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phys dys > week 1 > Flashcards

week 1 Flashcards

1
Q

Occupational Therapy Practice Framework

A

Provides the occupational therapy domain
Outlines the occupational therapy process
Fit with the International classification of functioning, disability and health (ICF)

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2
Q

Occupational therapy domain

A

areas of occupation, performance skills, performance patterns, contexts, activity demands, client factors

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3
Q

areas of occupation

A

ADLS, IADLS, Education, work, play, leisure, social participation,

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4
Q

context

A

cultural, physical, social, personal, spiritual, temporal, virtual

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5
Q

activity demands

A

objects used and their properties, space demands, social demands, sequencing and timing, required actions, required, body functions, required body structures

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6
Q

examples to assess areas of occupation

A 
COPM
FIM
Kohlman Evaluation of living skills
Interview
Milwaukee Evaluation of daily living skills
Observation
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7
Q

Performance Skills

A

Motor skills- reaching, manipulating, pacing, rolling, standing sitting
Process skills-sequencing steps, staying on task, modifying performance when there is a problem
Communication/interaction skills- conversations, gestures, inhibiting behaviors, displaying emotions

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8
Q

examples of ways to assess performance skills

A

Observations during tasks
Jebsen hand function test
Test of visual motor skills
Assessment of motor process skills (AMPS)

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9
Q

Performance patterns

A

Habits
Routines
Roles

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10
Q

examples of ways to assess performance patters

A

Interview
Role checklist
Structured questions
National institutes of health activity record

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11
Q

Client factors

A

Body functions
Body structures
Values, beliefs and
spirituality-
Some information is usually found in the patients chart (BP, respitory function)
Muscle tone, reflexes, pain, voluntary/involuntary movement
Strength, ROM, visual acuity, attention
Therapists have a knowledge of these functions and may specialize in evaluation and intervention in an area
Ex. wounds

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12
Q

Models of practice in physical disabilities

A

Models provide a framework used to guide the process of Occupational Therapy
Used to guide practice in conjunction with OTPF
Provides organization and structure to the OT process

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13
Q

Rehabilitation model

A

After WWII
Aligned with the medical model
Rehabilitation of disability
Patient is a passive participant

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14
Q

Social model

A

Disability rights movement
Self-advocacy-Client is at the center of the model = expert
Disability due to environment not function

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15
Q

Bridging medical and social model

A

Client-centered (collaborative)
Evidenced-based (use of the current best evidence)
Occupation-focused (meaningful occupations selected by the patient)
Culturally relevant (to the patient)

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16
Q

Occupational Functioning Model (OFM)

A

Participating in life roles brings a sense of self-efficacy and self-esteem
Goal of OFM is engagement in life roles
The assumption that ones ability to perform in life roles (areas of occupation) is based upon basic abilities and capacities (performance skills)
Top down approach (observation of performance)
Evaluation (activity analysis)
Intervention
Adaptive therapy- balance between goals and abilities
Optimize abilities and capacities
Occupational activities and adjunct therapies are used
Environment can promote or hinder functioning

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17
Q

Frames of Reference

A

Used to link theory to intervention strategies
Used to apply clinical reasoning to intervention methods
More narrow view then model of practice
Not used as a protocol but a way to structure interventions
May use numerous FOR treating a patient
Select a FOR that meets patients goals

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18
Q

Biomechanical

A

Improvement of occupational performance
Restore function
Strengthening, exercises, splinting etc.

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19
Q

Rehabilitation

A

Return to the fullest function possible
Modification strategies
Use of adaptive devices, equipment, technology etc.

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20
Q

Sensorimotor

A

CNS insult
Interventions to help reorganization of sensory and motor cortices of the brain
Proprioceptive neuromuscular facilitation (PNF)
Neurodevelopmental treatment (NDT)

21
Q

Ot and ota teamwork

A

The OT provides Occupational Therapy services independently
OTA “must receive supervision from an occupational therapist to deliver occupational therapy services” Pedretti, (2013)
OT retains final responsibility for all aspects of care
Roles vary across settings
Rules vary state to states

22
Q

why do we document?

A

Legal Document Should be clear, concise, accurate and objective AOTA 4 purposes of documentation Articulates rational for services and the relationship to the clients outcome Reflects clinical reasoning Communicates information about the client from an OT prospective Record of patients status, services provided and outcomes

23
Q

6 principals of documentation

A

 Function  Underlying causes  Progress  Safety  State expectations for progress or explain lack of progress  Summarize need for skilled therap

24
Q

clinical reasoning

A

The process of planning, directing, performing and reflecting on clinical care  Choosing appropriate assessments  Interpretation of assessments and observations  Selecting appropriate treatment interventions  Setting appropriate and reachable goals

25
Q

examples of skilled documentation

A

Assess  Analyze  Interpret  Modify  Facilitate  Inhibit  Fabricate  Adapt  Establish  Determine  Instruct in (techniques, compensatory strategies)

26
Q

examples of unskilled documentation

A

 Maintain  Help  Watch  Observe  Practice  Monitor

27
Q

evaluation

A

What interventions and goals are based upon  Focuses on what the client wants and needs to do  Contains  Client name/DOB/PMH/Social history/DX/Precautions/Contraindication  Referral information/Reason for referral/Funding source/Length of stay  Occupational Profile  Assessments  Analysis of Occupational Performance  Summary and Analysis  Recommendations

28
Q

Independent

A

Client does 100% safely

29
Q

Modified Independence (Mod I)

A

Independent with task but requires time or AE

30
Q

Supervised (S)

A

Requires supervision for safety

31
Q

Contact guard/standby assistance (CG)

A

hands on assistance is necessary for safety or caregiver must be within arms length for safety

32
Q

Minimum assistance (Min A)

A

Requires 25% assistance

33
Q

Moderate assistance (Mod A)

A

Requires 26%-50% assistance

34
Q

Maximal assistance (Max A)

A

Requires 51%-75% assistance

35
Q

Dependent

A

Requires more than 75% assistance

36
Q

Performance based (elements of goals)

A

What the patient is expected to do

37
Q

Detailed (elements of goals)

A

 Level of performance required to meet goal (measureable)  Frequency, duration, assistance level, complexity, participation, quality

38
Q

Conditions

A

How the patient will perform the goal  When, where, how, what conditions

39
Q

Time Frame

A

When the patient is to achieve the goal

40
Q

S- Significant

A

(Will this goal make a significant difference in the patients life)

41
Q

M-Measurable

A

(Will you know when the patient reaches the goal)

42
Q

A-Achievable

A

(Is it reasonable, can the patient achieve this goal)

43
Q

R-Related

A

(Are the STG and LTG related to each other)

44
Q

T-Time limited

A

(Have designated end point)

45
Q

subjective

A

 Includes information reported from the patient, family or caregiver.  Information the patient reports about their goals, health, response to treat  Should be relevant to treatment  Be careful of statements that could be misinterpreted

46
Q

objective

A

 Contains observations, results of assessments and measurements  Factual information  Data is not interpreted or analyzed in this section  Emphasis is on results of interventions (not just a list of interventions

47
Q

assessment

A

Data is interpreted  Analysis of occupational performance  Discuss information provided in the subjective and objective sections  Should have statement of need for skilled therapy

48
Q

plan

A

Update goals  Modification to frequency of therapy  Plan of other interventions  Guides future tx sessions

phys dys (6 decks)

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