week 5

Question 1

OT Interventions for ALS

Answer 1

▪ Adaptive equipment and assistive technology
▪ Safety
▪ Positioning
▪ Functional mobility
▪ Client and family education
▪ Focus on function
and comfort

Question 2

OT Interventions for MS

Answer 2

▪ Adaptive equipment and assistive technology
▪ Safety
▪ Positioning
▪ Functional mobility
▪ Client and family education

Question 3

OT Interventions for HD
Early

Answer 3

▪ Safety
▪ Management of a daily routine
▪ Compensatory Training and use of ECT
▪ Exercises

Question 4

OT Interventions for HD
middle

Answer 4

▪ Caregiver Training
▪ AE and fatigue management

Question 5

OT Interventions for HD
Late

Answer 5

▪ Avoid skin breakdown
▪ Contracture management

Question 6

OT Interventions for PD
mild

Answer 6

▪ Exercise
▪ Adaptive Equipment

Question 7

OT Interventions for PD
moderate

Answer 7

Adaptive equipment and adaptive techniques

Question 8

OT Interventions for PD
severe

Answer 8

▪ Positioning
▪ Caregiver Training and Education

Question 9

OT Interventions for Dementia

Answer 9

▪ Adaptive equipment and assistive technology
▪ Safety
▪ Positioning
▪ Functional mobility
▪ Client and family education

Question 10

Neurological Classification of SCI/D

Answer 10

▪ ASIA scale
▪ Based on a test of strength and somatosensation
▪ Motor
Sensory

Question 11

Medical Intervention for SCI/D

Answer 11

▪ ABCDE algorithm of advanced trauma life
support
▪ Ensuring stability of airway, breathing, and circulation
and minimizing disability and exposure.
▪ Cervical collars, backboards, and orthotics
▪ Surgery to stabilize the spine
▪ Regulate their blood pressure and heart rate
▪ Avoidance of hypotension
▪ Tracheostomy
▪ Cough Assist
▪ Early mobilization

Question 12

What kinds of pain are commonly seen with
SCI/D?

Answer 12

▪ Mechanical
▪ Central
▪ Radicular

Question 13

How can OT address pain prevention/reduction?

Answer 13

▪ Energy conservation and work simplification
strategies
▪ Wheelchair/seating and positioning techniques
▪ Mental health maintenance

Question 14

How does SCI/D affect muscle tone?

Answer 14

▪ How can spasticity both impede and facilitate the performance
of certain ADLs?
▪ How is spasticity treated by physicians? By OT practitioners?

Question 15

Work capacity evaluation (WCE)

Answer 15

▪ Evaluates musculoskeletal abilities but also includes
the ability to perform work-related functions
▪ Looks not only at the injured area, but also identifies
abilities and problems that prohibit the client from
wholly engaging in a full RTW program Work Conditioning

Question 16

Developing the Client’s Work
Conditioning Program

Answer 16

▪ The occupational therapist and the OTA will
develop a problem list.
▪ In conjunction with the client, goals are developed.
▪ The occupational therapist and the OTA will plan
exercises and stretches to address the goals

Question 17

Documenting the Client’s Work
Conditioning Program

Answer 17

▪ Unlike other settings, the weekly progress notes
and reevaluation notes are directed to the referring physician.
▪ These notes, in a letter format, are completed every
Friday and cover the previous week’s sessions

Question 18

Work Hardening

Answer 18

8 hours per day, 5 days per week for up to 6
weeks

Question 19

Initial Evaluation in Work Hardening

Answer 19

Understanding the description of the job to
which the injured worker is going to be returning
is more important at this stage than when the
client was in the work conditioning phase

Question 20

Work Hardening Goals

Answer 20

Resolve or ameliorate the problems identified
▪Simulate real work activities

Question 21

Developing the Client’s Work Hardening Program

Answer 21

Client has to understand the reason behind the
revision and simulation
Resolving the client’s pain was a realistic goal

Question 22

Documentation in Work Hardening Program

Answer 22

Cover same information as a Work
Conditioning Program
▪Notes are to be completed every Friday and
cover the previous week’s sessions.
▪Reevaluations are to be completed every 2
weeks (10 sessions)

Question 23

Discharge criteria are met when:

Answer 23

• The client has demonstrated that he or she is able to
  RTW without restrictions.
  ▪ The client has demonstrated that he or she is able to
  RTW with restrictions as identified by the potential
  employer as reasonable.
  ▪ The client has plateaued in his or her progress

Question 24

Functional Capacity Evaluation (FCE)

Answer 24

An objective and comprehensive assessment
of a person’s demonstrated ability to sustain
work in a competitive job market

Question 25

Minimal required components of an FCE

Answer 25

▪ Initial interview ▪ Job analysis, where applicable ▪ Extensive, full body musculoskeletal assessment ▪ Education regarding anatomy and physiology ▪ Job-specific or client-specific dynamic lifting assessment ▪ Realistic simulated work activities ▪ 8 hours/day for multiple days in succession ▪ Distraction testing

Question 26

Repeatability

Answer 26

An FCE is not a record of the maximum a person is able to perform in all these areas of concern but, rather, is documented evidence in the FCR of the client’s demonstrated ability to sustain and repeat, day after day, within their pain tolerance.

Question 27

Cross checks for validity of effort

Answer 27

▪ Pain can not be measured objectively ▪ Monitor’s client’s vital signs and the way the client moves when the individual does not know that he or she is being observed

Question 28

Distraction testing

Answer 28

Uses non-traditional methods (not standardized tests) to determine abilities

Question 29

Symptom Magnifier

Answer 29

Individuals who magnify their pain behaviors, either consciously or unconsciously, for secondary gain

Question 30

Functional Capacity Report (FCR)

Answer 30

▪ The FCR is the concluding report of the FCE ▪ If a clearly written physical job description exists, the FCR will state conclusively whether or not the individual has demonstrated the ability to RTW.