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541 > Rehab FOR > Flashcards

Rehab FOR Flashcards

1
Q

What are the assumptions of rehab FOR

A
  • pt. can regain independence using compensation when underlying deficits can’t be restored
  • motivation for independence can’t be separated from volitional and habitual systems
  • motivation for independence can’t be separated form environmental context
  • a minimal level of cognition and emotional skills is required to make independence possible
  • Clinical reasoning should take a top-down approach
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2
Q

What are areas of function for the rehab FOR

A

ADL’s/self-care
Work
Leisure

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3
Q

What is the eval for this FOR similar to

A

OTPF

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4
Q

What other assessments can you utilize in the Rehab FOR

A

Home assessment
w/c assessment
leisure assessment
work assessment

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5
Q

What Do you always do in the rehab FOR for interventions

A

identify the underlying performance skills that the pt. is unable to complete

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6
Q

What are the 7 intervention areas

A 
Adaptive devices
UE orthotics 
Environmental modifications
W/C modifications
Ambulatory devices
adapted procedures
safety education
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7
Q

What is the rationale behind using adaptive devices

A

Compensation for lose of ROM/strength

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8
Q

What do you do to determine pt.’s need and device

A

observe pt.’s performance

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9
Q

What are advantages of using adaptive devices

A

increase independence
therapy/task success
decrease safety concerns
easy to use/understand

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10
Q

What are disadvantages of using adaptive devices

A

can be used too soon
still need to have cognitive & perceptual skills to use
need to have device at all times to be successful
stigma
many don’t use after discharge

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11
Q

What are examples of adapted devices

A 
reacher
long handle sponge
sock aide
cane
built up handles
shoe horn
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12
Q

What is the rationale for using UE orthotics

A

compensation for weak muscles

*may see partnered w/ adapted devices

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13
Q

What are UE orthotics

A

items to support or correct something

may use to mobilize, immobilize, prevent, or correct deformity, postural problems

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14
Q

What is the OT role in the team

A

may create

may train pt.

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15
Q

What are the two different kinds of orthotics

A

distal

proximal

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16
Q

What is an example of a distal orthotic

A

universal cuff

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17
Q

What is an example of a proximal orthotic

A

brace
splint
mobile arm support

18
Q

What are advantage of using UE orthotics

A

can eliminate gravity

allow for functional movt.

19
Q

What are disadvantages of UE orthotics

A 
limited motion/movt.
skin breakdown
adds bulk
more expensive 
need help putting it on and off
stigma
not attractive
most not meant to use heavy objects
20
Q

What is the rationale for using environmental modifications

A

promote independence by providing access, safety, and energy conservation, work simplification, and joint protection

21
Q

What are advantages to environmental modifications

A 
be in home longer 
stay at job
typically not items involved
increases accessibility and safety
may allow you to do something you couldn't do
22
Q

what are the disadvantages of using environmental modifications

A 
can be really expensive
can be dangerous for others
must consider other individuals
aren't always generalizable to all settings
may require a lot of space
have to get other people on board
23
Q

What are the 3 factors that must be present when considering w/c modifications

A
  1. must facilitate transfers, allow for proper positioning, and address architectural barriers that are present
  2. be cautious of their cognitive skills (can hey propel, can they use power)
  3. Transportation of objects while in w/c (what do they need w/ them, can they manage them)
24
Q

What are advantages of using w/c modifications

A

increase mobility, independence in mobility
may increase comfort, proper position, strength
possibly decrease stigma

25
Q

Disadvantages of using w/c modifications

A 
stigma
self-conscious 
hard to transport, bulky
not all accessible places
skin breakdown
socially-lower when talking to people 
can be expensive
26
Q

What is the rationale behind using ambulatory devices

A

to reduce weight bearing in LE
provide wider BOS
support unstable LE jts
substituting for loss of a limb

27
Q

what are examples of ambulatory devices

A

cane

walker

28
Q

What are advantages of using ambulatory devices

A

increase safety
more portable
increase mobility
still using muscles and proprioception as opposed to w/c

29
Q

What are disadvantages of using ambulatory devices

A 
takes motivation, willingness to use
may not have enough cog. ability 
fatigue
requires use of UE 
Slower mode of transportation
30
Q

what is the rationale behind adapted procedures

A

substitute for lost motion
provide stability
use reflex inhibiting patterns to inhibit spasticity
conserve energy and simplify work

31
Q

Examples for substitutes for lost motion

A 
hemi-dressing
shoulder flexion to open prosthetic device
hook arm on w/c for stability 
to learn 
tenodesis
32
Q

How does adapted techniques provide stability

A

elbow hook for SCI

sliding body to maintain contact to provide stability

33
Q

What are adapted procedures

A

accomplishing a task by changing, modifying, altering things

34
Q

What are examples of conserving energy and simplifying work

A 
rest breaks
work simplification
not working through pain
prioritizing activities 
avoid/alternate stressful positions
35
Q

What are advantages of using adapted procedures

A

not as noticeable
can become auto w/ practice
inexpensive/free
promote independence

36
Q

What are disadvantages of using adaptive procedures

A

frustration
tasks may take longer
may be unwilling/difficult to learn
need to have cog. ability

37
Q

What is an important part of discharge planning

A

safety education

38
Q

Examples of why safety precautions my be diagnosis specific

A

body mechanics
safe transfers
precaution
sensory loss

39
Q

Advantages of safety education

A

prevent accident/injury

may be discharged to LRE

40
Q

What are disadvantages of safety education

A

may not be followed
need some cog ability
requires change of habit
requires them to be apart of it

41
Q

What does the rehab for do

A

provide compensation when restoration is not appropriate

42
Q

Rehabilitation refers to

A

return to ability

541 (12 decks)

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