NBCOT RATIONALE (Ethics, Work, SOP, PEDs, mixed) Flashcards
What is the difference between intensity, frequency, and duration?
Intensity= light, moderate, or heavy. But in terms of session–> the amount of time spent in a session.
Frequency= sessions per day or per week
Duration= length of time over the course
In order to identify a client’s essential job function, what should the comprehensive FCE assess?
Assess the demands outlined from the Dictionary of Occupational Titles (DOT) job classification and description.
During the platuea phase of Guillan-Barre Syndrome, what does the OT typically observe in terms of communication?
inability to communicate vocally. (because this disease paralyze the head and neck muscles)
For clients with MS, what is an effective strategy to recommend in dealing with fatigue to complete tasks within the day?
Scheduling tasks in intervals throughout the day will best address energy conservation and compensate cognitive strategy.
What is correlation coefficient?
Compares the variables of one measure to the variables of another measure.
Closer to 1= the stronger the relationship between variables.
e.g: .71= strong positive correlation
What are some interventions you can do with a pt w/ median nerve injury after surgery?
AROM of wrist, thumb, fingers 24-48 hrs post/op. MEDIAN NERVE GLIDES
Besides endurance, what should the OTR assess for a pt who has GBS in the acute phase?
Sensation
What are fading approaches?
Reducing or eliminating supports as client skills improve and develop.
What is scaffolding method?
The OT helps the client break down parts of the task that are difficult and the client completes it.
How should you address fatigue while building strength during the recovery phase of GBS?
Taking rest periods without pushing to the point of fatigue while gradually increasing tolerance for activity.
What is the hierarchy of functional return?
Gradual gradation of tasks
- Gross to fine motor movements
- increased resistance
- repetition from simple to complex tasks with postural changes to promote neuromuscular reeducation.
What is a work therapy program?
Work therapy may occur during any point in the healing of injured tissues. It typically occurs during the acute phase of rehabilitation before tissue reaches homeostasis.
A pt with CRPS in Type 1, what should be the focus on work conditioning program?
Treatment should focus on management of pain and edema along with AROM. The most recognized therapeutic intervention for CRPS is a stress loading program (scrubbing and carrying)
What is the jurisdiction of the AOTA Ethics Commission?
ONLY OT/OTA members of AOTA
What happens when medical entry is not present during documentation?
Information that must be entered out of sequence should be entered into the medical record as a late entry and must be identified as such per AOTA guidelines.
What is the Joint Commision’s focus?
Improving health care services by facilitating effective and safe services.
An OTR® is working with an infant who is recovering from a brachial plexus injury. What type of sling should the OTR® fabricate?
Sling that fits around the humerus
What is the typical duration of Ayres SI treatment?
1-2 times/ week for 2 years
What should the OTR expect to see for a child with fluctuating tone from low to normal when reaching for a toy positioned on the table?
A limb that appeared to be athethoid.
Characterized by tone that fluctuates from low to normal with little spasticity.
A student in the first grade has illegible handwriting. Results of a standardized assessment indicate the student scored 0.5 standard deviations from the mean on a gross motor subtest and 2.0 standard deviations from the mean on a fine motor subtest. What do these results indicate?
SD that less than 1.5 of score suggest a need for OT services. The GM does not suggest the delay, but FM does and can be addressed through intervention plan to improve handwriting.
What intervention should the OT do for a child with dysgraphia?
Provide the child with a copy of partially completed notes so he only has to fill in key words. Dysgraphia is a learning disability associated with difficulty producing written language.