Week 13 Flashcards
-characterized by weakness and low grip strength, low energy, slowed walking speed, low physical activity, unintentional weight loss
frailty
name 2 frailty measures.
- FRAIL scale
- physical frailty phenotype
t/f - frailty does not increase the risk of falls and disability.
false
can frailty be reversed and delayed?
yes
- has been used to effectively guide frailty interventions
- determine client-centered performance context - complete occupational profile, identify reported strengths and problems, establish primary goals based on ADLs that are most important to client
- observe task performance
- define and describe actions client does and does not perform effectively
- define/clarify or interpret the cause
- select approach or combination of approaches - compensatory, education, occupational skills training, enhancement of body functions
- re-evaluate
the occupational therapy intervention process model (OTIPM)
name 4 frailty interventions.
- environmental modification and assistive technology
- community re-integration programs
- physical activity problems
- combined approaches - physical activity, dietary changes, adaptive equipment and environmental modifications
name an environmental modification intervention for frailty.
CAPABLE
- structural adaptations
- home repairs
- assistive devices
- regular household items
CAPABLE
- 2x per week, 60 min sessions of individually tailored, progressive physical activity
- includes: warm up, resistance training, static and dynamic balance training, flexibility training, functional exercise
physical activity program - frailty
- includes 4 face to face visits, check in calls, tailored text messages
- begins with comprehensive eval of physical and social function, home safety assessment, need for adaptive equipment and environmental modification
- present physical activity guidelines
- personalized exercise plan, exercise log
- dietary info
- dietary goals and plans, dietary log
OT led habit training intervention
name 5 medication management interventions.
- health literacy - need for medication
- transportation and/or delivery
- integrate medication management into daily routine
- automatic pill dispensers, daily planner, alarms, pill organizers, store in same/convenient location
- easy open containers, pill splitter, medicine cabinet with LED light
what is the most popular choice for volunteer assignments?
religious institutions
- opportunities for social contact and support
- positive feelings: rewarding, stimulating, and satisfying
- provides a meaningful role
- feeling part of the local community
volunteer experience
name 4 benefits of volunteering for older adults.
- reduction in mortality rates
- increased life satisfaction
- enhanced sense of purpose in life
- increased psychological well-being
name 2 mediating variables with regard to benefits of volunteerism.
- number and range of volunteer roles
- personal preference and choice
help to design special needs shelters, help clients with advanced planning
preparedness
assist in special needs shelters, provide supportive mental health
response
coping skills, returning to meaningful activities and routines
recovery
exacerbation of chronic conditions can occur due to which 3 things associated with emergency preparedness.
- stress
- extreme heat or cold
- lack of safe food and water
name 2 strategies for creating emergency plans for older adults and their families.
- create a contact list/care plan
- prepare a to-go kit
does a person feel tired, do they have the ability to walk up 10 steps, can they walk several hundred yards, are they experiencing illness
FRAIL scale
frailty is considered if weight loss is more than what percent of a person’s body weight in the past year?
5%
describe scoring for the physical frailty phenotype.
if you have 3 or more of these symptoms you are considered to have frailty, if you have 1 or 2 of these symptoms you are considered prefrail.
name the 6 symptoms/measures in the physical frailty phenotype.
- grip strength - weakness
- TUG - looks at slow gait speed
- weight loss - past 6 months
- exhaustion
- reporting less energy to do things
- low physical activity
name the 6 symptoms/measures in the physical frailty phenotype.
- grip strength - weakness
- TUG - looks at slow gait speed
- weight loss - past 6 months
- exhaustion
- reporting less energy to do things
- low physical activity (less than once a week)
describe the benefits for physical activity for frailty compared to other conditions.
- if someone is frail, this can improve their progress
- with other conditions, physical activity alone does not typically lead to improvements
name the 3 components of the CAPABLE program.
- OT piece
- handyman piece
- RN piece
improving ability to function and reduce healthcare costs by 10k for each participant
CAPABLE program
- separate organization that helps people with environment and home modifications
- nonprofit organization
rebuilding together
describe physical activity recommendations for older adults.
- 150 mins of aerobic exercise
- strength training 2-3x a week
- balance exercises
name 4 reasons why people stop taking their meds.
- they forget
- they don’t like the side effects
- confusion between meds
- they think they feel better and they don’t need it anymore
- self-report
- do you take your meds why or why not?
- not performance-based
MMAS-8
name the 3 different areas assessed in the MedMaiDE.
- knowledge of the medications - health literacy
- how to take the medication
- procurement
assesses someone’s ability to manage a complex medication regime with 3 or more pills
ManageMed
volunteerism reduces the risk of which 2 things?
- cognitive loss
- mortality
helps to place people 55+ in volunteering experiences
RSVP
what should you keep in your house for emergency preparedness?
2 weeks’ worth of food and water (canned items)
