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Occupational Therapy > OT 225 > Flashcards

OT 225 Flashcards

1
Q

ICD-9

A

alphanumeric designations given to every diagnosis, description of symptoms and cause of death attributed to human beings.

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2
Q

Probability sampling

A

method of sampling that utilizes some form of random selection

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3
Q

Validity

A

extent to which an investigator’s findings are accurate or reflect the underlying purpose of the study.

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4
Q

Reliability

A

the degree to which a measure is consistent

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5
Q

Case study

A

detailed, in depth description of a single unit, subject, or event

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6
Q

Qualitative research

A

is involves words as the data source. Answers questions of social systems such as factors in one’s natural environment. Often uses surveys, focus groups. Not well structured.

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7
Q

4 stages of learning

A

Acquisition, Maintenance, Fluency, Generalization

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8
Q

Acquisition

A

Learning to perform the basic requirements of a skill. Ex. teach a client how to use a clinic phone

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9
Q

Maintenance

A

routine use of the skill in familiar, stable conditions.

Ex. Make a call every day in OT tx session

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10
Q

Fluency

A

Improving accuracy, quality and speed. Decreased help from OT over time

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11
Q

Generalization

A

skill can be used anywhere and whenever it is needed.

EX. Use a phone outside of clinic in own room

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12
Q

• Statement of (terminal) behavior

A

• Specifies the physical changes, type of behavior, or performance skill that the patient is expected to display. The terminal behavior consists of an action verb and the object receiving the action. Ex. The patient will DON (action verb) a shirt (object

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13
Q

Condition

A

• States the Circumstances required for the performance of the terminal behavior. ex. Adaptive equipment, verbal cues, supervision, etc
o Ex given a universal cuff, pt. will feed himself

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14
Q

Criterion

A

• The performance standard or degree of competence the patient is expected to achieve, stated in measurable or observable terms
o Ex given verbal prompts, the pt. will don a shirt in 5 minutes with no errors (criterion)

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15
Q

• FEAST

A

Function, expectation, action, specific conditions and timeline

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16
Q

• RHUMBA

A

Relevant, how long , understandable, measurable, behavioral, achievable

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17
Q

• SMART

A

significant, measurable, achievable, relates to person, time based

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18
Q

primary domains of tele health

A
  • Motor
  • Cognitive
  • Mental health
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19
Q
  1. What are factors that threaten research results?
A
  • Attrition
  • History
  • Maturation
  • Testing practice effect
  • Instrument variability
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20
Q

COTA’s role regarding clinical research

A

o Carry out specified research functions as an assistant to an investigator
o Follow a research protocol and related documentation with care and accuracy
o Maintain confidentiality while collecting data and during the entire research process
o Work in collaboration with investigator to carefully follow protocol for data collection
apply knowledge from within OT and related fields in cooperation with occupational therapist

21
Q

what is evidence-based practice

A

o EBP is allowing research to guide intervention/ practices. It is collecting/ gathering appropriate clinical evidence to enable accurate, efficient and safe decision about patient care. It includes clinical evidence, external evidence and clinical expertise to develop qualitative or quantitative information for pt. care. EBP is tried to our cod of ethics. This helps to give client information on the nature, risk, and efficiency, cost effectiveness, benefit and safety of therapeutic technique. It helps to keep up with the latest innovative tx ideas and can help provide best care as the clinician.

22
Q

• Service operations

A

o Activities that comprise the day to day functioning of occupational therapy in addition to direct client treatment

23
Q

• Scheduling

A 
o	Fixed and flexible times
o	Time management techniques
o	Use a schedule that works for you	
o	Fill in fixed time slots
o	Fill in what you have to do
o	Leave time for unexpected activities
o	Live with schedule for a while and see if it works
o	Update it as necessary
o	Use appointment book, smartphone, address book, outlook, iPad/iPod*
24
Q

• Clinic maintenance

A

o Keep the work area clean
o Abide by facility safety regulations
o Safety is the responsibility of everyone
o Be aware of things that make the work place safe
o Infection control procedures standard precautions storage of toxix chemicals and flammables
o Knowledge of department fire and emergency procedures
o MSDS (material safety data sheet) information on all chemicals

25
Q

• Billing there are three types of codes

A

o evaluation, modalities and therapeutic procedures

26
Q

o Medicare

A

Have to be 65 or above, US citizen or permanent resident for 5 years. If under 65 then they must be receiving SS or railroad disability for 24 months or have ALS or ESRD.

27
Q

Medicare A

A

Covers in-pt hospital stays and stays at SNFs. SNF stay is covered under certain conditions, a) only if they are in hospital for three midnights, b)SNF stay is diagnosed at the hospital, c)pt must have need for therapy and d)the care must be skilled.

28
Q

Medicare B

A

Covers out-pt services such as physician visits, therapy, lab, x-rays and some medical equipment

29
Q

Medicare C

A

Network provider (PPO). Usually extra benefits. Costs extra.

30
Q

Medicare D

A

Prescription coverage

31
Q

• The use of the PPS

A

is a system of Medicare reimbursement for Part A benefits which bases most hospital payments on the patient’s diagnosis at the time of hospital admission.

32
Q

• Hospitals use of the DRG

A

Defined by the Centers for Medicare and Medicaid Services, diagnosis-related groups, or DRGs, are categories of clinical conditions that occur together.

33
Q

• The role of the RUG

A

applies to skilled nursing facility patients. This is $$ received by SNF in addition to the per day PPS amount Medicare pays. SNFs assign residents to specific rehabilitation categories under RUGs based on the number of minutes of therapy they receive. More minutes of therapy mean higher RUG categories and higher rates for SNFs.

34
Q

o Medicaid

A

Medicaid provides health coverage to income- eligible children, families, pregnant women, elderly, and people with disabilities.

35
Q

o Third party insurance

A
  • A term used to refer to any company that acts as the payer under coverage provided by a health care plan, for example:
  • Medicare
  • Blue Cross/Blue Shield
  • Group Health
  • Beech Street
36
Q

preparation of the patient when teaching in OT

A
  • Put patient at ease
  • Find out if patient knows how to do the activity
  • Get the patient’s interest
  • Place patient in correct position
  • LEARNER MUST BE PRESENT – not just physically – mentally, emotionally, psychologically… If client is reeling from loss and still in the grieving process there is a strong chance that optimal learning may not occur.
  • LEARNER MUST SEE A NEED TO LEARN – not unlike potty training – diapers protect them from the need to learn
  • PERSONAL INVOLVEMENT – meaningful nature of OT
  • FXNAL SENSORY SYSTEM/EMOTIONAL READINESS – must a have means to get information to the brain and have the emotional stability to process information, ie. Temper tantrum – can’t teach a child who isn’t listening and isn’t emotionally balanced
  • Motivation to learn sets the foundation for learning - helps with grasping concepts.
  • Material needs to provide the “just right” challenge to the learner.
  • If the “just right” challenge is present the learner may have an “a-ha” moment
37
Q

telehealth technology

A

o Telehealth is a delivery model for providing health-related services at a distance using telecommunication technology. It includes the “application of evaluation, preventative, diagnostic, and therapeutic services via two-way or multipoint interactive telecommunication technology”

38
Q

• Synchronous

A

o OT services delivered through interactive technologies in REAL TIME

39
Q

• Asynchronous

A

o OT services are delivered by use of store-and-forward technologies

40
Q

• How OT use tele health

A

o Develop skills
o Incorporate assistive technology and adaptive techniques
o Modify work, home or school environments
o Create health-promoting habits and routines
o Monitor client’s adherence to intervention program

41
Q

benefits of tele health

A

o Increased accessibility of services to clients who live in remote or underserved areas
o Improved access to providers and specialists otherwise unavailable to clients
o Prevention of unnecessary delays in receiving care
o Workforce enhancement through consultation and research
o Removal of barriers to accessing care including social stigma, travel and socioeconomic/cultural barriers
o Amelioration (improvment) of the impact of personnel shortages in OT
o Has benefits in every practice area within OT including pediatrics, geriatrics, school-based, rehabilitation, etc

42
Q

point of care documentation

A

o Documentation performed at the time of clinical point of care can be conducted using paper or electronic formats. This process aims to capture medical information pertaining to patient’s healthcare needs.

43
Q

o Benefits point of care documentation

A

accuracy, accessibility, comprehensiveness, legibility, safety , time and cost savings, and satisfaction

44
Q

o Challenges

A

might be not enough for all stuffs, the device might stop while charting, lack of knowledge about the device and be able to find or chart information in the right place

45
Q

o Benefits of VE training

A

o Allows simulation of activities/tasks of varying degrees of complexity
o Allows for trial and error with lower stakes
o Allows for LOTS of repetition
o Easier to adjust/grade
o Fun

46
Q

o Challenges of VE training

A

not enough research to substantiate evidenced based practice; expensive; demographic being served

47
Q

Discharges

A 
o	Change in medical statuso
	Functional levels plateauing
o	No shows/frequent refusals
o	Goals being met/progress made / d/c secondary to progress
o	Funding
48
Q

describe the elements involved in discharge recommendations

A 
o	Discharge summary / elements involved in d/c recommendation
o	Includes:
o	Current level of function at time of d/c
o	Address outcomes met
o	Address outcomes NOT MET
o	Discharge recommendations
a.	Level of supervision
b.	Level of assist
c.	Home modifications
d.	Safety recommendations
e.	Home programs
f.	DME/AE needs
o	Follow up care
o	Commentary on any resource referral handouts provided including community resources, fiscal resources and human resources

Occupational Therapy (4 decks)

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