OTA 110 - Ch. 10 Symptom Responses Flashcards
Anxiety (Response)
Do: encourage talking about feelings, reassure them, turn attention to neutral topic, calm/familiar env., “preview” activities
Activity Strategy: avoid excessive detail, allow stop/return, include movement/sensory
Samples: small woodworking, simple cooking, yoga, gross motor (stretching), stress management
Depression (Response)
Do: Allow talk about feelings, be matter-of-fact, reinforce hygiene, match tempo, safe env., less stimulation and choices
Activity Strategy: guaranteed success, feeling of control, helping others, short-term, simple, outdoors/sun
Samples: housework (folding), clerical, mosaics/copper tooling/leather, gross motor, coping skills training
Mania (Response)
Do: focus on improving behavior, firm, matter-of-fact, do not criticize, minimal stimulation, maintain control, reduce distractions
Activity Strategy: activities that get up/move, short-term, immediate gratification, portable, 3 or less steps, structured
Samples: give choice of 2-3, copper tooling/sanding/beads/personalized item, gross motor (1:1 is best), time/stress/money management
Hallucinations (Response)
Do: reassure/support, remind disease causing it, be calm/soothing, point out reality, redirect to reality/neutral topic, reduce stimulation, prevent isolation
Activity Strategy: Simple, high-structured, short-term, strong sensory stimulation, some limited interaction
Samples: coloring, current events, wood kits, lunch prep, familiar tasks (laundry), TV
Delusions (Response)
Do: avoid discussing delusion, redirect to reality, relatively stimulating env., get involved in real life
Activity Strategy: match intellectual level, avoid things linked to delusions
Samples: board games, current events, crosswords, computer games; expressive activities (dance, poetry)
Paranoia (Response)
Do: try to see their perspective, avoid startling/direct eye contact, unambiguous directions, no empty promises, maintain control, patience, reliable env.
Activity Strategy: avoid competition, controllable, match to client’s intellect, independence (no need to ask)
Samples: leather/metal/woodworking, high level clerical, jewelry making, photography, puzzles
Aggression (Response)
Do: watch for signs, talk about feelings, use calm, do not show fear, avoid punishing/criticizing, offer alternative ways to deal, may need isolation, do not touch, situate for safety
Activity Strategy: encourage sublimation of aggression (dance, art); avoid frustration/sharp objects, repetition, relaxation
Samples: assertiveness training, gross motor/sports, sanding large wood/peel potatoes, anger mgmt.
Seductive Behavior (Response)
Do: inform of inappropriate behavior, do not embarrass, enforce rules (no touching), avoid crowds/physical contact
Activity Strategy: forceful gross motor, social skills training, reinforce appropriate behavior
Samples: maturbation, gross motor, wedging clay, non-sexual contact (basketball, dance), yoga, cycling
Negative Behaviors w/Neurocognitive Disorders (Response)
Do: use empathy, approach vision slowly, speak efficiently, restate feelings to them (“you seem..”), redirect to activity, avoid startling, remove cues to bad behavior, introduce items that cue positive behavior
Activity Strategy: distract, positive activities, familiar/interesting topics, social interaction, make feel useful, calming stimulation
Samples: Walk to familiar place, simple known tasks, bright colors/attention-getters, multisensory room
Cognitive Deficits (Response)
Do: approach at client’s level, remind of where they are etc., orient to landmarks, direct attn to activity, match tempo, be warm/accepting, consistency; label things, watch cues, consistent env., memory aids
Activity Strategy:
Transitory: 1-day, simple, familiar;
Permanent/Stable: adapt known activities
Permanent/Progressive: maintain skills, encourage independence, familiar/necessary activities
Samples: Simple choices to build confidence (pick color), tour facility, journal/note taking, self-care, modify familiar activities
Attention Deficits (Response)
Do: shout person’s name, touch gently on shoulder, approach from front, be alert to nonverbal behavior, redirect if unable to do task, encourage/positivity; reduce distractions, social interaction
Activity Strategy: Simple, definite steps; avoid flexible activities, match to cognition, adapt for dementia
Samples: meditation, yoga, safety management, simple crafts (mosaic, coin purse), self-care tasks, coping skills, computer games for cog skills
