Week 1 Lecture Flashcards
Evaluation
the process of gathering and interpreting information about clients to determine the need for occupational therapy.
Name 6 purposes of evaluation.
- establish goals.
- prove intervention is working.
- ADL/ independent living status
- Document need for specific programs.
- Facilitate educational or vocational goals.
- Substantiates insurance and supports litigation.
Name 5 components of the occupational profile.
- occupational history, experiences
- patterns of daily living
- values
- needs
- interests
Name 6 domains of concern of the biomechanical frame of reference.
- structural stability
- low-level endurance
- edema control
- passive ROM
- strength
- high-level endurance
Bottom-Up Approach
Start at impairment level (UIAs) and work up to what patient can do
Name 2 assumptions of the biomechanical approach.
- Purposeful activity can treat loss of ROM, strength, endurance
- Once regained, client will automatically regain function.
Name the 4 steps of the treatment planning process.
- problem identification
- prioritize problems
- establish treatment goals (in conjunction with patient/client)
- establish intervention strategies (specific treatment plans/methods)
When does observation begin?
As soon as patient enters area (or when you enter pts. room)
Name the 2 dimensions of pain.
- Sensory component
2. Affective component
Describe 3 aspects of the sensory component of pain.
- Discomfort located to a particular part of body
- Graded by intensity
- Defined by “how much” it hurts
Describe 2 aspects of the affective component of pain.
- complex behaviors that a person employs to minimize, escape, or terminate noxious stimuli
- may explain differences in the way people perceive pain and the variability of the pain experience
edema
accumulation of an excessive amount of watery fluid in cells, tissues, or serous cavities.
Name 2 tape measure methods of measuring edema.
- circumferential
2. figure of 8
When do you not need to use a goniometer?
Functional ROM tests
Are functional ROM tests done actively or passively?
They’re only really done actively.
Which tool is used to measure gross grasp?
Dynamometer (Gross grasp)
What does a dynamometer measure?
Gross grasp (strength of grasp)
Which tool measures pinch?
Pinch gauge
Pinch for turning a key
lateral pinch
pinch using thumb and pads of fingers 2&3
tripod, 3-jaw chuck
pinch using pad to pad or tip to tip
2 point pinch
What should the position of the pt. be when using a dynamometer?
humerus adducted, elbow flexed to 90 degrees
T/F - you should measure both hands of the pt. with a dynamometer.
True - measure both sides to establish baseline. (Dominant hand is about 10% stronger).
What should the position of the pt. be when using a pinch gauge?
humerus adducted, elbow flexed to 90 degrees, forearm neutral
