Toolbox 1 midterm Flashcards

1
Q

Average blood pressure

A

90/60- 120/80mm/Hg

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2
Q

Average heart rate

A

60-100

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3
Q

Average o2 saturation

A

95-100%
– amount of oxygen in the blood
(COPD between 88-90%)

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4
Q

Average respiratory rate

A

12-18 breaths per min

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5
Q

What are the 6 levels of dependence

A

independent, standby, minimal, moderate, maximal, dependent

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6
Q

Percentage of assistance for minimal level

A

patient requires up to 25% assistance

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7
Q

percentage of assistance for moderate level

A

patient requires between 25-50% assistance

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8
Q

percentage of assistance for maximal level

A

between 51-75%

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9
Q

Percentage of assistance for dependent level

A

more than 75% assistance required from OT

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10
Q

What does the COPM stand for

A

Canadian Occupational Performance Measure

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11
Q

What categories are part of the self care section on the COPM

A

personal care, functional mobility, and community management

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12
Q

What categories are part of the productivity section on the COPM

A

paid or unpaid work, household management and school/play

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13
Q

what categories are part of the leisure section on the COPM

A

quiet recreation, active recreation and socialization

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14
Q

What are the main topics on the COPM

A

Self care, productivity, and leisure

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15
Q

How is the COPM scored

A

1- not important/ not satisfied/ not able to do it

10- most important/ most satisfied/able to do it no problem

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16
Q

Name 7 key ADLS

A

dressing, eating, feeding, bathing/showering, functional mobility, toileting, sexual activity

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17
Q

Name 4 key IADLS

A

driving, safety, care of others/perts, communication/financial management

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18
Q

definition of occupation

A

activities that are meaningful to an individual

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19
Q

What is the role of an OTA

A

primary role is to implement treatment, conduct standardized assessment and required to be supervised by an OT

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20
Q

What does OTPF stand for

A

Occupational Therapy Performance Framework

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21
Q

What is grading

A

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

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22
Q

what is adaptation

A

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

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23
Q

What is the difference between performance and satisfaction on the COPM (back sheet of form)

A

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

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24
Q

What is the COPM used for?

A

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

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25
Q

What manual transfer do you NOT scoot the client forward

A

sliding board because the board should be under their thigh but still on the surface they are sitting on

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26
Q

When do you need to block a client knee’s

A

if there is lower body weakness, or for a dependent transfer (put your knees on the outside of their legs)

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27
Q

What is the definition of Evidence Based practice?

A

combo of clinical expertise, research evidence, and patient characteristics or preferences

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28
Q

What are the parts of a PICO question

A

Population
intervention
comparison
outcome

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29
Q

What databases search medline

A

PubMed, Ovid, CINAHL

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30
Q

When is an item considered a constraint

A

restricts normal movement
typically goes over a joint
if they cannot cognitively/physically remove it themselves

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31
Q

Who can order a restraint?

A

doctors

documented every 24 hours, nurses usually check the status of the restraint

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32
Q

Can we remove a restraint to work with someone?

A

Yes, but remove one at a time and put it back on at the end of the session back how you found it

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33
Q

How do you put on a wrap around belt restraint?

A

Wrap around the client and the surface they are sitting on

the no slip part goes against their body

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34
Q

What is the key point to remember about using a soft limb restraint?

A

clip it onto the surface they are actually on, not on a surface next to them, or a handrail (these can be removed)

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35
Q

What direction does the d ring face for a freedom arm split?

A

Away from patient so it does not rub against the skin

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36
Q

What should you do after you put a mitten on a client to make sure it is not too tight

A

check fingers to see if they still react to pressure, if they stay white for too long, then it is too tight

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37
Q

When should vital signs be taken during an OT session and why?

A

when you change positions, or after an activity (sitting to standing)

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38
Q

What is a normal blood pressure response to activity?

A

progressive increase in SBP my 7-10 mmHg

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39
Q

What is a troponin and what are normal ranges?

A

0-0.4ng-mm

muscular protein, and if above that range would be an indication of a heart attack or heart damage

40
Q

If hemoglobin is low, what precautions would you take during your OT session?

A

lower intensity of exercise (hemoglobin measures blood capacity to carry oxygen)

41
Q

What is the purpose of an IV line and precautions

A

to administer fluid or medicine

if pulled out put pressure on it and call the nurse

42
Q

What is the purpose of a NG tube and precautions

A

feeding/medication and pulling gastric fluid out
more temporary than a G tube
make sure bed is at 30 degrees or more

43
Q

What is the purpose of a chest tube and precautions

A

remove fluid/air from pleural space (between ribs)

keep box below incision

44
Q

What is the purpose of a JP Drain and precaution

A

remove fluid from wounds/incisions

hook to patient with a safety pin, don’t hook to pants

45
Q

what is the purpose of a G tube and precaution

A

feeding and nutrition

make sure gait belt is above or below

46
Q

What is the purpose of a foley catheter and precautions

A

empties bladder automatically

make sure it stays below insertion so it drains and don’t have it under their leg

47
Q

What is the trendelenburg position?

A

Knees raised and sitting up

48
Q

What are the 4 spinal precautions

A

no twisting of head/trunk
don’t lift more than 5-10 lbs
log roll
wear brace as directed

49
Q

What are the 7 cervical precautions

A
no twisting/rotating of neck
don't lift more than 5-10 lbs
log roll
wear brace as directed
no pulling with arms
no nodding
can lift arms to where it is comfortable, but stop if pain occurs
50
Q

What is the order according to the CDC for putting on materials to go into a contaminated room

A

wash hands
Put on gown (then mask)
put on gloves

51
Q

What does BADL and PADL stand for?

A

Basic ADLS and Personal ADLs

both other terms for ADLS

52
Q

What is the definition of an ADL?

A

activities oriented toward taking care of one’s own body

53
Q

What is the definition of an IADL?

A

Activities to support daily life within the home and community that require more complex interactions

54
Q

What are the 3 levels the OTPF defines clients of OT

A

Persons
organizations
populations

55
Q

What does domain mean in regards to focus area in the OTPF

A

What we do

  • focus on the whole being
  • understanding of interrelationships
56
Q

What are the 5 aspects of OT’s domain

A
occupations
client factors
performance skills
performance patterns
contexts/environments
57
Q

What does Process mean in regards to focus area in the OTPF

A

How we do it
client centered process
evaluation, intervention, targeting of outcomes

58
Q

What is the most important info to gather from someone’s medical chart before going in to see them?
5 things

A
Basic personal information
diagnosis (dx)
History of Present Illness (HPI)
Past medical history (PMH)
Physician orders
59
Q

What type of interview is most often used clinically

A

semi-structured (COPM)

60
Q

What are the 4 steps of the COPM

A

Problem definition
rating importance
scoring
reassessment

61
Q

What are the 4 levels of occupation?

A

Roles– position in society with expected responsibilities (student
task– set of activities that are purposeful (study for exam)
activity– productive action required for development (review notes)
action – basic unit consisting of bx directed toward to performance of a task (memorization)

62
Q

What are the three movement restrictions fo posterior hip precautions

A

No hip flexion beyond 90
No hip adduction past neutral/midline (don’t cross legs)
No internal rotation

63
Q

What are the 2 precautions fo anterior hip precautions

A

no hip hyperextension (no stepping backwards)

No hip external rotation( turning knees or feet outwards)

64
Q

What are the 6 standard movement restrictions for sternal precautions?

A
  • -No lifting more than 10lbs for 4 weeks
    • no driving 4 weeks
  • -can move shoulders within full ROM
  • -Can use wheel chair as long as there aren’t any weight bearing precautions
    • can use UE to propel a W/C
    • can transfer themselves as long as they are at minimal assistance or below (standby, independent)
65
Q

What are the 5 main movement restrictions for cervical spine precautions?

A

–BLT (bending neck, Lifting more than 5-10 lbs, and twisting neck and back)
–no neck movements
–no pulling with arms
–avoid reaching above shoulder height
–log roll
(8-12 weeks, others are 6weeks)

66
Q

What are the 6 main movement restrictions for thoracic spine precautions?

A
  • -BLT
  • -Keep bed flat
  • -don’t lie on stomach
    • do not arch back
  • -do not pull with arms
  • -log roll
67
Q

What are the 5 movement restrictions for lumbar spine precautions

A
  • -BLT
  • -Avoid crossing legs for extended amounts of time
    • no hip flexion >90
  • -Do not pull with arms
    • log roll
68
Q

What are the 3 movement restrictions for abdominal precautions
(4-6 weeks)

A
  • -no lifting more than 5-10lbs
    • no bending or twisting trunk
  • -log roll
69
Q

What are the 4 movement restrictions for endocardial pacemaker precautions
(about 4 weeks)

A
  • -limit shoulder flexion <90
    • no excessive activity or stretching on affected side
    • don’t lift more than 10-15 lbs on affected side
    • no internal rotation (reaching behind
70
Q

what are the 5 movement restrictions for shoulder precautions
(4-6 weeks)

A
    • don’t reach behind back
    • no lifting objects or supporting body weight on involved side
    • no external rotation >30
    • don’t sleep on operative shoulder
71
Q

What does weight bearing as tolerated (WBAT) mean

A

Pt can put as much weight on their affected side as long as their isn’t pain

72
Q

What does partial weight bearing (PWB) mean

A

pt can put up to 50% of their weight on the affected side

73
Q

What does touchdown/toe-touch weight bearing (TDWB/TTWB) mean

A

can’t bear weight on their affected side but can put their foot to the floor for balance

74
Q

What does non-weight bearing (NWB) mean

A

pt cannot bear any weight on affected side/extremity

– cannot use walker

75
Q

What does the systolic number tell you in BP

A

top number

pressure in the artery when the heart contracts

76
Q

What does the diastolic number in BP tell you

A

bottom number

pressure in the artery when the heart is at rest and filling with blood

77
Q

What artery do you place the stethoscope over?

A

brachial artery

78
Q

what number should you inflate the cuff for BP to?

A

180mm/Hg

79
Q

What can the OT do to help with high BP

A

lay client down

80
Q

What can the OT do to help with low BP

A

Low client down with feet up

encourage client to drink fluids

81
Q

What can the OT do for either high or low BP

A

get client to lay down

Always modify nurse/MD with any concerns

82
Q

What are some symptoms of cardiac distress?

A
  • -complaint of chest pain
  • -burning radiating to jaw, neck, arm
    • nausea
    • shortness of breath (SOB)
83
Q

What are some symptoms of low O2 saturation?

A
Shortness of breath
fatigue
mental confusion
tingling fingers 
dizziness
84
Q

What can OT’s do to help with O2 saturation

A

encourage client in slow purse-lip breathing (PLB)

- sniff the flower, blow out the candle

85
Q

What is an important tip for taking respiratory rate

A

do not let the client know you are taking it

86
Q

What is the average temperature range for adults

A
  1. 8-99.1 F

36. 3-37.3 degrees Celsius

87
Q

What is the normal range for blood glucose?

A

between 80-125 depending on when and what the client last ate

88
Q

what can you do to help patient who has low blood glucose symptoms?

A

offer carbohydrates (whole milk, crackers, turkey)

89
Q

What is the primary goal of acute care?

A

stabilize the patient’s medical status and address life threatening issues

90
Q

What are some of the OT roles in Acute care?

A
  • -educate patient and family

- - make recommendations for discharge

91
Q

What are the universal precautions for infection prevention?

A
  • -wear appropriate personal protective gear
  • -hand hygiene before and after patient contact
    • properly clean all equipment after patient use
92
Q

What are we preventing in infection prevention?

A
  • -Blood borne pathogens
  • -TB and other airborne pathogens
    • Multidrug resistant bacteria
93
Q

What are the 3 main blood borne pathogens?

A

Hep B
Hep c
HIV

94
Q

What specific PPE do you need to work with a client who has active TB

A

N95 mask, mask that is fitting specifically for you (along with gloves, and gown)

95
Q

When do you use a mask when working with a patient

A

if they have a droplet pathogen such as the flu or diphtheria
– of they have neutropenic precautions (lowered immune system)

96
Q

Name 5 moments for hand hygiene

A
  • -before contact with patient
    • before aseptic task (helping client brush teeth)
    • after body fluid exposure risk
    • after patient contact
    • after contact with patient surroundings
97
Q

What is the order of donning/doffing gloves and gown according to the CDC

A

first gown, then gloves