QUIZ #4 - Chapter 13 - Phys dys or tm I can't remember Flashcards
Activities of daily living skills are sometimes called
basic ADL
What are the skills that support personal independence called?
IADLs
Daily activities can be separated into
ADLs and IADLs
This requires basic skills with the focus of care on own person
ADL
This is advanced and requires lots of skills, oriented toward life in the community and with otheres
IADL
This is part of ADL and includes movement in bad, transfers or moving the body from one surface to another, wheelchair mobility, and ambulation without or with walking aids.
Functional mobility
This is part of IADL, and includes all aspects of sending and receiving info, specifically the ability to use tools to write, and to operate a personal computer, read, type, text, and/or use the phone.
Communication Mgmt
This is part of IADL, refers to the skills used to move around one’s neighborhood or community
Community mobility
This eval must be conducted either top-down or bottom-up.
Occupational Performance Eval
In the _______ approach, the the therapist focuses on the client’s occupational history and interests
Top down
In the _____ approach, focuses on identifying problems in specific performance skills
Bottom up
When doing an interest checklist, there are 5 degrees of interest in five categories of activities: WHAT ARE THEY???
1 - Manual skills 2 - physical sports 3 - social recreation 4 - ADL 5 - cultural & ed activities
T/F - The outcome of improving a body function or a performance skill should be linked to a functional tasks that the pt values
T
Before ADL/IADL performance eval and training can begin, the OT must first assess _________ and consider several factors about the client and the environment
Body structures and functions
In addition to the concrete and objective evals, the OT practitioner should be familiar with the ct’s spirituality, culture, values and beliefs in relation to _____, the sick role, family assistance, and independence.
self-care
The OT must consider the __________, and estimate or observe the ct’s acceptance of it at the time of tx.
prognosis
The ____________ to which the ct will return to is a very important consideration
environment
The ultimate goal of any ADL or IADL training program is:
for the ct to achieve MAXIMUM level of independence
The potential for _______ should be based on each ct’s unique personal needs, values, capabilities, limitations, and environmental resources
independence
What are the two approaches an OT can take in a session?
Rehabilitative or compensatory
______ approach is the preferred method of treatment
rehabilitative
________ provides the rare opportunity for the affected body parts to experience normal movement and proprioceptive feedback from such movement
Therapy
When should you make independence a goal?
only when independence is important to the ct and is possible
Who determines the feasibility of ADL eval or training?
OTr along with interdisciplinary team
The OTA may evaluate ADL and IADL performance when??
service competency
To assess ADL performance accurately, ___________ is necessary.
Observation of performance
Ideally, where should the OT practiitioner evaluate ADL performance?
When and where the client usually performs the activity
During performance eval, the OT practitioner should observe the _____ the client is using or attempting to use to accomplish the task.
methods
Some other important aspects of eval that should not be overlooked are the client’s need for respect and ______ and the ongoing interaction between ____.
privacy, client & practitioner
When describing levels of independence, rehab professionals often use terms from the _________.
Functional Independent Movement (FIM) assessment
What are the 5 classifications in the FIM assessment?
Independent, Modified Independent, Minimal Assist, Moderate Assistance, Max Assist, and dependent
What does modified independence mean?
independent with the use of adaptive aids
What is Min Assist?
less than or equal to 25% help required
What is Mod Assist?
26% to 50% help required
What is Max Assist?
51% to 75% help required
What would classify as dependent?
Greater than 76% help required
