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Phys Dys Midterm Review > Midterm Review > Flashcards

Midterm Review Flashcards

1
Q

IRF PAI LEVEL 6

A

independent

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2
Q

IRF PAI LEVEL 5

A

Set up/clean up assistance

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3
Q

IRF PAI LEVEL 4

A

Supervision assistance

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4
Q

IRF PAI LEVEL 3

A

Minimum assistance

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5
Q

IRF PAI level 2

A

Maximum assistance

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6
Q

IRF LEVEL 1

A

dependent

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7
Q

What is the Occupational functioning model?

A
  • Guides assessment and treatment for someone with a physical dysfunction
  • Feeling of self-empowerment
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8
Q

What are the assumptions of the occupational functioning model:

A

-people who are competent in life roles- have a high self-esteem
Ability to carry out life roles depends on capacities
-satisfactory occupational functioning occurs only within enabling environments

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9
Q

Basic abilities and capacities + enabling environment and contexts=

A

satisfactory occupational functioning

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10
Q

What are the 4 principles of ethics and therapeutic relationships:

A
  1. OT personnel shall demonstrate a concern for wellbeing and safety
  2. OT should refrain from actions that cause harm
  3. OT should respect the individual to self-determination
  4. OT should provide services in a fair manner
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11
Q

What are the purposes of documentation:

A
  • articulate rationale for OT service
  • reflect therapists clinical reasoning
  • communicate information about the client from OT perspective
  • create a chronological record of client status, OT services provided and client outcomes
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12
Q

T/F: Must document all things in ink

A

True

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13
Q

All entries for documentation must be signed by what:

A

Therapists legal name and professional credentials

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14
Q

What is the top-down approach

A

Looking at the individual as a whole

- what they can and cannot do

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15
Q

What assessments are top down

A

IRF PAI , GG Codes, FIM,

FIG

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16
Q

Bottom up approach

A

Look at specific things- ex: ROM, strength, MMT, goni, eye movements

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17
Q

Precautions and considerations when patient is not stable:

A
  • notify nurse/medical staff
  • wait until medically cleared for OT services
  • If they pass out or are medically unstable call 911
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18
Q

Contraindications/Precautions for Administering Assessments

A

Medical safety

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19
Q

Orthostatic hypotension

A

drop in blood pressure depending on position changes- sit at edge of bed and dorsiflex/plantar flex to get blood flow back up to legs

20
Q

DVT

A
  • swelling in the legs
  • can lead to PE
  • warmth on the skin
  • red coloring
21
Q

Pulmonary embolism

A
  • chest pain
  • tachycardia
  • difficulty breathing
  • cynosis
  • passing out
22
Q

Infection-

A

Redness, swelling, pain, heat, fever over 101 degrees, oozing, drainage, foul odor,

23
Q

What is the OT necessary for in LE fracture/joint replacement

A
  • helping clients get back to prior function
  • preforming ADL’s
  • manage pain
  • decrease swelling
  • monitor wound care
  • maintain limb alignment
  • teach patient to maintain safe precautions
24
Q

Anterolateral approach precautions:

A
  • no hip extension
  • no adduction past midline
  • no external rotation
25
Q

posterior approach precautions

A
  • no internal rotation
  • no bending past 90 degrees
  • no crossing midline
26
Q

NWB

A

0 percent

27
Q

TTWB

A

0-20 percent

28
Q

PWB

A

20-50%

29
Q

WBAT

A

50-100%

30
Q

Full weight bearing

A

100%

31
Q

Principles of UE assessment (Scapular alignment/posture/AROM/MMT)

A

stabilize pelvis and spine

32
Q

Occupational performance assessments:

A

top-down approaches, client-centered, function-based assessments of tasks and activities based on what the client, needs, wants, and is expected to do

33
Q

Semi-structured interviews:

A
  • COPM
  • Occupational performance history inventory
  • Life balance inventory
34
Q

Assessment of life roles:

A
  • OPHI II

- role checklist

35
Q

Assessment of community integration

A

CHIEF, RNL index, CIM

36
Q

Assessment for IADLs

A

Nottingham Extended ADL Scale
AMPS (Assessment of Motor and Process Skills)
KELS (Kohlman Evaluation of Living Skills)
PASS (Performance Assessment of Self-Care Skills)
SAFER-HOME
Kitchen Task Assessment (KTA)
Rabideau Kitchen Evaluation Revised

37
Q

Assessment of work

A

VALPAR Component Work Samples
Functional Capacity Evaluations (FCE)
Worker Role Interview

38
Q

Assessment of leisure

A 
COPM
OPHI II
LBI 
Nottingham Extended ADL Scale
Nottingham Leisure Questionnaire
RNL Index
Modified Interest Checklist
Leisure Diagnostic Battery
Idyll Arbor leisure Battery (IALB)
39
Q

Considerations when conducting self-care assessment

A

Conduct self-care assessments in task-specific contexts
Direct observation is the preferred method of gathering information over self-report, for:
Accuracy
Detection of inefficient or unsafe methods
Determining underlying reason(s) that a particular task cannot be performed
Self-reports and interviews may not accurately reflect what the person can do

40
Q

Guidelines for ramp

A

1 foot of ramp for every inch of rise

41
Q

Doorways:

A

Minimum clearance of 32 as close to 36 as possible

42
Q

Door threshold

A

1/2 inch

43
Q

Turning radius

A

at least 60 inches

44
Q

Common home safety concerns:

A 
Fire and shock – overloaded electrical outlets
Extension cords
Smoke detectors in all rooms
Temperature control of hot water
Stove controls
Exit plan
Emergency preparedness
45
Q

Most common problems/home modifications:

A

Elevations
Doorway width
Inaccessible environmental controls – ie. switches for illumination, windows, doors/locks, hallway width, storage (shelves, cabinets, closets), thermostats, counter heights, appliance-controls

46
Q

7 principles of universal design

A

Equitable use  same means of use for all; identical when possible, equivalent when not (ie. automatic doors, Siri)
Flexibility in use  provide choice in methods of use (ie. scissors for right- and left-handed users)
Simple and intuitive use  minimize unnecessary complexity (ie. instruction manual with pictures and no text)
Perceptible information  maximize legibility in all sensory modalities; simple instructions/directions (ie. tactile, visual, audible cues on thermostat)
Tolerance for error  fail-safe features; minimize hazards of accidental/unintended actions (ie. double-cut key, “undo” key on computer)
Low physical effort  reasonable operating forces; user able to maintain neutral body position (ie. lever handle on door)
Size and space for approach and use  reach to all components comfortable for seated/standing user

47
Q

Environmental assessments

A

Community assessment involves:
Changing environments to enable their clients’ participation and fulfillment of community roles
Consultation or advocacy roles with groups seeking to make educational, cultural, commercial, and religious facilities accessible
Assessments of access to community = ie. CHIEF, Facilitators and Barriers Survey, Measure of Quality of Environment, Multidimensional Scale of Perceived Social Support, Home and Community Environment, Instrument, CHEC-M

Phys Dys Midterm Review (2 decks)

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