Week 10

Question 1

Forward Chaining

Answer 1

pt starts and does as much as they can, and therapist helps finish, building step by step

Question 2

Backward Chaining

Answer 2

set up by therapist and done by therapist until the last step that the pt can complete, this continues until the pt is independent at the task

Question 3

dysphagia

Answer 3

difficulty swallowing or inability to swallow

Question 4

common conditions where dysphagia is seen

Answer 4

CNS, CVA, Parkinson’s, TBI, MS, ALS, Dementia, vocal cord injuries,

Question 5

Dysphagia - if not identified or treated

Answer 5

PNA - aspiration pneumonia
malnutrition
dehydration
death

Question 6

Role of OT for Driving

Answer 6

Certified driving instructor
CDRS - certified driving rehab specialist
DRS - driving rehab specialist
clinical evals/road evals-identify deficits that affect driving.
Educate & promote safety for pt & public. Refer to specialist. Set up/educate pt who needs AE while driving

Question 7

AE for Limited ROM / Strength/THR

Answer 7

DRESSING - Dressing stick, front open garment, stocking aid, reachers
EATING - swivel spoon, universal cuffs, plate guards
GROOMING - handheld showerhead, long handled bath brush, long comb
COMMUNICATION - built up pens
MOBILITY - glider chair, raised toilet seat
HOME MNGMNT - utility cart, Dycen

Question 8

Incoordination

Answer 8

DRESSING - front open garments, large buttons, elastic shoe laces
EATING - scoop dish, plate stabilizers, weighted cuffs
GROOMING - weighted cuffs, suction nailbrush, soap on rope
COMMUNICATION - headset holder, door knobs changed
MOBILITY - utility card, sliding across counter,
HME MNGMNT - easy open containers, heavy utensils, electric appliances

Question 9

Hemiplegia(complete loss on one side) Hemiparesis(weakness of one side)

Answer 9

Dressing - one handed dressing techniques
Eating - rocker knife
Grooming - electric razors, bath tub seat, dycem
Communication - paper weight, book holder
HME MNGMNT - wall mounted jar opener
stabilize between legs

Question 10

Paraplegia (complete loss in lower extremities)

Answer 10

DRESSING - pull leg into flexion

GROOMING - handheld shower, long handled bath brush, padded shower chair

Question 11

Quadriplegia (UB&LB affected)

Answer 11

DRESSING - adaptive techniques such as dressing in bed; adaptive clothing
EATING - wrist splint, universal cuff, non skid mat, plate guard
GROOMING - bathseat, transfer board, long handled brush, universal cuff
COMMUNICATION - personal computers, built up pencils, mouth stick
ASSTVE TECH

Question 12

Top Down

Answer 12

looking at client, roles, history, interests and addresses skills missing to perform the occupation

Question 13

Bottom up

Answer 13

starts with looking at the deficits and work in the occupation

Question 14

ADL Examples

Answer 14

bathing, showering, bowel, bladder mgmt, eating, feeding, bed mobility, toileting

Question 15

IADL’s

Answer 15

home management, community living skills, health management, safety management, environmental

Question 16

Home management

Answer 16

meal planning, homemaking, laundry, care of pets, child care

Question 17

Community Living Skills

Answer 17

money management, shopping, driving, seated mobility systems

Question 18

health management

Answer 18

medication management, diet management, risk/precautions, health risks, making medical apts

Question 19

Safety Management

Answer 19

fire safety, emergency planning, identifying dangerous situations

Question 20

Environmental Hardware

Answer 20

vacuum, faucets, light switches, stove/oven, microwave

Question 21

4 phases of normal swallow

Answer 21

1 - oral preparatory - bringing food to mouth
2 - oral - after bolus is formed - tongue brings to back of mouth
3 - Pharyngeal - blous passes over the base of tongue and enters the pharynx
4 - esophageal - bolus passes into the esophagus and is propelled to the stomach