NOTCE Flashcards

1
Q

What is a 1 on the LRS?

A

No response - coma

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2
Q

What is a 2 on the LRS?

A

Generalized response: waking up, responding to pain and simple instructions

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3
Q

What is a 3 on the LRS?

A

Localized response: following commands and volitional movement

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4
Q

What is a 4 on the LRS?

A

Agitated - confused

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5
Q

What is a 5 on the LRS?

A

Non-agitated - confused - inappropriate

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6
Q

What is a 6 on the LRS?

A

Confused - appropriate

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7
Q

What is a 7 on the LRS?

A

Automatic - appropriate

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8
Q

Drop the full LRS

A
  1. No response: coma
  2. Generalized response: waking up
    Responding to pain, tickling, etc.
    Can follow simple instructions (e.g. “squeeze my hand”)
  3. Localized response: more awake
    Following commands
    Volitional movement
  4. Confused - agitated: agitation, e.g. pulling tubes
    Difficulty focusing, memory
    Use wrong words
  5. Confused - inappropriate - non-agitated: not agitated anymore :)
    Follow simple commands
    Some focus and memory, but still issues
  6. Confused - appropriate: can still be confused, but mostly with it
    Can follow directions, but not learn new information
    Focus up to 30 minutes
    Still not safe alone
  7. Automatic - appropriate: baseline adjacent
    Poor insight
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9
Q

What is pragmatic reasoning?

A

Focus on logistics, e.g. cost, time, environment

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10
Q

What type of reasoning focuses on logistics?

A

Pragmatic

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11
Q

What is procedural reasoning?

A

Focus on process and getting things done - what, when, how intervention will be conducted

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12
Q

What type of reasoning focuses on the therapy process?

A

Procedural

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13
Q

What is interactive reasoning?

A

Relationship and interactions with client and OT

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14
Q

What type of reasoning focuses on the relationship and interactions between client and OT?

A

Interactive reasoning

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15
Q

What is narrative reasoning?

A

Using storytelling and TUS to understand situations and plan sessions

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16
Q

What type of reasoning focuses on TUS?

A

Narrative reasoning

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17
Q

What is conditional reasoning?

A

Most complex type of reasoning, to understand situation and ideas for solutions

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18
Q

What type of reasoning focuses on understanding situations and ideas for solutions?

A

Conditional

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19
Q

What is a questionnaire used for?

A

Interest and desire to participate in interests in future

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20
Q

What is the NPI interest checklist used for?

A

Level of interest in different activities

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21
Q

What is the COPM used for?

A

Perceptions of performance over time

22
Q

What are occupational self-assessments used for?

A

Perceptions of own occupational competence, impact of environment. Good for collaborative goal-setting

23
Q

What is the KOLS used for?

A

Ability to live independently and safely in community. Useful for discharge planning

24
Q

What is the SDM hierarchy?

A
  1. Guardian/power of attorney
  2. Representative appointed by consent and capacity board
  3. Spouse/partner
  4. Child/custodial parent
  5. Access parent
  6. Sibling
  7. Any other relative
  8. Public guardian and trustee
25
Q

What is avolition?

A

Apathy/lack of motivation

26
Q

When is a baby considered premature?

A

At/before 37 weeks

27
Q

What is a CVI?

A

Issue with brain, not eyes, = issues with fixation and tracking

28
Q

What helps with CVI?

A

Adapting environment to stimulate visual activity

29
Q

Tilt-in-space vs. recline?

A

TIS keeps hip angle the same - better for pressure injury management
Recline opens hip angle - better for adjusting seating positioning

30
Q

Positive vs. negative symptoms of psychosis?

A

Positive: hallucinations, delusions, behavioural issues
Negative: apathy, avolition, social withdrawal

31
Q

Primary rule of increasing in feeding?

A

Texture before volume

32
Q

How wide should wheelchair accessible doors be?

A

36 inches

33
Q

What type of tremor is characterized by Parkinson’s?

A

Resting

34
Q

What level spine injury is quadriplegia?

A

C spine

35
Q

What does NDT do?

A

Manage tone

36
Q

What is best for a global understanding of what is important to the client?

A

Role checklist

37
Q

What is validity in an assessment?

A

If it measures what it is supposed to

38
Q

What is construct validity?

A

If assessment scores are consistent with the hypothesis about what should happen

39
Q

What are the 3 types of construct validity?

A

Convergent: scores correlate with another instrument
Divergent: scores don’t correlate with another instrument
Discriminative: scores reflect differences between groups

40
Q

What is content validity?

A

If an assessment is comprehensive and includes all elements of an idea

41
Q

What is criterion validity?

A

If scores are consistent to a gold standard

42
Q

What is responsiveness?

A

If an assessment detects changes over time

43
Q

What is it called when scores are consistent with the hypothesis about what should happen?

A

Construct validity

44
Q

What is it called when scores correlate with another instrument?

A

Construct validity

45
Q

What is it called when scores don’t correlate with another instrument?

A

Divergent construct validity

46
Q

What is it called when scores reflect differences between groups?

A

Discriminative construct
validity

47
Q

What is it called when an assessment includes all elements of an idea?

A

Content validity

48
Q

What is it called when scores are consistent to a gold standard?

A

Criterion validity

49
Q

What is it called when an assessment detects changes over time?

A

Responsiveness validity

50
Q

Internal vs. external study validity?

A

Internal: within study, if study adheres to rules set out in study design
External: generalizability to people, settings, times