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PT 620 Foundations 2 > Neuro Occupational Therapy > Flashcards

Neuro Occupational Therapy Flashcards

1
Q

is the use of assessment and treatment to develop, recover, or maintain the daily living and work skills of people with a physical, mental or cognitive disorder; client centered practice that places emphasis on progress towards pt goals

A

OT

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2
Q

what does OT focus on treating

A

adapting the environment, modifying tasks, teaching skill, and educating client/family to increase participation in and performance of daily activities

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3
Q

who makes up the neuro rehab team

A

PT, OT, SLP, MD, RN, rec therapy, CM/social workers, neuropsych, nutritionist, pts, families

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4
Q

non-skid plastic to prevent sliding

A

Dycem

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5
Q

how to dress with hemiplegia

A
  • putting on: dress affected side first
  • taking off: take off affected side last
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6
Q

what devices make up the hip kit

A
  • reacher
  • sponge
  • long shoe horn
  • dressing stick
  • device to put socks on
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7
Q

is adaptive driving equipment covered by insurance

A

no

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8
Q

what are the 4 types of attention

A
  • sustained attention
  • selective attention
  • divided attention
  • alternating attention
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9
Q

working memory, hours to months post stimulus presentation

A

short time memory

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10
Q

composed of declarative and procedural memory

A

long term memory

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11
Q

factual; episodic; personal events and semantics; facts about the world

A

declarative memory

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12
Q

knowing how to do things (tying shoes)

A

procedural memory

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13
Q

occurs when the situation is different from desired situation and the person does not immediately know what action to take

A
  • problem solving
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14
Q

what are the 3 higher levels of thinking

A

problem solving
reasoning
concept formation

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15
Q

drawing conclusions from known or assumed facts; sequencing, categorization, deduction

A

reasoning

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16
Q

what are the 5 steps to problem solving

A
  • identify the problem
  • define the problem
  • generate possible solutions and select one
  • implement preferred solution
  • evaluate the outcome
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17
Q

ability to analyze relationships between objects; concrete to abstract thinking

A

concept formation

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18
Q

two subtypes of metaproccessing

A

executive functioning
self awareness

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19
Q

volition/initiation, planning/organization, purposive action, and effective performance

A

executive functioning

20
Q

ability to process information about the self and compare to a longstanding self evaluation

A

self awareness

21
Q

how treat/interact with an individual with cognitive deficits

A
  • speak slowly
  • provide 1 step commands and allow pt time to process
  • repetition for carryover
  • put into a meaningful context
  • use different types of learning - verbal, demonstration, provide written example
22
Q

things to take note of when documenting about cognition

A

document EVERYTHING you see outside of exercise and treatment
- arousal levels
- attention
- requirement of cues (verbal, tactile, physical, and how much)
- ability to follow commands (simple 1 step vs complex multi-step)
- perseverative, impulsive, labile, confabulating

23
Q

unawareness of visual denial or deficits

A

anosognosia

24
Q

can be motor or perceptual; do not acknowledge side of body

A

unilateral neglect

25
Q

awareness of body parts and positions of body parts in relation to themselves and environment (dressing apraxia, unsafe transfers)

A

body scheme

26
Q

ability to understand concepts of R and L (dressing apraxia)

A

R/L discrimination

27
Q

what are the 3 types of apraxia that can occur

A

limb
constructional
dressing

28
Q

inability to carry out purposeful movement in the presence of intact sensation, movement, and coordination

A

limb apraxia

29
Q

complex but disorganzied, spatial relation and poor orientation in space; constructional apraxia

A

RBD

30
Q

simplified with few details; constructional apraxia

A

LBD

31
Q

inability to dress oneself; attempts but clothes on backwards, inside out, or in the wrong order, may only dress one half of body

A

dressing apraxia

32
Q

how to tx limb ataxia

A

use manual contact, complete GMC activity, minimize VC, use chaining, ask pt to visualize action

33
Q

how to tx constructional apraxia

A

practice, use a model, use cues and progress from simple to complex; not function based, not as useful for practice application

34
Q

how to tx dressing apraxia

A

teach a pattern of dressing, cognitive cues, practice

35
Q

s/s of visual field deficit

A
  • abbreviate scanning pattern
  • scanning pattern is organzied
  • re-scan is observed (redirect to impacted side)
  • length of time for task is appropriate
36
Q

s/s of visual neglect

A
  • disorganized, random scanning pattern
  • asymmetrical search pattern in hemispace
  • scanning pattern is carried out with reduced effort and little or no rescanning
  • task is completed swiftly or if the pt is aware of deficit longer time is taken by individual in order to compensate
37
Q

inability to orient to or respond to stimuli from one side of the environment

A

hemi-inattention U/L neglect syndrome

38
Q

inability to orient to relevant contralateral visual stimuli

A

hemispatial visual neglect

39
Q

motor neglect, impaired initiation or execution of movement into contralateral hemispace by either limb - no standardized test, based on observation

A

hemiakinesia U/L neglect syndrome

40
Q

how to tx U/L neglect

A
  • attention training
  • visual scanning - anchoring (light house strategy)
  • patching (single and half field)
  • prisms (must have orders from optometry)
  • compensation (moving non-emergent items to affected side)
41
Q

ability to distinguish the foreground from background

A

figure-ground

42
Q

judging distances, distinguish forms, and separate objects from surrounding background, important to orient environment, recognizing objects, scenes, and language

A

spatial relations

43
Q

difficulty understanding and remembering relationships of places to another, difficulty finding ones way in space

A

topegraphical disorientation

44
Q

pt’s lack to recognize familiar objects

A

agnosia

45
Q

prosopangnosia

A

inability to recognize familiar faces

46
Q

detail discrimination, identification, attention, concentration, oriented to the present - concious

A

focal vision

47
Q

spatial orientation, posture, balance, movement, anticipates change - pre-concious

A

ambient vision

PT 620 Foundations 2 (9 decks)

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