NBCOT exam prep Flashcards
A client is in an inpatient cardiac rehab unit what are the phase 1 of OT interventions?
Monitor electrocardiogram, BP & pulse. Clinical pathway: check list of treatment for a particular diagnosis. Progression of ADLs & activity (MET). Monitor symptoms of activity tolerance. Develop home program
A client is in an outpatient cardiac rehab unit what are the phase 2 OT interventions?
OT 3 days a week for 4-8 weeks. Exercise & activity to tolerance with progression of MET levels. Weight training at 2-4 weeks if symptoms are controlled. Education in risk factor modification. Eval for psychosocial issues & referral if indicated. Work hardening if indicated
A client has been released from a cardiac rehab unit & is now in the community what are the phase 3 of OT interventions?
Physician referral. Stress test. Continuation of phase 2 activities & progress as tolerated, with less therapy supervision & in community settings
Chronic obstructive pulmonary diease
Condition with damage to the alveolar wall and
inflammation of the conducting airways
Emphysema
Condition where alveoli rupture or enlarge, lungs lose elasticity
Chronic bronchitis
Long-term inflammation of the bronchioles with dyspenea
Respiratory symptoms
Dyspnea, fatigue, cough, sputum production, decreased nutrition, anxiety, depression
OT evaluation with client who has respiratory diagnosis
ADL assessment, noting ROM, muscle strength, sensation, cognition, psychosocial status. Monitor heart rate, BP & O2 level. Daily activity interview
Cataracts
The lens of the eye becomes more opaque, and reduction of light going to the retina occurs
Typical manifestations with cataracts
Reduced visual acuity, blurry vision, decreased ability to distinguish colors, reduction in ability to drive at night, distortion of visual images, increased glare sensitivity, increased difficulty distinguishing similarly colored objects
Typical manifestations with age-related macular degeneration
Impaired mobility skills, reduced ability to perform ADLs & IADLs, decreased ability to recognize faces & perform detailed work (reading, needlepoint, writing) difficulty with social participation because difficulty seeing facial expressions & gestures
What is dry macular degeneration?
Most common type, causes deposits of yellow-colored extracellular material within the macula of the eye, causing possible atrophy of the retina and gradual loss of central vision
What is wet macular degeneration?
Characterized by a proliferation of abnormal blood vessels that leak blood and fluid into the macula causing central vision loss, it progresses more quickly than dry
Typical manifestations with glaucoma?
Causes deficits in tasks that require peripheral vision because this eye deficit causes peripheral vision loss
What is primary open-angle glaucoma?
Occurs when fluid passes to slow through spongy meshwork
2 assessments used with low vision to assess ADLs & IADLs?
Melbourn low vision ADL it assess the impact of a person’s visual impairment on ADLs & IADLs. COPM also is used as a semistructured interview that identifies a persons perception of their performance of self care, productivity, and leisure. It also rates the importance of the activity to the person and how a persons perception of performance changes over time
assessment used with low vision to assess near visual acuity?
lighthouse near visual acuity test
2 assessments used with low vision to assess far visual acuity?
snellen e. chart or tumbling e chart, used for individuals who are illiterate or may have aphasia
