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NBCOT Prep > Memorization part 2 > Flashcards

Memorization part 2 Flashcards

1
Q

Ranchos Los Amigos Level I

A

No response

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2
Q

Ranchos Los Amigos Level II

A

Generalized response: exhibits inconsistent and nonpurposeful reactions to stimuli

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3
Q

Ranchos Los Amigos Level III

A

Localized response: reacts specifically to stimuli, though inconsistently

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4
Q

Ranchos Los Amigos Level IV

A

Confused/agitated: has heightened state of activity with severely decreased ability to process information

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5
Q

Ranchos Los Amigos Level V

A

Confused, inappropriate nonagitated: appears alert with fairly inconsistent reactions, although increased complexity of commands causes more random responses

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6
Q

Rancho Los Amigos Level VI

A

Confused, appropriate: exhibits goal-directed behavior but is dependent on external input for direction

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7
Q

Ranchos Los Amigos Level VII

A

Automatic/appropriate: behaves appropriately and is oriented to place and routine but frequently displays shallow recall

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8
Q

Ranchos Los Amigos Level VIII

A

Purposeful and appropriate: is alert and oriented and is able to recall and integrate past and recent events
-Still may have some attention issues

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9
Q

Glasgow Coma Scale

A

Assesses level of consciousness post-TBI (scores of 3-15)

  • Scores below 8 indicate severe TBI
  • Scores between 9-12 indicate a moderate brain injury
  • Score above 14 indicate a minor brain injury
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10
Q

Parkinson’s disease stages of progression

A
  • Stage 0: no signs of disease
  • Stage 1: unilateral disease
  • Stage 2: bilateral disease without impairment of balance
  • Stage 3: Mild to moderate bilateral disease; some postural instability; physically independent
  • Stage 4: Moderate to severe bilateral disease; frequent loss of balance; 50% dependent
  • Stage 5: Non-ambulatory; 80-100% dependent for ADLs
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11
Q

ACL (Allen’s Cognitive Level) 1

A

Automatic actions/awareness

  • Profoundly impaired with brief attention, requiring total assist and 24 hour supervision
  • Treatment for this level= sensory stimulation
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12
Q

ACL 2

A

Gross body movement/postural actions

  • require max assist and 24 hour supervision
  • memory/ attention lasts about 2-3 min
  • May wander and get lost
  • Treatment options= multisensory activities
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13
Q

ACL 3

A

Manual actions/repetitive actions

  • memory and attention last around 30 min
  • tactile cues elicit response, requiring mod assist and cueing to perform repetitive actions/ ADLs
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14
Q

ACL 4

A

Familiar activity/ goal directed

  • Require visual cues to perform activities
  • Client may be able to live alone (around level 4.8) with daily visits and assistance
  • Attention and memory up to about an hour
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15
Q

ACL 5

A

Learning new activities/exploration

  • Learning generalized information achievable
  • do require standby assist and can be impulsive and show poor judgement
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16
Q

ACL 6

A

Planning new activities/ conceptualizing

  • Can anticipate outcomes of actions
  • no need for check-ups; independent
17
Q

Decorticate rigidity

A

Abnormal flexion:

  • Upper extremities are in spastic flexion w/ internal rotation and adduction; lower extremities are in spastic extension, internal rotation and adduction
  • Level 3 Glascow Scale
18
Q

Decerebrate rigidity

A

Extensor response:

  • Upper and lower extremities are in spastic extension, adduction and internal rotation
  • indicates severe brain damage; Glascow level 2
19
Q

Spastic Cerebral Palsy

A

Most common type of cerebral palsy, characterized by clonus (uncontrollable, rhythmic, shaking movements) muscle tone and slow and awkward movement

20
Q

Athetoid Cerebral Palsy

A

AKA dyskenetic: Characterized by fluctuating tone, lack of co-contraction in muscles; movement either athetoid (slow, writhing) or choreiform (fast, jerky) movement patterns

  • Commonly child will present with movements that are involuntary (excessive), tremors, poor posture, unsteadiness, and abrupt movements, grimacing and drooling can be a feature.
  • some overflow of movements seen
  • joint hypermobility common
21
Q

Ataxic Cerebral Palsy

A

Characterized by low muscle tone with impaired balance and incoordination of arms and legs

  • Often overshoot or exaggerate movements
  • Tremors can be present
22
Q

Pre-writing developmental stages

A
  • 10-12 months: scribbles on paper
  • 2 yrs: imitates vertical, horizontal and circular marks on paper
  • 3 yrs: copies vertical and horizontal lines
  • 4 yrs: Copies cross, diagonal line, square, x, and some letters
  • 5-6 yrs: copies a triangle, prints name, writes most uppercase and lowercase letters
23
Q

Model of Human Occupation (MOHO)

A

MOHO addresses how occupation is motivated, patterned and performed
-Looks at volition (motivation), habituation (how occupation is organized into patterns and routines) and performance capacity (physical and mental abilities that underlie skilled occupational performance)

24
Q

Occupational Adaptation (OA)

A

Looks at the interaction between person, environment and person-environment interaction
-Primary goal of OA is to achieve mastery over the environment

25
Q

When is tendon repair at its weakest?

A

10-12 weeks

26
Q

How long for tendon repair ends to stick together?

A

about 21 days

27
Q

Initial tendon repair precautions

A
  • No active motion outside of splint
  • Never bend fingers actively
  • Never make fist
  • Never pick anything up with injured hand
  • Never fully straighten fingers actively
28
Q

Tendon recovery protocol

A
  • week one: remove bulky dressing, splint must allow full IP extension
  • week 4: begin active extension within confines of dorsal blocking splint
  • week 6: discontinue splint
  • week 8: light strengthening can begin
29
Q

3 titles of ADA

A
  • Title I: employment
  • Title II: state and local governments
  • Title III: public accommodations and commercial facilities
30
Q

Ecology of Human Performance

A

Approach that considers the interaction between the context or the environment and the person.

31
Q

Canadian Occupational Performance Measure (COPM)

A

Individualized measure of client’s self-perception of problems encountered in occupational performance (Ask client’s perspective)
-Collaborative relationship between therapist and client> semi-structured format (15-20 min)

32
Q

Kohlman Evaluation of Living Skills (KELS)

A

A standardized assessment tool that measures mastery of areas of concern for entering or re-entering the community with intention to live independently

33
Q

Emergent awareness

A

Ability to demonstrate knowing when a problem is happening, as it is occurring without prompting

34
Q

ACL level required to live alone and live independently

A
  • A score of 4.8 means a person may live alone with daily assistance to monitor safety and check problem- solving methods
  • A score of 5.8 means that in general, you are able to function quite well independently in your own home

NBCOT Prep (12 decks)

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