Week 1 Lecture Flashcards

1
Q

Evaluation

A

the process of gathering and interpreting information about clients to determine the need for occupational therapy.

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2
Q

Name 6 purposes of evaluation.

A
  1. establish goals.
  2. prove intervention is working.
  3. ADL/ independent living status
  4. Document need for specific programs.
  5. Facilitate educational or vocational goals.
  6. Substantiates insurance and supports litigation.
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3
Q

Name 5 components of the occupational profile.

A
  1. occupational history, experiences
  2. patterns of daily living
  3. values
  4. needs
  5. interests
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4
Q

Name 6 domains of concern of the biomechanical frame of reference.

A
  1. structural stability
  2. low-level endurance
  3. edema control
  4. passive ROM
  5. strength
  6. high-level endurance
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5
Q

Bottom-Up Approach

A

Start at impairment level (UIAs) and work up to what patient can do

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6
Q

Name 2 assumptions of the biomechanical approach.

A
  1. Purposeful activity can treat loss of ROM, strength, endurance
  2. Once regained, client will automatically regain function.
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7
Q

Name the 4 steps of the treatment planning process.

A
  1. problem identification
  2. prioritize problems
  3. establish treatment goals (in conjunction with patient/client)
  4. establish intervention strategies (specific treatment plans/methods)
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8
Q

When does observation begin?

A

As soon as patient enters area (or when you enter pts. room)

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9
Q

Name the 2 dimensions of pain.

A
  1. Sensory component

2. Affective component

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10
Q

Describe 3 aspects of the sensory component of pain.

A
  • Discomfort located to a particular part of body
  • Graded by intensity
  • Defined by “how much” it hurts
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11
Q

Describe 2 aspects of the affective component of pain.

A
  • 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
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12
Q

edema

A

accumulation of an excessive amount of watery fluid in cells, tissues, or serous cavities.

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13
Q

Name 2 tape measure methods of measuring edema.

A
  1. circumferential

2. figure of 8

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14
Q

When do you not need to use a goniometer?

A

Functional ROM tests

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15
Q

Are functional ROM tests done actively or passively?

A

They’re only really done actively.

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16
Q

Which tool is used to measure gross grasp?

A

Dynamometer (Gross grasp)

17
Q

What does a dynamometer measure?

A

Gross grasp (strength of grasp)

18
Q

Which tool measures pinch?

A

Pinch gauge

19
Q

Pinch for turning a key

A

lateral pinch

20
Q

pinch using thumb and pads of fingers 2&3

A

tripod, 3-jaw chuck

21
Q

pinch using pad to pad or tip to tip

A

2 point pinch

22
Q

What should the position of the pt. be when using a dynamometer?

A

humerus adducted, elbow flexed to 90 degrees

23
Q

T/F - you should measure both hands of the pt. with a dynamometer.

A

True - measure both sides to establish baseline. (Dominant hand is about 10% stronger).

24
Q

What should the position of the pt. be when using a pinch gauge?

A

humerus adducted, elbow flexed to 90 degrees, forearm neutral