phys dis module 2

Question 1

■ Brief process to determine need for skilled OT evaluation ■ Identify need for other services ■ Contains a brief occupational profile ■ Assessments to determine if further therapy is needed – Sensitive enough to identify performance problems ■ Recommendations about the appropriateness for an evaluation

Answer 1

screening

Question 2

■ Comprehensive and detailed assessment ■ Contains occupational profile ■ Identifies specific areas of occupation to be assessed ■ Assessments ■ Analysis of occupational performance ■ Identifies treatment plan and outcomes ■ Provides summary and recommendations

Answer 2

evaluation

Question 3

■ Documented in the evaluation (can be template of free form) ■ Includes specific txinterventions you are planning ■ Frequency of treatment ■ Goals ■ Length of OT treatment
– Pt will be seen 2 x per week x 4 weeks

Answer 3

treatment plan

Question 4

■ Intervention Plan ■ Intervention Implementation ■ Intervention Review

Answer 4

Intervention Process

Question 5

”Refers to engaging your client in occupations that constitute the end product of therapy

Answer 5

Occupation as Ends

Question 6

– One handed shoe tying after CVA – Teaching handwriting skills to UE amputee who lost their dominate arm – Recommending adaptive equipment for a person with a brachial plexus avulsion to perform meal prep independently – Recommending/training a patient with a spinal cord injuries to use hand controls for driving

Answer 6

Occupation as Ends

Question 7

“Occupation acting as the change agent to remediate impaired abilities

Answer 7

Occupation as means

Question 8

– Engagement in putting together a Lego kit to develop reach and coordination skills that may transfer to ADL tasks for a patient using a UE myoelectric limb – Rolling out dough to increase UE strength so they can increase independence in home making tasks – Putting together a puzzle with all pieces placed on the left side to promote scanning techniques so a patient may be able to locate utensil placed on their left side

Answer 8

Occupation as means

Question 9

Remediate or Restore

Answer 9

■ Enhances client factors (ROM, MMT, endurance, processing) to improve performance ■ Must link changes in abilities to changes in occupational performance ■ Increased strength and ROM should show improved occupational performance (if not is this the right intervention?) ■ Sensory integration ■ Constraint induced movement therapy ■ Therapeutic exercises

Question 10

Adapt/Modify

Answer 10

■ When disability is considered permanent ■ Client factors are not expected to improve ■ Limited access to therapy prevents remediation approach ■ Client prefers this approach ■ Environmental adaptions are often utilized ■ Focus is on modifying the tasks and use of adaptive equipment to maximize function and independence

Question 11

barther index

Answer 11

Measure of disability in performing BADLs
 10 activities: bowel, bladder, feeding, grooming, dressing, transfer, toileting,
mobility, stairs and bathing
 Ordinal scale
 0-20 or 0-100
 Items are weighted
 Measure of independence
 Use of aides is allowed

Question 12

FIM Levels

Answer 12

 No Helper
 7. Complete Independence (Timely, Safety)
 6. Modified Independence (Device)
 Modified Dependence
 5. Supervision (Subject = 100%)
 4. Minimal Assistance (Subject = 75% or more)
 3. Moderate Assistance (Subject = 50% or more)
 Complete Dependence
 2. Maximal Assistance (Subject = 25% or more)
 1. Total Assistance or not Testable (Subject less than 25%)

Question 13

Measure of disability in performing BADLs
 18 items scored on a 7-point scale (13 motor, 5 cognitive)
 Subscales for motor and cognitive function
 Performance areas include self-care, continence, mobility, locomotion, cognition,
and socialization
 Certification required

Answer 13

FIM

Question 14

 Client centered
 Interview
 Outcome measure/satisfaction survey
 Patient identifies and prioritizes occupational performance areas
 Self-care, productivity, leisure skills
 Need to purchase

Answer 14

COPM

Question 15

 26 ADL and IADL tasks
 Performance based
 Client centered
 4 point ordinal scale
 3 scores (Independence, Safety and Adequacy)
 Different protocols for home and clinic
 Reliable and valid

Answer 15

PASS

Question 16

 16 motor skills, 20 process skills and task performance
 Client selected
 Selected from a list of 50 standardized IADL tasks
 Observation
 Ordinal Scale
 Purchase

Answer 16

AMPS

Question 17

ADL-Focused Occupation-Based Neurobehavioral Evaluation (A-One)- Central
nervous system dysfunction
 Independent Living Scale (ILS) – TBI
 Kohlman Evaluation of Living Skills (KELS)- Adults with cognitive impairments

Answer 17

assessments for cognitive and neuro