Final Exam: Week 1 Foundations Flashcards

1
Q

Why will OTs continue to be important in the future?

A
  • Baby boomer generation ages and people will remain active in later life
  • Ability of patients to pay through health insurance
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2
Q

How can OTs help individuals maintain their independence?

A

Recommending home modifications to make ADLs easier

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3
Q

Which individual has the longest life expectancy?

A

A white female in the U.S

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4
Q

Early theories of aging focused on describing it as…

A

A problen

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5
Q

Definition of culture

A

Patterns of behavior from family, all ways of life including arts, beliefs and institutions of a population that are passed down from generation to generation

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6
Q

Aspects of culture

A
  • The way of life for an entire society
  • Learned, localized, patterned, evaluative, and has continuity
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7
Q

Cultural identity

A
  • Language
  • Race
  • Ethnicity
  • Religion
  • Occupation
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8
Q

How can culture impact occupational performance?

A

Approaching difficult changes in their life with different perspectives

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9
Q

How to assess the impact of culture during and evaluation

A

Ask questions like “where did you grow up?”
- Their upbringing teaches culture of a specific location

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10
Q

What reflects a possible cultural identity?

A

Race, religion, and occupation

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11
Q

Although increasing awareness of positive aging has begun to improve attitudes, this outlook has been criticized for its potential to…

A

Encourage subtle discrimination against those who are not able to age well

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12
Q

MOHO components of occupational participation

A

Volition, habituation, performance capacity

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13
Q

MOHO assessment and intervention

A

Based in beliefs about the nature of humans and strategies for change

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14
Q

The MOHO is an example of a theory that can explain…

A

The experience of growing older in the context of human performance

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15
Q

What are difficult ADLs and IADLs for older adults?

A

ADL- Going outside
IADL- Phone management

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16
Q

Do most older adults need help with self-care?

A

No

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17
Q

What is the practical side of self care?

A

Things we need to do… washing hands, wiping after using the bathroom

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18
Q

What is the symbolic side of self care?

A

Things that improve independence and self esteem…washing face, applying makeup

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19
Q

What factors should OTRs look at before completing a self care assessment?

A
  • Vision, hearing, sensory skills, cognition
  • Think of the whole individual
20
Q

Definition of leisure

A

Something we choose to do, can increase occupational performance

21
Q

Why are leisure activities important to older adults?

A

It is time they have earned, keeps them going, improves client factors (ROM, cognition)

22
Q

Evaluation of older adult’s leisure skills

A

Ask questions such as “what do you love to do?”, “what are you passionate about?”, “what makes you forget about the outside world?”

23
Q

How can employers support older adults?

A

Working in shifts

24
Q

Factors to consider prior to retirement

A

Better health, higher incomes, positive attitude, planning retirement

25
Q

Alternatives to working full time

A

Volunteer, part time work, consultation

26
Q

In late life, the number of expected roles tend to…

A

Decrease

27
Q

Occupational value can be thought of as…

A

The individual’s assessment of the importance of the activity

28
Q

Benefits of social networks in later life

A

Improves cognition and connection with others

29
Q

Societal trends that affect late life family interactions

A

Smaller family size, high divorce rate, geographic mobility

30
Q

Common occupations/roles of older adults and what are the benefits?

A

Grandparents as babysitters, friends, neighbors
- Feel important/needed, reciprocity

31
Q

Nursing home STD rates

A
  • Decreased inhibition as you get older
  • OT should discuss safe sex with patients
32
Q

Informal care network

A

Friends and family

33
Q

Formal care network

A

Professional services

34
Q

What influences the use of formal care by older adults?

A
  • Don’t want to be a burden to their family (wound care/injections)
  • Being a non-minority, living alone, income level
35
Q

Home Health Care

A
  • Rigid medicare guidelines
  • Provides support services to elders with daily living needs so they can remain at home
  • Administered by the executive office of elder affairs (EOEA)
36
Q

Home health care services can include…

A
  • Light housework
  • Personal care
  • Home delivery of meals
  • Transportation
  • Community support services
37
Q

Home health care eligibility

A

Based on age (60+), financial status, and ability to carry out daily tasks

38
Q

Older Americans Act

A

Provides funding for community-based services

39
Q

Community based services are used by…

A

A small proportion of older adults

40
Q

Community based care reduces…

A

Need for expensive institutional care, instead utilize services in their home

41
Q

Older adults typically prefer services provided by…

A

Nuclear or extended family

42
Q

Medicare history

A

Became law in 1965, health insurance for those 65 and over, largest payer of healthcare services in the U.S and the largest reimbursed of OT/PT/SLP services

43
Q

Medicare components

A

Part A- hospital stays, short stay SNF, home health, hospice
Part B- supplemental insurance that covers 80% of outpatient services, office visits, and DME

44
Q

Does the U.S have universal healthcare?

A

No

45
Q

Medicaid

A

Law that addresses healthcare needs of low income and older individuals

46
Q

Centers for Medicare Services (CMS)

A

Change how reimbursement works and can drive how you are documenting

47
Q

Medicare coverage for OT

A
  • Services must be prescribed by a physician and approved
  • Performed by a qualified OT
  • Services are reasonable and necessary
  • Services must not be a duplicate of another discipline