phys dis module 1

Question 1

what are performance skills ?

Answer 1

• Motor skills- reaching, manipulating, pacing, rolling, standing sitting
• Process skills-sequencing steps, staying on task, modifying performance when there is a problem
• Communication/interaction skills- conversations, gestures, inhibiting behaviors, displaying emotions

Question 2

what are the examples of ways to assess performance skills?

Answer 2

Observations during tasks
Jebsen hand function test
Test of visual motor skills
Assessment of motor process skills (AMPS)

Question 3

What are performance patterns ?

Answer 3

Habits
Routines
Roles

Question 4

what are the examples of ways to assess performance patterns?

Answer 4

Interview
Role checklist
Structured questions
National institutes of health activity record

Question 5

Example of Barrier

“Physical environment:

Answer 5

an elevated home with no ramp or elevator for the wheelchair user
2019)

Question 6

Example of Barrier

“Social environment:

Answer 6

living alone with no family or friends to help with transfers as needed

Question 7

Example of Barrier

“Cultural context:

Answer 7

inability to speak the same language, including body language

Question 8

Example of Barrier

“Personal context:

Answer 8

lacking high school education and/or living without insurance

Question 9

Example of Barrier

“Temporal context:

Answer 9

Alzheimer’s disease at the end of a long day (“sundowning”)

Question 10

Example of Barrier

“Virtual context

Answer 10

: lacking internet access necessary to view one’s electronic health record”

Question 11

activity domains

Answer 11

Objects used and their properties
Space
Social
Sequencing and timing
Required actions
Required body functions (for specific activity)
Required body structures (for specific activity)

Question 12

Client factors

Answer 12

Body functions
Body structures
Values, beliefs and
spirituality-

Question 13

What is Rehabilitation model?

Answer 13

After WWII
Aligned with the medical model
Rehabilitation of disability
Patient is a passive participant

Question 14

What is social model?

Answer 14

Social model
Disability rights movement
Self-advocacy-Client is at the center of the model = expert
Disability due to environment not function

Question 15

Participating in life roles brings a sense of self-efficacy and self-esteem

Answer 15

occupational functioning model ( OFM)

Question 16

what is goal of OFM ?

Answer 16

Goal of OFM is engagement in life roles

Question 17

what is top down approach

Answer 17

(observation of performance)

Evaluation (activity analysis)
Intervention
Adaptive therapy- balance between goals and abilities
Optimize abilities and capacities
Occupational activities and adjunct therapies are used
Environment can promote or hinder functioning

Question 18

Biomechanical FOR

Answer 18

Improvement of occupational performance
Restore function
Strengthening, exercises, splinting etc.

Question 19

Rehabilitation FOR

Answer 19

Return to the fullest function possible
Modification strategies
Use of adaptive devices, equipment, technology etc.

Question 20

Sensorimotor FOR

Answer 20

CNS insult
Interventions to help reorganization of sensory and motor cortices of the brain
Proprioceptive neuromuscular facilitation (PNF)
Neurodevelopmental treatment (NDT)

Question 21

Community-based settings

Answer 21

Residential care (months to years)
Assistive living setting (months to years (consultation))
Home health (weeks to months)

Question 22

Outpatient settings

Answer 22

Outpatient clinics (weeks to months)
Day treatment (months to years)
Work site (weeks to months (consultation))

Question 23

what’s skilled terminology

Answer 23

 Assess  Analyze  Interpret  Modify  Facilitate  Inhibit  Fabricate  Adapt  Establish  Determine  Instruct in (techniques, compensatory strategies)

Question 24

what’s unskilled terminology

Answer 24

 Maintain  Help  Watch  Observe  Practice  Monitor

Question 25

what is CGA

Answer 25

Contact guard/standby assistance (CG)- hands on assistance is necessary for safety or caregiver must be within arms length for safet

Question 26

SMART

Answer 26

 Significant, Measureable, Achievable, Related, Time 

Question 27

ABCDE

Answer 27

 Audience, Behavior, Condition, Degree, Expected time

Question 28

RHUMBA

Answer 28

 Relates, How long, Understandable, Measureable, Behavioral, Achievable

Question 29

COAST

Answer 29

 Client, Occupation, Assistance level, Specific condition, Time

Question 30

 Includes information reported from the patient, family or caregiver.  Information the patient reports about their goals, health, response to treat  Should be relevant to treatment  Be careful of statements that could be misinterpreted

Answer 30

Subjective

Question 31

 Contains observations, results of assessments and measurements  Factual information  Data is not interpreted or analyzed in this section  Emphasis is on results of interventions (not just a list of interventions

Answer 31

objective

Question 32

 Data is interpreted  Analysis of occupational performance  Discuss information provided in the subjective and objective sections  Should have statement of need for skilled therapy

Answer 32

assessment

Question 33

 Update goals  Modification to frequency of therapy  Plan of other interventions  Guides future tx sessions

Answer 33

plan

Question 34

Pt states “I get so tired trying to get ready in the morning. My hands are so stiff and painful I don’t even want to get dressed.

Answer 34

S

Question 35

Pt became fatigued during seated self care tasks after 10 minutes(up from 5 minutes last week). Pt required Mod A for UE and LE dressing. Pt R shoulder ROM increase to 90 degrees of flexion and abd, ER now 45 degrees increasing her ability to don shirt. Difficulty with buttons due to digit pain. Pt fist -4cm from dpc.

Answer 35

O

Question 36

. Pt reporting difficultly in self care tasks due to hand pain. Pt may benefit from AE to for UE/LE bathing and dressing due to pain level and ROM limitations

Answer 36

A

Question 37

Continue to increase activity tolerance. Assess for AE need for UE and LE bathing and dressing tasks. Educate patient in adaptive UE dressing techniques for increased independence in ADLs. Progress exercise program from AA to AROM

Answer 37

P

Question 38

Pt’s loss of shoulder IR limiting ability to don coat independently

Answer 38

assessment