Psychosocial-Adult Flashcards
Describe Allen Cognitive Level 1
“Awareness”
Need 24 hour nursing care to attend to basic self needs
Beginning to respond to stimuli
Describe ACL 2 “Gross body movements”
Max A
Aimless walking
Grabbing
Imitating
Describe ACL 3 “Manual Actions”
Mod A
Low 3: Learning to manipulate familiar objects
High 3: ADL’s with supervision
Describe ACL 4 “Familiar Activity”
Only notice obvious mistakes
Min A for IADLs for safety and problem solving issues
Can be left alone for part of day, or live alone with day assistance
High 4: Supported employment
Describe ACL 5 “Learning new Activity”
SBA for problem solving during new activities
Weekly checks at home or work
High 5: Benefit from assisstance in planning for future events
Describe ACL 6 “Normal”
Normal
What are the 5 principles of motivational interviewing?
- Deal with resistance
- Support and develop discrepancy
- Support self-efficacy
- autonomy
What happens after electro-convulsive therapy? ECT
ECT is immediately followed by a short, required bed rest, especially if residual symptoms include headache, nausea, and dizziness; regular activities can then be resumed.
Explain the Cognitive Disability frame of reference
Uses client’s strengths to allow for function
Ex: training caregivers to provide appropriate environmental supports
Describe the Recovery Model
Encourages the supports necessary for a person to recover within a context that is comfortable for that person
May include peer support and teaching
Define aphasia and apraxia
Aphasia: Inability to communicate through writing, speech, or signs
Apraxia: Inability to perform purposeful movements without sensory or motor impairment
What are interventions for substance abuse issues?
- Psychosocial therapies: coping, stress management, and social skills training
- Cognitive based: increasing motivation and control of life through occupations
What are interventions for Schizophrenia?
- Illness management and recovery
- Assertive community treatment
- Family psychoeducation
- Supported employment
- Integrated dual diagnosis treatment
What are interventions for mood disorders (bipolar, depression etc)?
- Cognitive-behavioral therapy to uncover distored beliefs and faulty thinking patterns
- Interpersonal psychotherapy to improve interpersonal and psychosocial functioning
What are interventions for anxiety disorders?
- Cognitive-Behavioral training to enable clients to approach anxiety situations and understand their fear cycles and distorted beliefs
- Relaxation therapy
- Expressive writing to understand and accept teh occurrence of stressors
What are the main goals of OT intervention with eating disorders?
- Physical harm reduction
- Cognitive reconstruction
- Psychosocial functional enablement
What are examples of interventions for eating disorders?
- Menu planning and meal prep
- Lifestyle redesign and IADLs training
- Communication and assertiveness training
- Stress management
- Projective artwork and use of crafts
- Relapse prevention
- Body image improvement
What are some OT interventions for personality disorders?
- Development and maintenance of collaborative relationships
- Consistency during treatment
- Validation of client’s feelings
- Development and maintenance of motivation for change
- Mood stabilization and expression of appropriate emotions
- Promotion of increased self-concept, self-esteem, insight, and judgment
What are the goals of an acute or inpatient pysch. hospitalization?
- manage behavior
- stabilize on medication
- refocus on engagement in occupation
What are the goals of long term psych. hospitalization?
- Stabilize symptoms
- ensure adherance to medication
- habituate patterns of ADLs
What are the 5 principles of the IRM?
- Critical self-awarenss and interpersonal self-discipline are fundamental for the intentional use of self
- Practitioners must “keep head before heart”
- “Mindful “empathy”
- The client defines a successful relationship
- Must balance a focus on activities with a focus on the interpersonal
What is the focus of task-oriented groups?
Producing somethign as a group
What is the focus of activity groups?
Focus on function and replicating living in the community or family.
Empasis on direct experience and the use of activity to develop skills
When should the group leadership be directive?
Participants have low cognitive abilities
