OT clinical experiance 1 Flashcards

1
Q

Health

A

Not merely absence of disease.

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2
Q

Well-being

A

holistic physical, mental and social aspects

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3
Q

Participation in life

A

through engagement in occupation

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4
Q

OT practice is a client-centered process that centers on enabling individuals to perform necessary life tasks into?

A

Meaningful occupations

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5
Q

Client Centered

A

approach to gather information

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6
Q

What are 5 things that are put in a occupational profile?

A
  1. Occupational history
  2. Interests
  3. Experiences
  4. Habits
  5. Patterns of daily living
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7
Q

OT provides interventions for people who have problems?

A

engaging in an Area of Occupation.

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8
Q

Focus on the _____ _____ ____ _____ is critical for showing the necessity for OT and to prevent any question of duplication of services.

A

ability to engage in occupation.

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9
Q

What are 6 ADL’s and IADL’S?

A
  1. Work
  2. Leisure
  3. Play
  4. Education
  5. Social participation
  6. Rest and sleep
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10
Q

What are 5 internal contexts?

A
  1. Age
  2. Culture
  3. Values
  4. Religion
  5. Developmental stage
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11
Q

What are 3 external context?

A
  1. Physical
  2. Social
  3. Virtual
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12
Q

Skills need to be transferable to the client’s own _______ they are going to.

A

Environment

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13
Q

Activity demands

A

Task analysis

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14
Q

Influence client’s performance in occupation?

A

The Client Factors

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15
Q

What are the 3 Influences a client’s meaning of life and motivation?

A
  1. Values
  2. Beliefs
  3. Spirituality
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16
Q

Provides a physical framework to enable all body systems to function.

A

Body structures

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17
Q

Body systems perform their duties ( neuromuscular, sensory, pain function, mental function, etc.)

A

Body Functions

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18
Q

Performance skills

A

Observable elements of action the have implicit functional purpose.

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19
Q

Emotional regulation

A

observe coping etc.

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20
Q

Give example of Motor Skills / Praxis?

A

Handling objects, mobility, balance, energy level, & interactions

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21
Q

Cognitive & Sensory/ Perceptual Processing

A

Organizing time & task components

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22
Q

Communication/ Social interaction

A

Physical and verbal aspects of communication & relating to others.

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23
Q

Specify in documentation what activity demands are problematic and what intervention, ______ _______ or ________ are needed for occupational performance.

A
  1. Grading methods

2. Adaptions

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24
Q

3 Methods in which to attain desired client outcomes?

A
  1. Managing chronic conditions
  2. Enabling occupational participation
  3. Improving quality of life
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25
7 Types of occupational interventions
1. Occupations 2. Activities 3. Preparatory methods ( done to the client) 4. Preparatory tasks ( done by the client) 5. Group interventions 6. Advocacy and self – advocacy 7. Education and training
26
Documentation concerning intervention should contain what 4 things?
1. Delineate the specific methods used 2. The client’s response to intervention 3. Progress made toward goals 4. Any changes to the intervention plan
27
Initial Evaluation
OT directs OTA contributes
28
Initial Evaluation
OT directs OTA contributes
29
Contact Notes
OTA completes OT signs
30
Progress Notes
OTA completes OT signs
31
Reevaluation Notes
OT directs
32
Transitional Notes
OT completes
33
Discharge or Discontinuation Notes
OT directs OTA contributes
34
Medical records or Health Records is a Legal document contain what 2 things?
1. Provides history of client’s past and present health | 2. Substantiates care
35
Substantiates care ( 4 things)
1. Advance directives 2. Vital statistics 3. Course of treatment 4. Related correspondence
36
Primary purpose of health records?
Exchange of information among health care providers.
37
HIPPA
Health Insurance Portability and Accountability Act
38
FERPA
Family Educational Right and Privacy Act
39
HITECH
Health Information Technology for Economic and Clinical Health Act
40
ACA
Affordable Care Act
41
FDASIA
Food and Drug Administration Safety and Innovation Act
42
IMPACT
Improved Medical Post-Acute Care Transformation Act
43
IDEA
Individuals with Disabilities Education Act
44
Advantages electronic health records (3 things)
1. Legible and organized 2. Centralizes chart management 3. includes prompts and templates
45
Disadvantages electronic health records (3 things)
1. Significant cost and time to implement 2. Sift through various menus 3. Point of service may take away client.
46
Evaluation (2 things)
1. Occupational profile | 2. Analysis of occupational performance
47
Intervention (3 things)
1. Intervention plan 2. Intervention implementation 3. Intervention review
48
Outcomes ( 1 thing)
Re-evaluations
49
Skilled services
those services that require decision making and highly complex competencies and have well-defined knowledge base of human functioning and occupational performance.
50
Non-skilled services
those that are routine or maintenance type of therapy, both could be carried out by nonprofessional personnel or caregivers.
51
Rehabilitation Aides can not (3 things)
1. provide skilled therapy 2. Guide or direct services 3. Provide professional judgement
52
Rehabilitation Aides can (4 things)
1. transport client to therapy. 2. Clerical tasks 3. Routine maintaince 4. Unskilled departmental tasks
53
Safety concerns
The ability to perform a task must include the ability to do it safely.
54
Prevention of Secondary Complications
OT if it can be shown that the client has a high risk of developing complications.
55
Managed Care
guides OT services documentation and reimbursement guidelines
56
PPS- Prospective Payment System
Predetermined per-diem rate according to diagnosis and level of care needed.
57
CPT- Current Procedural Terminology
These are codes we use for billing specific treatments
58
Timed services
Codes requiring constant attention 1:1
59
Untimed services
evaluations
60
Group rules
4 client in one hour = 15 min each