Final_Evaluating & Restoring Activities of Daily Living Flashcards

1
Q

What are the 9 components of occupations?

A
  • Activities of Daily Living (ADL)
    -Work
    -Instrumental activities of daily living (IADL)
    -Play
    -Rest & sleep
    -Leisure
    -Education
    -Social Participation
    -Health Management
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2
Q

What are the 8 categories of ADLs?

A
  • Maintain a client-centered approach
  • Chart review
  • Evaluation starts the moment you walk in the door!
  • Ask the client if family/friend is ok to stay
  • Take into account possible cultural components
  • Occupational profile
  • Occupational analysis or Activity analysis
  • Standard assessments
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3
Q

What levels of independence require no physical contact?

A
  • Independent
  • Modified Independence
  • Supervision (standby assistance)
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4
Q

What levels of independence require physical contact?

A
  • Contact guard
  • Minimal assistance
  • Moderate assistance
  • Maximal assistance
  • Total assistance/Dependent
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5
Q

Clients can perform the activity independently; without modification of technique, assistive devices, or aids; and within a reasonable time frame.

A

Independent

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6
Q

Clients either require an assistive device to complete the activity, the activity takes more than a reasonable time, or safety considerations exist.

A

Modified independence

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7
Q

Clients require a therapist to stand by for safety in case of balance loss. Therapists may provide verbal cues for safety.

A

Supervision (standby assistance)

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8
Q

Therapists place one or two hands on the client’s body to maintain balance, dynamic stability, or safety; however, they do not assist in task performance.

A

Contact guard

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9
Q

Therapists provide up to 25% of assistance (physical or verbal), and clients are able to perform 75% or more of the activity.

A

Minimal assistance

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10
Q

Therapists provide up to 50% of assistance (physical or verbal), and clients are able to perform 50% to 74% of the activity.

A

Moderate assistance

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11
Q

Therapists provide up to 99% of assistance (physical or verbal), and clients are able to perform 1% to 25% of the activity.

A

Maximal assistance

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12
Q

Therapist provides 100% assistance (physical or verbal), and clients are unable to assist with the activity.

A

Total assistance/Dependent

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13
Q

Moving from one position or place to another (during performance of everyday activities), such as in-bed mobility, wheel- chair mobility, and transfers (e.g., wheelchair, bed, car, shower, tub, toilet, chair, floor); includes functional ambulation and transportation of objects.

A

Functional mobility

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14
Q

Start with HOB flat
Mechanical Bed
Can the client manipulate bed settings themselves?
Bedrails
Leg lifters

A

Bed mobility

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15
Q

-Walk in vs tub shower
-Grab bars
-Adjustable shower head
-Shower chair or bench
-Shower wheelchair

A

Shower setup

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16
Q

Obtaining and using supplies; soaping, rinsing, and drying body parts; maintaining bathing position; transferring to and from bathing positions.

A

Bathing, Showering

17
Q

Long-handled sponge
Shower mitts
Soap on a rope
Shower wraps

A

Bathing

18
Q

Obtaining and using toileting supplies, managing clothing, maintaining toileting position, transferring to and from toileting position, cleaning body, caring for menstrual and continence needs (including catheter, colostomy, and suppository management), maintaining intentional control of bowel movements and urination and, if necessary, using equipment or agents for bladder control.

A

Toileting and Toilet Hygiene

19
Q

-Bedpans
-Adult pull-ups
-Self-catheterization
-Toilet riser
-3-in-1 commode
-Bidets
-Toilet Tongs
-Pure Wick

A

Toileting & Hygiene

20
Q

Obtaining and using supplies; removing body hair (e.g., using a razor or tweezers); applying and removing cosmetics; washing, drying, combing, styling, brushing, and trimming hair; caring for nails (hands and feet); caring for skin, ears, eyes, and nose; applying deodorant; cleaning mouth; brushing and flossing teeth; removing, cleaning, and reinserting dental orthotics and prosthetics.

A

Personal Hygiene & Grooming

21
Q

-Position: Sit vs Stand
-Built-Up or extended handles
-Flip tops vs screw on
-Universal cuffs
-Electric toothbrush

A

Grooming

22
Q

Selecting clothing and accessories with consideration of time of day, weather, and desired presentation; obtaining clothing from storage area; dressing and undressing in a sequential fashion; fastening and adjusting clothing and shoes; applying and re- moving personal devices, prosthetic devices, or splints.

A

Dressing

23
Q

-Position: Bed level, Sitting (Unsupported?), Standing
-Large, stretchy clothing material
-Sports bra vs traditional back hooks vs front hooks
-Dressing stick
-Reacher
-Sock aide
-Long-handled shoe-horn
-Fabric hooks on zippers
-Buttonhook
-Velcro fasteners

A

Dressing

24
Q

Setting up, arranging, and bringing food or fluid from the vessel to the mouth (includes self-feeding and feeding others).

A

Feeding

25
Q

-Check position &posture!
-Built-up Handles
-Weighted utensils
-Sporks
-Swivel utensils
-Rocker knives
-2 handled cups with lids
-Plate guards
-Mobile arm supports
-Dycem

A

Feeding

26
Q

Keeping and manipulating food or fluid in the mouth,
Swallowing it (i.e., moving it from the mouth to the stomach).

A

Eating & Swallowing

27
Q

Will depend on state regulations
Aspiration precautions
Speech therapy consults
- OTs can obtain advanced certification

A

Eating & Swallowing

28
Q

Engaging in the broad possibilities for sexual expression and experiences with self or others (e.g., hugging, kissing, foreplay, masturbation, oral sex, intercourse).

A

Sexual Activity

29
Q

-Discuss the scope of intimacy
-Shift the focus from function to pleasure
-Include the partner as appropriate
-Common areas:
- Sexual function
- Motor and sensory influences
- Factors associated with the condition
-Modifications may include body positioning,
propping with pillows/wedges, use of devices, timing of medications

A

Sexual Activity