PRELIM Flashcards

1
Q

Composition of low vision team

A
  1. Individual with low vision family members
  2. Eye care providers
  3. Human service/allied health personnel
  4. Education/rehabilitation specialists
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2
Q

An ophthalmologist or optometrist who has additional training and expertise about low vision.

A

Clinical Low vision specialists

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3
Q

Purpose of eye care providers

A

Assess clinical visual functioning
Matches various treatment options
Prescribes various optical and non-optical devices as appropriate
Provides follow up services and examinations

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4
Q

Evaluates and treats cognition, communication, and typically addresses swallowing.

A

Speech and language specialist

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5
Q

Evaluates and treats participation in activities of daily living, sensory-motor integration, and upper extremity functional use.

A

Occupational therapist

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6
Q

Evaluates and treats musculoskeletal impairments, posture, positioning, balance and ambulation, and identifies functional physical deficits that may be caused by visual or vestibular impairments

A

Physical therapist

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7
Q

Facilitates effective transition between adolescence and adulthood, and who ensures that an individual is adequately prepared for life beyond school.

A

Transition coordinator

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8
Q

Special education and development of children with congenital disabilities

A

Habilation

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9
Q

Teaching of visual efficiency skills as well as daily living skills

A

Habilitation

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10
Q

No prior experience of learning skills

A

Habilitation

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11
Q

Acquired impairment in late adolescent/adulthood

A

Rehabilitation

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12
Q

Low vision services:

A

Habilitation
Rehabilitation
Vision rehabilitation services

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13
Q

A wide range of professional services that can restore functioning after vision loss

A

Rehabilitation

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14
Q

Have symptoms or changes in organ

A

Organic

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15
Q

Classification by aetiology

A

Organic
Functional

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16
Q

Classification by the period of occurence

A

Congenital
Acquired

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17
Q

Classification by the progression of disorder

A

Regressing
Stable
Progressive

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18
Q

Classification by type of visual disorders

A

Loss of VA
Changes in VF
Color deficiency
Reduced contrast sensitivity

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19
Q

Classification by characteristic

A

Acute
Chronic
Recurrent

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20
Q

Classification by age

A

Infants and preschool age
School age
Adults
Elderly

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21
Q

Classification by social background

A

Functional
Dysfunctional
Absent

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22
Q

Classification by the presence of additional disadvantage

A

Changes in appearance
Multiple disabilities
Discriminating or incapacitating situation of permanent nature

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23
Q

Vision impairment can be:

A

Congenital
Acquired

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24
Q

Adjustment to blindness or low vision depends on:

A

Etiology
Progression
Stability
Extent of vision loss

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25
Q

Loss of vision can be:

A

Rapid
Slow

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26
Q

Impact of vision loss to:

A

• Work
• School
• Leisure activities
• Family life
• Friendships

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27
Q

Erroneously believed stereotypic ideas:

A

Inferior and useless
Pitiable
To be feared, avoided esp in intimate relationship
Emotionally and sexually maladjusted
Paying for precious sin, immoral, and evil

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28
Q

Vision loss impacts three (3) major aspects of a person’s life

A

Functional implications
Social implications
Psychological implications

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29
Q

Functional implications:
Site of disorder determines level of functioning

A

• Mobility affected if loss is lower half of visual field

• Reading affected if loss is right field of vision

• Education is a problem if central vision is lost

• Physical activities are difficult if peripheral vision is affected

• Different visual acuities of 2 eyes may cause depth perception problem

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30
Q

Sociological implications

A

• Behavior influences attitude of others toward self, but reflects on individual’s self-concept and self-esteem

• How visually challenged person feels about self, blindness, and attitudes of others towards self are important in self-esteem

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31
Q

Sociological implications:
Immature and egocentric behavior

A

• Visually challenged children and young adults tend to be more socially immature

• Remain more egocentric longer than sighted peers

32
Q

Sociological implications:
Isolation and withdrawal

A

• Unable to choose companions for conversation

• Wait for others to initiate conversation

• In a group they are unable to participate when comments directed to them

• Unable to observe the nonverbal gestures in social interaction

• Sighted people’s uncertainty about approaching a visually challenged person

33
Q

Sociological implications:
Passivity and dependence

A

• The visually challenged persons tend to be more passive, less assertive

• The reasons:

• Difficulty to react quickly with appropriate reaction in emergency situations

• Decisions being made on behalf of them without consultation

• Depriving them of developing and practicing their abilities to make choices

• Being unable to observe and perceive social courtesies

34
Q

Sociological implications:
Inadequate social role models

A

• Visually impaired person finds it difficult to emulate the available role models

• Number, range, and variety of observations are more limited

• Opportunities for participating in social situations more restricted

• Don’t realized some of their behaviors are socially unacceptable

35
Q

Psychological implications:

A

Denial
Anger
Fear
Grief
Depression
Isolation
Withdrawal
Low self-esteem

36
Q

Refuse to accept the fact

A

Denial

37
Q

Anger with the situation, with a particular person or with God

A

Anger

38
Q

Fear of losing residual vision, job, leading life

A

Fear

39
Q

Grieving about the loss and the situation

A

Grief

40
Q

Depressed about loss, being involved and lose interest in life

A

Depression

41
Q

Prefers to be isolated rather than depending to anybody

A

Isolation

42
Q

Uninvolved from all social situations

A

Withdrawal

43
Q

Being low in mood, unwilling to recognize one’s own calibers

A

Low self-esteem

44
Q

Basic losses to psychological security:
I am not normal.. I am cripple.. I am not a whole person

A

Loss of physical integrity

45
Q

Basic losses to psychological security:
I don’t believe what I hear.. I don’t know what it is that I am touching

A

Loss of confidence in the remaining senses

46
Q

Basic losses to psychological security:
The world is no longer real, the things i knew, the people I knew, and the places I knew, no longer seems to exist

A

Loss of reality contact with environment

47
Q

Basic losses to psychological security:
I no longer see the scenery around me

A

Loss of visual background

48
Q

Basic losses to psychological security:
I was always afraid in the dark

A

Loss of light security

49
Q

Basic losses in basic skills:
I cannot get from place to place

A

Loss of mobility

50
Q

Basic losses in communication:
I can’t read a book… I can’t read a letter

A

Loss of ease of written communication

51
Q

Basic losses in communication:
When I am talking with someone, I can’t see his/her gestures

A

Loss of ease of spoken communication

52
Q

Basic losses in communication:
I am unable to keep with present times

A

Loss of informational progress

53
Q

Basic losses of appreciation:
I can’t see my children at play, I can’t watch my wife in the kitchen preparing dinner for me..

A

Loss of visual perception of the pleasurable

54
Q

Basic losses of appreciation:
I can’t beautiful sunset, a painting

A

Loss of visual perception of the beautiful

55
Q

Basic losses concerning occupation and financial status:
I can’t play cricket. I must give up my stamp collection

A

Loss of recreation

56
Q

Basic losses concerning occupation and financial status:
I have got to change my work, the job I trained for is now impossible

A

Loss of career vocational goal job opportunity

57
Q

Basic losses concerning occupation and financial status:
Who is going to pay the rent, who will pay for my family’s food

A

Loss of financial security

58
Q

Resulting losses of the whole personality:

I am “helpless blind man”, I must always depend on others to do things for me

A

Loss of personal independence

59
Q

Resulting losses of the whole personality:
Blind people are a minority group.. Sighted people are afraid of me

A

Loss of social adequacy

60
Q

Resulting losses of the whole personality:
I can’t have a private life.. When I use the white cane I am telling everyone to look at me

A

Loss of obscurity

61
Q

Resulting losses of the whole personality:
I am not much good anymore.. I am poor example of a capable man/woman

A

Loss of self-esteem

62
Q

Resulting losses of the whole personality:

Blindness has a common power to upset, undermine and change a life-long balance of personality of the individual

A

Loss of total personality organization

63
Q

A number of factors affect individual’s reaction to vision loss:

A

Degree of loss
Speed of onset
Medical prognosis
Age at which occurs
Preconceived ideas the person holds about blindness
Other health factors

64
Q

• May be a time of withdrawal

• Period of protective emotional anesthesia in response to severe stress

• Cannot predict how long stage will last

• Caring friends and family can just be there and no specific action or words are necessary

• Encouraging a false hope that vision will be restored is not a good idea.

A

Shock and disbelief

65
Q

• Person expresses feelings through a strong negative attitude

• Frustrating for caregivers and family members

• Medical profession, caregivers, family and friends can become the object of patient’s anger

A

Anger

66
Q

• Outright denial of the situation or refusal to accept visual limitations

• At this point a person may refuse to contact with an agency for the blind

A

Denial

67
Q

• Sudden feelings of being different and a sense of loss control may be the basis for this kind of response

• Patient prefers isolation

A

Depression

68
Q

• Person starts to emerge from state of depression and begins to recognize inevitable effect of changed vision

• More realistic to describe adaptation as accepting the unpleasant reality of the situation by recognizing remaining assets and capabilities

A

Realization

69
Q

• Person recognizes that the loss is final and irreversible

A

Acceptance

70
Q

Factors that may help people with vision loss towards acceptance:

A

• Meeting others who have managed

• Discovering ways of coping that have worked in past crises

• Time to grieve for their lost vision

• Support from family and friends

• Obtaining practical help with day to day tasks until they feel ready to assume more responsibility

• Obtaining information about available community support

71
Q

Basic losses to psychological security

A

Loss of physical integrity
Loss of confidence in the remaining senses
Loss of reality contact with environment
Loss of visual background
Loss of light security

72
Q

Basic losses in basic skills

A

Loss of mobility
Loss of techniques of daily living

73
Q

I can’t comb my hair.. I can’t cook my food..

A

Loss of techniques of daily living

74
Q

Basic losses in communication

A

Loss of ease of written communication
Loss of ease of spoken communication
Loss of informational progress

75
Q

Basic losses of appreciation

A

Loss of visual perception of the pleasurable
Loss of visual perception of the beautiful

76
Q

Basic losses concerning occupation and financial status

A

Loss of recreation
Loss of career vocational job goal opportunity
Loss of financial security

77
Q

Resulting losses of the whole personality

A

Loss of personal independence
Loss of social adequacy
Loss of obscurity
Loss of personal total organization
Low self-esteem