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
Alternatives to working full time
Volunteer, part time work, consultation
26
In late life, the number of expected roles tend to...
Decrease
27
Occupational value can be thought of as...
The individual's assessment of the importance of the activity
28
Benefits of social networks in later life
Improves cognition and connection with others
29
Societal trends that affect late life family interactions
Smaller family size, high divorce rate, geographic mobility
30
Common occupations/roles of older adults and what are the benefits?
Grandparents as babysitters, friends, neighbors - Feel important/needed, reciprocity
31
Nursing home STD rates
- Decreased inhibition as you get older - OT should discuss safe sex with patients
32
Informal care network
Friends and family
33
Formal care network
Professional services
34
What influences the use of formal care by older adults?
- Don't want to be a burden to their family (wound care/injections) - Being a non-minority, living alone, income level
35
Home Health Care
- 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
Home health care services can include...
- Light housework - Personal care - Home delivery of meals - Transportation - Community support services
37
Home health care eligibility
Based on age (60+), financial status, and ability to carry out daily tasks
38
Older Americans Act
Provides funding for community-based services
39
Community based services are used by...
A small proportion of older adults
40
Community based care reduces...
Need for expensive institutional care, instead utilize services in their home
41
Older adults typically prefer services provided by...
Nuclear or extended family
42
Medicare history
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
Medicare components
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
Does the U.S have universal healthcare?
No
45
Medicaid
Law that addresses healthcare needs of low income and older individuals
46
Centers for Medicare Services (CMS)
Change how reimbursement works and can drive how you are documenting
47
Medicare coverage for OT
- 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