Toolbox 1 midterm Flashcards
Average blood pressure
90/60- 120/80mm/Hg
Average heart rate
60-100
Average o2 saturation
95-100%
– amount of oxygen in the blood
(COPD between 88-90%)
Average respiratory rate
12-18 breaths per min
What are the 6 levels of dependence
independent, standby, minimal, moderate, maximal, dependent
Percentage of assistance for minimal level
patient requires up to 25% assistance
percentage of assistance for moderate level
patient requires between 25-50% assistance
percentage of assistance for maximal level
between 51-75%
Percentage of assistance for dependent level
more than 75% assistance required from OT
What does the COPM stand for
Canadian Occupational Performance Measure
What categories are part of the self care section on the COPM
personal care, functional mobility, and community management
What categories are part of the productivity section on the COPM
paid or unpaid work, household management and school/play
what categories are part of the leisure section on the COPM
quiet recreation, active recreation and socialization
What are the main topics on the COPM
Self care, productivity, and leisure
How is the COPM scored
1- not important/ not satisfied/ not able to do it
10- most important/ most satisfied/able to do it no problem
Name 7 key ADLS
dressing, eating, feeding, bathing/showering, functional mobility, toileting, sexual activity
Name 4 key IADLS
driving, safety, care of others/perts, communication/financial management
definition of occupation
activities that are meaningful to an individual
What is the role of an OTA
primary role is to implement treatment, conduct standardized assessment and required to be supervised by an OT
What does OTPF stand for
Occupational Therapy Performance Framework
What is grading
is used to increase or decrease the activity demands on a person while he or she is performing an activity
- make it more or less challenging
EX. increasing/decreasing repetitions, or add/remove weights
what is adaptation
Changing ot modifying an aspect of the activity to allow for successful participation in an occupation
EX. using equipment, or other people to help
Adaptation is similar to grading, but adaptation is not done “with the intent to reduce or increase the demands on the client
What is the difference between performance and satisfaction on the COPM (back sheet of form)
performance is being able to do something not at all or do it very well
satisfaction is how okay are you with your current performance level
What is the COPM used for?
identify problem areas in occupational performance
provide a rating of the clients priorities
evaluate performance and satisfaction relative to those problem areas
provide the basis for goal setting
measure changes in a client’s perception of their occupational performance
What manual transfer do you NOT scoot the client forward
sliding board because the board should be under their thigh but still on the surface they are sitting on
When do you need to block a client knee’s
if there is lower body weakness, or for a dependent transfer (put your knees on the outside of their legs)
What is the definition of Evidence Based practice?
combo of clinical expertise, research evidence, and patient characteristics or preferences
What are the parts of a PICO question
Population
intervention
comparison
outcome
What databases search medline
PubMed, Ovid, CINAHL
When is an item considered a constraint
restricts normal movement
typically goes over a joint
if they cannot cognitively/physically remove it themselves
Who can order a restraint?
doctors
documented every 24 hours, nurses usually check the status of the restraint
Can we remove a restraint to work with someone?
Yes, but remove one at a time and put it back on at the end of the session back how you found it
How do you put on a wrap around belt restraint?
Wrap around the client and the surface they are sitting on
the no slip part goes against their body
What is the key point to remember about using a soft limb restraint?
clip it onto the surface they are actually on, not on a surface next to them, or a handrail (these can be removed)
What direction does the d ring face for a freedom arm split?
Away from patient so it does not rub against the skin
What should you do after you put a mitten on a client to make sure it is not too tight
check fingers to see if they still react to pressure, if they stay white for too long, then it is too tight
When should vital signs be taken during an OT session and why?
when you change positions, or after an activity (sitting to standing)
What is a normal blood pressure response to activity?
progressive increase in SBP my 7-10 mmHg