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
Q

7 Types of occupational interventions

A
  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
Q

Documentation concerning intervention should contain what 4 things?

A
  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
Q

Initial Evaluation

A

OT directs OTA contributes

28
Q

Initial Evaluation

A

OT directs OTA contributes

29
Q

Contact Notes

A

OTA completes OT signs

30
Q

Progress Notes

A

OTA completes OT signs

31
Q

Reevaluation Notes

A

OT directs

32
Q

Transitional Notes

A

OT completes

33
Q

Discharge or Discontinuation Notes

A

OT directs OTA contributes

34
Q

Medical records or Health Records is a Legal document contain what 2 things?

A
  1. Provides history of client’s past and present health

2. Substantiates care

35
Q

Substantiates care ( 4 things)

A
  1. Advance directives
  2. Vital statistics
  3. Course of treatment
  4. Related correspondence
36
Q

Primary purpose of health records?

A

Exchange of information among health care providers.

37
Q

HIPPA

A

Health Insurance Portability and Accountability Act

38
Q

FERPA

A

Family Educational Right and Privacy Act

39
Q

HITECH

A

Health Information Technology for Economic and Clinical Health Act

40
Q

ACA

A

Affordable Care Act

41
Q

FDASIA

A

Food and Drug Administration Safety and Innovation Act

42
Q

IMPACT

A

Improved Medical Post-Acute Care Transformation Act

43
Q

IDEA

A

Individuals with Disabilities Education Act

44
Q

Advantages electronic health records (3 things)

A
  1. Legible and organized
  2. Centralizes chart management
  3. includes prompts and templates
45
Q

Disadvantages electronic health records (3 things)

A
  1. Significant cost and time to implement
  2. Sift through various menus
  3. Point of service may take away client.
46
Q

Evaluation (2 things)

A
  1. Occupational profile

2. Analysis of occupational performance

47
Q

Intervention (3 things)

A
  1. Intervention plan
  2. Intervention implementation
  3. Intervention review
48
Q

Outcomes ( 1 thing)

A

Re-evaluations

49
Q

Skilled services

A

those services that require decision making and highly complex competencies and have well-defined knowledge base of human functioning and occupational performance.

50
Q

Non-skilled services

A

those that are routine or maintenance type of therapy, both could be carried out by nonprofessional personnel or caregivers.

51
Q

Rehabilitation Aides can not (3 things)

A
  1. provide skilled therapy
  2. Guide or direct services
  3. Provide professional judgement
52
Q

Rehabilitation Aides can (4 things)

A
  1. transport client to therapy.
  2. Clerical tasks
  3. Routine maintaince
  4. Unskilled departmental tasks
53
Q

Safety concerns

A

The ability to perform a task must include the ability to do it safely.

54
Q

Prevention of Secondary Complications

A

OT if it can be shown that the client has a high risk of developing complications.

55
Q

Managed Care

A

guides OT services documentation and reimbursement guidelines

56
Q

PPS- Prospective Payment System

A

Predetermined per-diem rate according to diagnosis and level of care needed.

57
Q

CPT- Current Procedural Terminology

A

These are codes we use for billing specific treatments

58
Q

Timed services

A

Codes requiring constant attention 1:1

59
Q

Untimed services

A

evaluations

60
Q

Group rules

A

4 client in one hour = 15 min each