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Geriatrics Eval > Week 14 > Flashcards

Week 14 Flashcards

1
Q

name 2 common aspects of long term care residents.

A
  • primarily women

- largely widowed/divorced older adults

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2
Q

approx. what percent of LTC residents have dementia?

A

40%

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3
Q

what % of LTC residents need assistance with 2 or more ADLs?

A

82%

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4
Q

name a major predictor of placement in a LTC facility.

A

absence of caregiver or partner

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5
Q

name 6 OT practice examples in a LTC facility.

A
  • seating and positioning
  • ADL programs
  • contracture management
  • activity programs
  • restorative therapy following functional decline
  • wound care
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6
Q
  • comprehensive assessment of residents in all Medicare and Medicaid certified facilities
  • mandated by federal law
  • used to identify potential problems - ex: care triggered areas such as delirium, falls, nutrition status, mood state, etc. and directs care provider to care plan
  • helps to identify resident’s strengths and preferences
  • reimbursement tool for medicare
A

MDS

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7
Q

which parts of the MDS do OTs often complete?

A

functional status and evaluation complexity codes

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8
Q

name 4 qualities of the typical assisted living resident.

A
  • 80 years old
  • female
  • independent in functional mobility
  • requires assistance with 1-2 ADLs/IADLs per day
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9
Q

name 4 roles of the OT in assisted living.

A
  • facilitate transition to new living environment
  • ADL, IADL, leisure, and lifelong learning
  • health and wellness programs
  • community mobility and community reentry
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10
Q

LTC residents have a high level of ___ ___.

A

functional decline

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11
Q

name a specific condition with multiple causes that could lead to LTC.

A

incontinence

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12
Q

retain some level of independence

A

ADL retraining

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13
Q

what is the last ADL ability we typically lose?

A

ability to feed themselves

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14
Q

name 3 examples of LTC programs.

A
  • falls prevention
  • dementia symptom management - activity-based programming
  • helping people stay active
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15
Q

name 2 purposes of a wedge.

A

-positioning - to keep head elevated, to keep people in side-lying

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16
Q

name the purpose of a hand roll.

A

-contracture management - if they can’t tolerate a splint, keeps a space within palm/arch of hand without skin macerating or becoming moist

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17
Q

what is the purpose of a tilt in space w/c?

A

can’t shift weight, repositioning

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18
Q

how can we help manage contractures?

A

ROM promotion

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19
Q

short course of rehab to get them back to where they need to be

A

restorative therapy following functional decline

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20
Q

tool that helps us pick up issues we need to address and provide a care plan

A

MDS

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21
Q

quick screening for cognition - looks at word recognition, orientation, and word recall

A

bims questionnaire (MDS)

22
Q

name 3 components that can determine evaluation complexity codes.

A
  • number of comorbidities a person has
  • complexity of decision-making
  • evolving or stable presentation
23
Q

for assisted living, some places will not accept who?

A

individuals in W/Cs

24
Q

is IADL always the goal at assisted living facilities?

A

no, sometimes IADL is not the goal - the reason why they may be there is that they are unable or don’t want to participate in those activities anymore

25
Q

why is mid-wheel drive for w/cs good for indoors and LTC residents?

A

smaller turning space

26
Q
  • begins with a diagnosis of a progressive illness for which there is no cure
  • combines active and compassionate therapies to support individuals and their families who are living with life threatening illness
  • strives to meet physical, psychological, social, and spiritual needs
A

palliative care

27
Q
  • last 6 months of life

- focus is on compassionate care rather than treatment to extend life

A

hospice

28
Q

name 7 common symptoms at end of life.

A
  • dyspnea
  • anxiety and altered mental state
  • fatigue
  • terminal dehydration
  • nausea and vomiting
  • restlessness
  • pain
29
Q

name 5 roles of the OT in end of life care.

A
  • relief from pain and other symptoms
  • improve QOL:
  • support engagement in meaningful daily life occupations
  • prevent loss of roles and independence
  • help clients to maintain sense of control
30
Q
  • focus is on quality of life
  • addresses disability and lifestyle patterns to enhance quality of life
  • harmony between domains:
  • interpersonal relatedness
  • intrinsic gratification
  • societal contributions
  • self care and self maintenance
A

lifestyle performance model

31
Q

name the 4 domains of the lifestyle performance model.

A
  • interpersonal relatedness
  • intrinsic gratification
  • societal contributions
  • self care and self maintenance
32
Q

describe assessments for end of life and palliative care.

A
  • consider non-standardized, informal assessments, interview family members
  • pain assessments, coping strategies, fatigue, social relationships, spirituality
  • goal setting considerations
33
Q
  • 4-week program led by OT and PT
  • clients with a cancer diagnosis, different stages of the disease
  • resources available from health professionals
  • individual assessment of personal difficulties
A

managing fatigue

34
Q

name 4 aspects of the managing fatigue program.

A
  • planning, prioritizing and pacing activities, delegating or discarding activities
  • increasing activities levels with simple exercises
  • relaxation exercises
  • how to make easy, nutritious meals, sharing personal energy saving ideas and tips for better sleep
35
Q

name 3 strategies for managing shortness of breath.

A
  • pursed lip breathing
  • raised the head of the bed
  • use of a fan
36
Q

name 3 ways to help manage pain.

A
  • education
  • physical - massage, cold, heat, positioning
  • psychological - distraction, relaxation, guided imagery, progressive muscle relaxation
37
Q

minute you’re diagnosed with a progressive illness for which there is no cure

A

palliative care

38
Q

name an example of an illness with a short period of decline leading up to death.

A

covid-19

39
Q

name an example of a condition with long-term limitations with intermittent serious episodes.

A

MS

40
Q

name an example of a condition with fatigue (can be physical, mental, emotional).

A

cancer

41
Q

not getting in enough fluids - nutrition and hydration, natural process at end of life, can be distressing for families

A

terminal dehydration

42
Q

why does terminal dehydration occur?

A

spike in endorphins at end of life (natural anesthetics) - won’t feel like they are so hungry or so thirsty

43
Q

a lot of movement or restlessness at the last days of their lives

A

terminal restlessness

44
Q

relationships with other people

A

interpersonal relatedness

45
Q

leisure, enjoyment

A

intrinsic gratification

46
Q

volunteering, helping your own family

A

societal contributions

47
Q
  • 13 items

- looks at level of fatigue and its effects on function

A

FACET fatigue scale

48
Q
  • meaning in life questionnaire

- looks at presence of meaning of life

A

MLQ

49
Q

describe goal setting in this type of care.

A

-comfort-focused, pain management, adaptive strategies

50
Q

name 3 energy conservation strategies.

A
  • pacing, using less energy
  • delegating things
  • discarding activities
51
Q

what is the most comfortable position to sit in with metastasized cancer with spinal involvement?

A

recline - less downward forces - didn’t sit there for long but it helped a little

52
Q

when do we feel pain the most?

A

when you’re paying attention to it - lying in bed at night

Geriatrics Eval (12 decks)

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