Misc Flashcards
When considering w/c seat width, what should be the COTA’s MAIN objective?
To distribute weight over the widest possible surface (prevents too much pressure) while keeping the width of the chair as narrow as possible (easier to maneuver)
Which consideration is MOST important for a safe transfer?
The client’s medical condition—both physical and cognitive status
What strategy is best to teach a visually impaired student how to find location of materials in the classroom so that the child can access them independently?
Using tactile and proprioceptive senses to help child understand where he/she is in relation to the materials, helping the child to establish a mental map of the classroom.
Most appropriate activity to use during the functional training phase for a client learning to use a unilateral myoelectric terminal device (TD)?
Bilateral activities that require one dominant extremity (the hand) and one functional assist (the TD) are the best tasks for practice. Using scissors to cut paper requires the TD to be the functional assist (holding the paper).
What preparatory methods can be used to increase tissue extensibility before engaging the client in therapeutic activities to increase functional movement?
Paraffin dip,Hot pack, Fluidotherapy with heat
Heating between 71.6°F and 105.8°F increases lymph flow and helps soften tissues to promote increased range ROM. Heating does not exacerbate minimal edema.
What should a COTA do for the affected UE when positioning a client with hemiparesis in side lying on the affected side?
Protract forward
The affected UE should be placed in protraction to allow optimal soft-tissue lengthening.
What is the BEST strategy to progress the client to prosthetic training?
Encouraging the client to talk with others who have experienced similar amputations can help facilitate acceptance.
Social Context
includes people who support and assist the client in multiple environments.
Principles of ergonomic training for back injury prevention include ____________ __ ______ ______ __ __________ during task completion.
maintaining a wide base of support
Where should the COTA place task objects FIRST to elicit a trunk response?
Beyond arm’s reach to facilitate a weight shift and challenge the client’s postural abilities.
Within what time period should a COTA generally begin performing out-of-bed activities after a hip replacement surgery?
1–3 days post-op
A client is expressing concern about an intervention that is being used in the occupational therapy plan. What actions should the COTA take in this situation?
Clearly explain interventions that are being provided and to explore available alternative options.
All available interventions must have risk and benefits explained within reason. Information provided must be sufficient to allow the client to make a choice.
Seating Biomechanics
Take into account the client’s stability, postural support, and mobility needs.
The pelvis and lower extremities need to be stabilized first for overall postural support, followed by the trunk.
Reclining-Back Wheelchair
Used to alleviate orthostatic hypotension.
Allows the client to move slowly and in stages while letting the blood pressure adjust to the change.
When instructing a client post–hip surgery on after-toileting cleansing while adhering to appropriate hip precautions. What method is the BEST to prevent further injury?
Instruct the client to wipe between the legs while seated on an elevated toilet seat.
Posterior Axillary Skin Graft Post-op Care
postop care is 5 to 10 days after the skin graft.
During this phase, it is important not to disturb the grafted area so that graft adherence will occur.
Antideformity position should be used for the arm, which is 120° shoulder abduction and slight external rotation.
Autism Social Stories
should include a control or affirmative social story sentence in which a child is asked to write his or her own sentence to help the child recall necessary information or expectations.
What is the BEST splinting strategy to use to encourage sensory feedback?
A dorsally based splint will allow for maximal sensory feedback while worn.
A patient is functioning at Level V (confused, inappropriate) on the Rancho Los Amigos Scale. What should be the focus of intervention during this phase of rehabilitation?
familiar, previously learned tasks because of the patient’s limited attention span, impaired memory, and lack of initiation.
