Session 1

Question 1

Name 3 ways of preparing for the assessment/eval. process.

Answer 1

• read about and study assessment before doing
• train in and practice mechanics of performing assessment
• must know normal vs abnormal states
• adjustment of administration - too difficult to follow, alternate form if needed

Question 2

Name 5 ways of setting up the pt. and handling for the eval. process.

Answer 2

• introduce yourself and make eye contact.
• discuss purpose of assessment and answer questions.
• establish rapport and put pt. at ease
• properly position pt. before starting
• handle pt. with care and constantly monitor pts. responses

Question 3

How do we prioritize the problem list?

Answer 3

• address problem areas based on pt. and caregiver/family priorities.
• dependent on many factors that team and pt. identify
• will often consult with team and staff
• dependent on discharge plans
• consider safety when prioritizing what UIA and occupational performance or ADL area to address

Question 4

the aggregate of materials, equipment, physical elements, or structures, surrounding the individual and that influence the individual’s development, actions and existence.

Answer 4

non-human environment

Question 5

Name 5 opportunities that the non-human environment provides for pts.

Answer 5

• provides a medium through which skills can be mastered
• provides opportunity for being adaptive
• provides opportunity for being functional
• provides opportunity for learning
• provides opportunity for change

Question 6

the aggregate of individuals surrounding the individual and who influence the individual’s development, actions, and existence.

Answer 6

human environment

Question 7

the process of breaking down an activity into its component steps and determining which underlying skills are necessary to complete each component step of the activity.

Answer 7

activity analysis

Question 8

activity analysis determines how the ____ may hinder or prohibit the ability of the person to complete each step of the activity.

Answer 8

UIAs

Question 9

set up of human and non-human environment

Answer 9

activity synthesis

Question 10

Name 4 components of activity synthesis.

Answer 10

1. identify a specific functional activity or ADL.
2. delineate the task components for your functional activity.
3. describe why some of the specific task components of the task may be used therapeutically to improve on the baseline level of severity of the selected UIA (means to an ends)
4. describe the human environmental set up - patient positioning, therapist positioning, specific instructions for the pt or other, physical handling or guiding techniques, cues

Question 11

the process whereby intervention is used to provide the conditions (environmental set up) through which an individual is able to move from a state of dysfunction to function or along a continuum of abnormal to normal; necessary for the justification for reimbursement of OT services

Answer 11

the change process

Question 12

The ____ ____ are documented in subsequent progress notes and which indicate improvement or decline in an individual’s status.

Answer 12

observable behaviors

Question 13

Name 2 important considerations for using functional activities as a treatment mode.

Answer 13

• watch definition of activity when determining what is “meaningful” and for whom the activity is meaningful.
• pt. presentations are highly complex and unique.

Question 14

T/F - Any activity is purposeful if you can explain it (the HOW) to the pt. in terms they understand.

Answer 14

true