OTR-524 Midterm Flashcards

1
Q

Why was the Occupational Therapy Practice

Framework developed?

A

Was developed to more clearly articulate and

enhance the understanding of what OTs do

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2
Q

What us the Occupational Therapy Practice

Framework focus for an OT?

A

The OT profession’s central focus and actions are grounded in the concept of occupation.

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3
Q

What is primary outcome of all OT intervention?

A

The primary outcome of all OT intervention

should be engagement in occupation.

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4
Q

OTs working in physical disabilities

practice settings use what model and approach?

A

Traditionally, OTs working in physical disabilities
practice settings used the medical model and a
reductionistic, bottom‐up approach.

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5
Q

By emphasizing the client and his or her goals,

the OTPF provides what type of approach?

A

By emphasizing the client and his or her goals,
the OTPF provides a client‐centered, or top‐
down approach.

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6
Q

Under the OTPF, the client is positioned as?

A

Under the OTPF, the client is positioned as a
collaborator with the OT at every step of the
OT process.

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7
Q

What are the areas of the OT domain that relate

to the client’s capabilities in performance of an occupation (as observed by the OT)?

A

The areas of the OT domain that relate
to the client’s capabilities in performance of an occupation (as observed by the OT) are performance
skills and performance patterns.

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8
Q

The three components of performance skills are:

A

The three components of performance skills are:
• Motor skills
• Process skills
• Communication/interaction skills

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9
Q

Types of performance patterns include?

A

Types of performance patterns include

habits, routines, and roles.

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10
Q

Activity demands are focused on?

A

Activity demands are focused on the activity and on what is required to engage in the activity.

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11
Q

Aspects of activity demands: (7)

A
  • Aspects of activity demands:
  • Objects and their properties
  • Space demands
  • Social demands
  • Sequencing and timing
  • Required actions
  • Required body functions
  • Required body structures
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12
Q

In OTPF, contexts are regarded as?

A

In OTPF, contexts are regarded as the circumstances or events that influence the client’s occupational performance and form the environment.

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13
Q

Name 6 contexts that influence the client’s occupational performance and form the environment.

A
  • Culture
  • Personal
  • Physical
  • Social
  • Temporal
  • Virtual
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14
Q

• Client factors include:

A
Client factors include:
• Body functions
• Body structures 
• Values 
• Beliefs 
• Spirituality
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15
Q

Recipients of inpatient treatment are referred to as ____, but in all other contexts, we will refer to a person receiving OT as a __.

A

Recipients of inpatient treatment are referred to as patients, but in all other contexts, we will refer to a person receiving OT as a client.

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16
Q

The evaluation process includes?

A

The evaluation process includes interpretation of the assessments and information collected to formulate client goals, plan and implement interventions, and monitor progress.

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17
Q

Describe Non‐standardized Assessment:

A

Non‐standardized Assessment:
• Do not follow standardized approach or protocol.
• Data is collected from observations or interviews,questionnaires and observations of performance.

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18
Q

Describe Standardized Assessment:

A

Standardized Assessment:
procedure, apparatus and scoring are fixed so that the same procedures are followed during each administration of the test; Protocol for administration is important as well as procedure for scoring, rules for interpretation, norms for performance and psychometric properties

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19
Q

In the OTPF, the OT process includes?

A

In the OTPF, the OT process includes evaluation, intervention, and outcome.

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20
Q

What are the OT Evaluation Process (Four steps)

A

Screening
Preparation to Meet Client
Interview Client
Transition to Evaluate Occupational Performance

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21
Q

For Step 1 Screening what are the 5 things to do?

A
Step 1: Screening
• Review the referral
• To determine the reasons for referral
• Gather preliminary information 
• Review client’s medical chart and/or records 
• Communicate with health care team
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22
Q

Step 2: Preparation what are the 4 things to do?

A

Step 2: Preparation to Meet a Client
• Schedule of appointment (depend on settings)
• Make sure to have the necessary assessments and tools
• Be punctual
• Create a preliminary structure and set goals for the session

23
Q

Step 3: Interview Client what are the 4 things to do?

A

Step 3: Interview Client
• Usually the interview is semi-structured or structured
• The primary goal of the initial interview is to know the client and create a rapport
• In this process, we learn client’s perspectives, values, beliefs, and experiences
• If client’s unable to communicate or has given permission, it may be appropriate to interview the client’s support network.

24
Q

The Occupational Profile provides

A

The Occupational Profile provides
• Client’s Interests
• Client’s roles, habits, and motivations
• Client‐centered approach: What is important
and meaningful to the client?
• Client’s goals

25
Q

Analysis of Occupational Performance

A

1-Synthesize information from the occupational profile
2- Observe clients performance in desired occupation/activity (natural settings if possible)
3- Select assessments to identify factors that may be influencing performance skills and patterns.

26
Q

The OT Process

• In the OTPF, the OT process includes?

A

In the OTPF, the OT process includes evaluation, intervention, and outcome.

27
Q

What is the intervention plan based on?

A

selected frames of referenced evidence of best practice

28
Q

Name the Types of intervention approaches

A

Establish, Restore- to establish a skill that hasn’t been developed or restore one
Modify, Adapt, Compensate- to change the environment to enable participation in occupation
Create & Promote- does not assume a disability is present
Maintain- support a client to preserve his/her ability to avoid a decrease in function
Prevent- identify risks/barriers of engagement in occupations & provide support to avoid disruption of the client’s health

29
Q

Type of intervention

A

Preparatory methods, purposeful activity, occupation-based interventions

30
Q

Define clinical reasoning

A

Clinical Reasoning
Clinical reasoning to describe the process by which clinicians collect cues, process the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process.

31
Q

What does narrative reasoning encompass?

A

• Narrative reasoning encompasses procedural, interactive and conditional reasoning.

32
Q

Define narrative reasoning

A

• It is the ability to tell client’s stories to see the client in his environment and in his social reality.

33
Q

Within this type of clinical reasoning, therapy is ?

A

• Within this type of clinical reasoning, therapy is a micro-story in the client’s life story.

34
Q

What does procedural reasoning focus on?

A

Procedural reasoning focuses on the impairment and how to fix it.

35
Q

What is procedural reasoning a direct application?

A

It is the direct application of theoretical foundations according to a sequence of actions; 1) diagnosis, 2) prescription and 3) prognosis.

36
Q

What do clinicians and students use procedural reasoning for?

A

Clinicians and students use this type of reasoning to decide which treatment intervention will help to increase functional performance.

37
Q

Interactive reasoning concentrates on?

A

Interactive Reasoning

• Interactive reasoning concentrates on the person instead of the impairment.

38
Q

For interactive reasoning one must know?

A

One must know the client as an individual to perceive the impairment from his point of view.

39
Q

What does interactive reasoning require?

A

• Interactive reasoning requires collaborative goal setting and a common action language.

40
Q

What does conditional reasoning require? What does it anticipate?

A

Conditional Reasoning
• Conditional reasoning requires clinical experience.
• It anticipates a client’s future status.

41
Q

What is conditional reasoning essential for?

A

• This type of reasoning is essential for establishing long-term goals and prognosis.

42
Q

What does conditional reasoning reflect?

A

• It is a reflection on past successes and failures obtained though procedural and interactive reasoning approaches.

43
Q

What does pragmatic reasoning take into account? What does the clinician consider?

A

Pragmatic Reasoning
• Pragmatic reasoning takes into consideration everything in and around the therapeutic situation.
• The clinician considers the work environment, his own knowledge, abilities, competencies, and values and the client’s social and financial resources

44
Q

Ethical reasoning ensure that a therapist?

A

Ethical Reasoning
• Involve clinical reasoning that ensure that a therapist:
-Fully informs the recipient of his or her service about the nature, risk, and potential outcomes of
any intervention.
-Perform his or her duties on the basis of accurate and current information

45
Q

What at the factors that affect the environment in which OT intervention occurs?

A
• The environment in which OT intervention
occurs
• Factors
• Government regulations 
• Economics 
• Critical pathways and clinical protocols 
• Range of services 
• Traditions and cultures of staff
46
Q

Name practice settings

A
Practice Settings
-Inpatient
Acute hospital 
Acute rehabilitation 
Sub-acute rehabilitation 
Skilled nursing
-Outpatient 
-Home health
47
Q

What is the Purposes of Documentation?

A
• Provides a permanent record of what occurred with the client
• Is a legal document 
• Necessary for reimbursement 
• AOTA documentation guidelines 
• Required whenever OT services are
performed
48
Q

Name the three specifics of an intervention plan

A
  1. Problem list
  2. Recommendations or referrals to others
  3. Goals should be established
    collaboratively
    • Must be measurable and directly
    related to the client’s ability to engage in desired occupations
    • Discharge goal is the overall functional
    goal or long-term goal
49
Q

Goal directions can be summarized as?

A

Goal directions can be summarized as restorative, habilitative, maintenance, modification, preventive, and health promotion.

50
Q

SMART GOALS are?

A
• Significance (Is it significant and
meaningful to the client?)
• Measurable (Can the outcome be
objectively measured?)
• Achievable within time frame 
• Related (STG, LTG, and occupational
needs)
• Time-limited
51
Q

What is the rhumba test?

A
• Is the information Relevant? 
• How long will it take? 
• Is the information Understandable? 
• Is the information Measurable? 
• Is the information Behavioral (describes
behaviors)?
• Is the outcome Achievable (realistic)?
52
Q

Type of report for eval

A

Eval/Screening report

Reevaluation Report

53
Q

Type of intervention report

A

Intervention Plan
Occupational Therapy service contacts
Progress Report
Transition Plan

54
Q

Type of outcome report

A

Discharge/discontinuos report