - includes rate, volume, tone, articulation
What to consider in the MSE heading: MOOD
Self-reported
Consider the intensity, significance, time and variability of their mood.
Includes neurovegetative disturbances in appetite, sleep, libido and motivation
