week 3 Flashcards
1
Q
disability experience
A
- commonly share shame and inferiority
- desire to NOT be identified as a person with disability
- those labeled as “disabled” often feel devalued and stigmatized
- individual differences
2
Q
social model (from kübler-ross)
A
- shock and horror
- denial
- anger
- bargaining
- depression
- acceptance or adjustment
3
Q
person-first language
A
- person comes first
- avoid referring to person by their condition
- such terminology “objectifies” an individual
4
Q
goals
A
- must be postive
- occupation-based
- functional-action-oriented
- measurable
- observable
- realistic-time frame
- in collaboration with the client
5
Q
goals 4 components
A
- functional outcome-inorder to
- objective skill or behavior-client will
- measurable-with
- duration or time frame-in
6
Q
long-term goals
A
projected status at completion
7
Q
short-term goals
A
incremental, successive steps
8
Q
balance screening instructions
A
- review client’s history and create an occupational profile
- note client’s diagnoses, medications and possible side effects, any history of falling, and prior level of function
- assess client’s blood pressure-abnormal levels can lead to dizziness
- asses balance in sitting position
9
Q
interventions for balance impairment
A
- approaches used to address balance impairment can be determined by underlying deficit and would be more appropriate if there is potential to improve deficit through remediation, compensation or adaptation
- may begin with compensatory and or adaptive approach to increase safety and independence
- remedial techniques include: increasing ROM, strength, endurance when motor dysfunction effected on balance, fall prevention
10
Q
specific interventions for balance impairment
A
remediation of balance impairments
- if indicated that client factors can be improved, remediation (biomechanical) approach is appropriate
- exercises and occupation-based activities can be used to improve core, UE and lower extremity strength or activity tolerance, by gradually increasing weight/repetition
11
Q
reaching can be improved by
A
gradually increasing activity demands for reaching during training or rote exercises, wile seated unsupported as long as it is safe
12
Q
therapist starts by ensuring client achieves postural alignment
A
- pelvis in neutral to anterior tilt with equal weight bearing on ischial tuberosities
- trunk extended in a midline orientation
- shoulders symmetrical and positioned anterior to hips
- hips and knees flexed and neutrally rotated
- both feet securely on floor
13
Q
occupation-based challenges requiring active weight shift
A
- incorporating tasks that demand movement on variety of planes
- any combination of movements plus upward or downward directions
14
Q
compensating for balance impairments
A
- safe weight shifting
- bracing with contralateral UE
- getting dressed in bed
- alternate methods of lower body dressing
- toileting hygiene while sitting
- pants over knees before standing
- standing activities in front of chair in case of balance lost
- pull pants over knees before standing from toilet
- position directly in front to avoid reaching
- making bed while lying in it
- wear terry cloth bathrobe to dry instead of towel
15
Q
supports added to home environment
A
- grab bars
- stair lifts
- caine, walker, wheelchair
- positioning equip in wheelchair
- stair railings
- toilet safety handles
- reacher
- bed rails for transfer
- electronic life chairs
- nonslip floor surfaces
- pant clip for toilet clothing management
- transfer boards for lateral seated transfers
- setting for decreased reaching
- setting for seated tasks
- placing tools on counter within reach
