Practicum For Level II Fieldwork Flashcards
What are 4 signs of dizziness?
- Change in color
- Blood pressure drop
- Profuse sweating
- Change in feeling (lightheaded)
What are 6 modifications you could make to an environment to prevent falling in an elderly patient?
- Remove scattered rugs
- Install grab bars
- Use night light
- Remove clutter
- Place rubber mat in tub/bathroom floor
- Install rails
Adaptations for a person with limited ROM in elbows/shoulder and arthritis in hands/fingers:
- All appliances on the counter
- Ergonomically kitchen tools (rocker knife, slicer)
- Electric can opener
- Prechopped foods
- Lighter pots and pans
Name a symptom of schizophrenia
Hallucinations
Name a symptom of Bipolar Disorder
Irritability
Name symptom of major depression
Social isolation
Name a symptom of OCD
Anxiety
Name a symptom of ADHD
Short attention span
Name a symptom of antisocial personality disorder
Impulsivity
a test that measures the maximal contraction of a muscle or muscle group
Manual Muscle Test
no evidence or contractility
Grade is a 0
Manual Muscle Testing: Shoulder Flexion
- Have pt seated
- Pt arm in 90 degrees
- Stabilize shoulder with one hand
- Push down on humerus providing resistance
Manual Muscle Testing: Shoulder Extension
*
evidence of slight contractility. No joint motion
Grade 1 (Trace)
complete ROM with gravity eliminated
Grade 2 (Poor)
complete ROM against gravity
Grade 3 (Fair)
complete ROM against gravity and some resistance
Grade 4 (Good)
complete ROM against gravity with full resistance
Grade 5 (Normal)
spasm or severe spasm
S or SS
contracture or severe contracture
C or CC
What are some strengthening activities a C7 paraplegic can do to strengthen their upper extremities?
- Free weights (Bicep Curls)
- Resistance bands
- Exercise machines
- Wall Pulley
- Wall weight bar arc
something significant the client says about his or her treatment or condition
“Subjective” in a SOAP note
- begin this section with the length of the session, where the client was seen, and for what purpose.
- summarize what was observed
- specify part needing assistance
- focus on the clients response rather than what you did
- Avoid judging the client
“Objective” in a SOAP note
- Look at the date in your “S” and “O” sentence by sentence, identifying problems, progress, and rehab potential (Uderlying Limiting Factor, Functional Impact, Ability to Engage in Occupation)
- Do not introduce no new info
- End the”A” with “client will benefit from…”
“Assessment” in a SOAP note
- Specify the frequency, duration of treatment, and specific OT interventions that will be implemented
- Identify the performance skills and occupations that will be addressed during that time
“Plan” in a SOAP note
Identify 3 activities appropriate for a Task Group:
- First aid/safety
- Transportation
- Money management
Identify 3 activities appropriate for a Independent Living Skills Group:
- Card making
- Beading
- Sun catchers
How would you adapt a paper/pencil task if the patient cannot read?
Have someone read to him/her
How would you adapt a paper/pencil task if the patient has difficulty sitting still?
- Standing
- Breaks
- Simple tasks
How would you adapt a paper/pencil task if the patient is impulsive?
1
How would you adapt a paper/pencil task if the patient has difficulty attending to the task?
remove distractions, quiet room
How would you adapt a paper/pencil task if the patient is not motivated?
reward the patient
How many beats per minute is the resting heart rate for an adult (pulse)?
60-100 beats per minute (BPM)
How do you check a persons pulse rate?
- Using the middle and index fingers place them inside the wrist on the radial lightly
- Move fingers around until you feel pulse sensation
- Count for 1 minute
How do you check a persons respiration?
- after recording the pulse keep hands placed on the wrist
* Count for 1 minute how many times the chest rise and fall
How do you check a persons blood pressure?
- Place right arm on the table
- Locate the pulse on the brachial artery
- Put the cuff around the arm
- Place stethoscope on the pulse
- Pump cuff up to 200 on the meter
- Twist left to release air slowly
- Listen for the first and second thump
How many breaths per minute do a person supposed to take in 1 minute?
12-20
