OCTA 201 Exam 2 Flashcards
provides a written history to evaluation, intervention, and outcomes of treatment
Documentation
What is the largest funding source for OT services?
Medicare
What is the 1st step in developing an OT treatment plan?
Developing a problem list and behavioral indicators
What is the 2nd step in developing an OT treatment plan?
Prioritizing the list of problems with patients assets (valuables)
What is the 3rd step in developing an OT treatment plan?
Developing goals and objectives
What is the 4th step in developing an OT treatment plan?
Designing activities
What is the last step in developing an OT treatment plan?
Outcomes/discharge planning
What method is used to write goals and objectives?
ABCD method
What does the ABCD method stand for?
A- audience
B- behavior
C- condition
D- degree
Example of ABCD method:
A- Jim
B- verbally lists 3 coping strategies
C- use 1 strategy for the last 10 days
D- within 30 days
What type of note does the OT use to document patient progress or lack of progress?
SOAP note
What does the acronym SOAP stands for?
S- subjective
O- objective
A- assessment
P- plan
What does the “S” (Subjective) in a SOAP note include?
expresses the clients perspective regarding his/her condition or treatment. (ex. limitations, concerns, problems, feelings, attitudes, goals, plans, etc.)
What does the “O” (Objective) in a SOAP note include?
all measurable, quantifiable, and observable data obtained during your clients OT session is recorded. (what the client did, for how long, purpose, and what OTA observed)
What does the “A” (Assessment) in a SOAP note include?
consists of the OT practitioner’s skilled appraisal of the clients progress, functional limitations, pertinent issues, and expected gains from rehabilitation. (3 P’s. problem, progress, potential)
What does the “P” (Plan) in a SOAP note include?
determine and set forth the specific interventions that will be used to achieve the occupational therapy goals. (LTG/STG , frequency and duration of treatment, clients benefits, clients priorities)
what is needed to perform the activity and how that influences or relates to the clients stated goals
Activity Demands
done to the client
Preparatory Methods
done by the client
Preparatory Tasks
What notes are made by the OTA?
Contact notes
Progress Report
What notes are made by the OT?
Reevaluation Report
Transition Plan
Discharge/Discontinuation Report
a legal document that provides an electronic or written history of a clients past and present health, substantiates care, and creates proof of advance directives, vital statistics, course of treatment, and related correspondence
Medical record
What does EMR/EHR stand for?
Electronic medical record
Electronic health record
a EHR used and controlled by the individual rather than the provider or facility, allowing individuals to track and maintain their own health info
Personal health record (PHR)
a website through which individuals can access their personal health info at anytime (lab tests results, medications, discharge summaries)
Patient portal
An act passed in 1996 that manages and protects the privacy and security of an individuals health information.
Health Insurance Portability and Accountability Act (HIPAA)
A rule that specified regulations for the use and disclosure of protected health information (PHI)
The Privacy Rule
individuals identifiable health information
Protected Health Information (PHI)
A document given to each patient , delineates the provider’s privacy practices regarding PHI
Notice of Privacy Practices (NPP)
states that only the minimum amount of PHI must be requested or disclosed to accomplish the intended purpose
Minimum necessary
An act passed to establish reforms for health care insurance. Increasing health care assess, lowering costs, providing new protections for consumers, and improving health care quality and efficiency
Patient Protection and Affordable Care Act (ACA)
An act that requires collaboration among the FDA and several other govermental agencies to propose strategies and recommendations for a health IT regulatory framework.
Food and Drug Administration Safety and Innovation Act (FDASIA)
An act that requires long term care hospitals, inpatient rehabilitation facilities, home health agencies, and skilled nursing facilities to submit standardized client assessment data and also report on quality measures and resources use
Improving Medicare Post- Acute Care Transformation Act of 2014 (IMPACT)
An act that addresses the individual needs of infants and children with disabilities and their families
Individuals with Disabilities Education Act (IDEA)
services to children less than 3 years of age who are experiencing a developmental delay in one or more areas
Early intervention
notes typically written in a less restricted paragraph format, although info may still be organized into categories
Narrative note
Users and used of health records:
Client Care Management The Client Reimbursement Clinical Quality Measures The Legal System Research & Evidence-Based Practice Accreditation Education Public Health Business Development
Government funded program that provides health care benefits for active and retired military personnel and their families
TRICARE
A mandatory insurance paid by businesses to cover employees who are injured on the job
Workers Compensation
A federal insurance program for people ages 65 who have permanent disabilities
Medicare
A joint federal and state program that funds health care for eligible low-income people in the US
Medicaid
Services designed to address recovery or improvement in function and, when possible, restoration to a previous level of health and well being
Rehabilitative Therapy
Programs created to help clients maintain present function or slow down/prevent further functional deterioration
Maintenance Program
- An organized way of thinking about human occupation
- Defines and explains a relationship between concepts and ideas concerning occupation
- Theories “predict” events or behaviors regarding occupation
Theory
A guideline for practice that provides direction for evaluation and treatment of particular deficits in the OT domain and concern
Frame of reference
What are the parts of a guideline for practice?
Theoretical base
Function/Dysfunction continua
Function/Dysfunction indicators
Postulates regarding change
The concept drawn from various theories that supports the use of guidelines
Theoretical Base
The deficits addressed by the guidelines for practice
Function/Dysfunction continua
Guide the therapist in the evaluation phase of the intervention
Function/Dysfunction indicators
Guide the treatment used to ameliorate (improve) the deficits
Postulates regarding change
Models that incorporate all areas of OT practice to explain the relationship between occupation, person and environment
Occupational Based Models
What are some examples of occupational based models?
MOHO
PEOP
CMOP (Canadian model of occupational performance)
Occupational Adaptation
A model that client centered and focuses on the interaction of the environment, occupation, and the person
Canadian Model of Occupational Performance (CMOP)
A client centered model that focuses on ADL’s, motivation, and the personal characteristics that influence the person’s ability to manage the environment
Person-Environment-Occupation- Performance (PEOP) Model
What are the two client centered models of OT?
Canadian Model of Occupational Performance (CMOP)
Person-Environment-Occupation-Performance (PEOP)
Critical assumption of the PEOP model?
occupational performance is influenced by the relationship between person and environment
This model emphasizes that through the participation in therapeutic occupations persons transform themselves into more adaptive and health beings
Model of Human Occupation (MOHO)
Which model follows this:
info enters the humans system as INPUT –> processed as THROUGHPUT –> results as OUTPUT from the person
Model of Human Occupation (MOHO)
Which model involves:
Volition- interests, values
Habituation- habits, roles
Performance Capacity- skills, underlying ability
Model of Human Occupation (MOHO)
human beings are viewed as complex multilevel systems who participate in their environment
Occupational Science
illness, disease or other life experiences limit the person’s ability to adapt to the environment and to fully participate
Occupational Science
sometimes referred to as a guideline for practice. articulates overarching concepts that are based on systems theory and can be used in a variety of settings with a wide range of clients.
Occupational Adaptation
a process of change that occurs through interaction among the person, occupational environments, and occupational challenges
Adaptation
What two models are originated by Law and Christiansen and Baum?
CMOP
PEOP
What model is originated by Reilly and Kielhofner?
MOHO
Originated by Schkade and Schultz
Occupational Adaptation
Originated by Yerxa
Occupational Science
What are the different types of frames of reference?
Biomechanical Rehabilitation Sensory Integration Motor Control Cognitive Disabilities
A frame of reference applied to people with LROM, decreased muscle strength and/or endurance
Biomechanical Frame of Reference
What is the prime focus of the Biomechanical Frame of Reference?
musculoskeletal capacities are needed to perform everyday occupations
What are the parts that make up movement?
Joint ROM
Muscle strength
Endurance
A frame of reference that uses compensation to regain independence
Rehabilitation Frame of Reference
A frame of reference that considers context and performance patterns
Rehabilitation Frame of Reference
A frame of originated by Jean Ayres that observed that kids appeared to have problems with interpreting information from their bodies and the surrounding environment
Sensory Integration Frame of Reference
In reference to what frame of reference do kids have an intact CNS and PNS?
Sensory Integration Frame of Reference
Sensory integration focuses on what senses?
Vestibular (balance)
Tactile (touch)
Proprioceptive (position & movement)
Auditory (hearing)
Visual (sight)Evaluation of Sensory integration includes
Sensory integration and Praxis test
A frame of reference that includes these four treatment strategies:
Rood
Bobaths Neurodevelopmental Treatment
Brunnstrom
Proprioceptive Neuromuscular Facilitation
Motor Control Frame of Reference
A treatment strategy of SI:
- focuses on Cerebral Palsy and Hemiplegia (paralysis) patients
- sensory stimulation assisted with the development of normal muscle tone and motor responses
ROOD
- Basic postural movement learned first
* postural control is the foundation to all movement
Bohaths Neurodevelopmental Treatment
- is belief to use whatever the patient may have.
- Sees the use of synergies as being okay and if used over and over then ultimately they get integrated into more normal patterns of movement
Brunnstrom
- Normal motor develops from cephal to caudal and proximal to distal
- Reflexes dominate early on in development and are integrated into voluntary motor behavior
Proprioceptive Neuromuscular Facilitation
What do all four of motor control treatments focus on?
- Motor control
- Coordinated movement patterns
- Maintaining balance
- Emphasize the CNS control of movement
A frame of reference originated by Claudia Allen that was originally used on psychiatric patients and now with any patient with a cognitive limitation (Dementia, Mental Retardation, etc)
Cognitive Disabilities Frame of Reference
What does MOTA stand for?
Maryland Occupational Therapy Association
What are 3 things MOTA do for occupational therapy practitioners?
- lobbying for profession
2.
3.
Is membership for MOTA mandatory?
No
What is the big event that will take place in November?
37th Annual MOTA Conference
Name 2 reasons its important to be a member of MOTA:
1.
2.
What does AOTA stand for?
American Occupational Therapy Association
What are some things AOTA provides for their members?
lobbying for profession continuing education professional certification advocacy leadership opportunities
What is the name of the Magazine published by AOTA?
OT Practice Magazine
What is the name of the Journal published by AOTA?
American Journal of Occupational Therapy
What event did AOTA sponsor in September 2017?
Hill Day
Why is Hill Day important to clinicians?
shows how OT improve outcomes by helping people regain function and independence and return to active members of society
What is at least one service AOTA offers to its student members?
Financial Aid Fieldwork prep Savings Research Training
Where was the AOTA national conference held this year and what was special about it?
Philadelphia, PA
Centennial Celebration
Where will the AOTA annual national conference be held in 2018?
AOTA/NBCOT National Student Conclave
What are some reasons why every OT practitioner be a member of AOTA?
Networking
How much is a student membership to AOTA?
$75
What does the Maryland State Board of OT Practice do for OT practitioners in the state of Maryland?
Issue license
What is the difference between Maryland State Board of OT Practice and MOTA?
not voluntary but mandated
What do the regulations state with regard to supervision of the COTA/L by the OTR/L?
Periodic supervision
What do the regulations state with regard to supervising nonprofessional personnel?
Aide
Temporary OTA
Level 1 fieldwork OT student
Level 1 Level 2 OT student
How often do an OT need to renew license?
every 2 years ($200)
What does NBCOT stand for?
National Board of Certification in Occupational Therapy
What is the purpose of NBCOT?
Serving the public interest by advancing client care and professional practice through evidence-based certification standards and the validation of knowledge essential for effective practice in occupational therapy.
When are you eligible to take the NBCOT Exam?
- Graduate with an accredited/approved entry-level occupational therapy degree
- Complete all fieldwork requirements
- Submit an official final college or university transcript that indicates the date of graduation and degree
title OR a NBCOT Academic Credential Verification Form (ACVF) - Agree to abide by the NBCOT Practice Standards and Code of Conduct.
the application of evaluative, consultative, preventative, and therapeutic services delivered through telecommunications and information technologies
Teleheath
What does OT practitioners use teleheath for?
a mechanism to provide services at a location that is physically distinct from the client, thus allowing for services to occur where the client lives, work, plays, if that is needed or desired
In order for an OT practitioner to be able to provide OT services via teleheath they must what?
hold a valid Maryland licence prior to providing OT services
In order to be able to conduct an evaluation via teleheath there must be a real time two way or multipoint observation, communication, and interaction between who?
Practitioner and client
