Week 5 Flashcards
T/F: In an Assisted Living facility, OT’s role is consultative
in nature
True: most of the people in AL only require minimal assistance with basic ADL and medication management
T/F:In an Assisted Living facility, OT’s role is to foster and enhance habits and routines, personal care skills and simple home care, leisure activities with environmental supports (assistive tech.)
True
T/F: The three settings OT’s will work with (in this class’ context) are: Assisted Living, SNF, and ECF (extended care facility)
True
Can residents in assisted living receive skilled medical care ?
No
T/F: With Medicare, 365 days of stay at a SNF is covered.
False, 100 days
T/F: Approx. 1.4 million people live in nursing homes.
True
Omnibus Budget Reconciliation Act (OBRA) was legislation that was a catalyst for change in nursing homes.
T - OBRA focused on wellness and nursing homes now were accountable for following state/national guidelines, or else…
Under OBRA, three main categories of nursing homes care are: skilled (high-level medical care), rehabilitative (improvements expected with discharge to less restrictive environment), true long term care
True
T/F: 50% of 85+ live in nursing homes
True
Regulations DO specifically name OT as the provider for residents in long-term care in regards to function, activity, etc…
False - they don’t , it can be qualified therapeutic recreation specialist or activities professional, someone with 2 years of experience in a social or recreational program, someone who has completed a training course approved by the state, OR AN OT.
T/F: In LTC settings , not only is it about occupational deprivation and disempowerment, but communication between interdisciplinary team members is challenging.
Hell yeah bro
T/F: The Green House Project/Eden Alternative, Wellspring Model, LEAP Initiative, and Village to Village models are examples of suggested paradigm shifts from a medical model to person-centered model in nursing homes.
True
T/F: The Eden Alternative encourages a more homelike environment in the nursing home and to allow direct-care workers to be more involved in decision making.
True
T/F: “Green Houses” provide a structural alternative in the form of specially designed houses for elderly residents as well as the empowerment of direct-care workers
True
The Wellspring Model encourages nursing homes to work together to teach line staff the best clinical practices and to move away from the typical nursing home culture of control
True
The LEAP initiative alters how the nursing home workforce is viewed and treated by nursing home management.
True
Psychological empowerment refers to an individual’s feeling or perception of his/her contribution to the workplace and typically includes: meaningfulness of the work, perceived competency or self efficacy, one’s self-determination and one’s perceived impact on outcomes
True
Shared governance is a dynamic partnership that promotes collaboration, shared decision making and accountability for improving quality of care, safety, and enhancing work life.
True
Shared governance is based on principles of autonomy, shared decision making, and engaged participation.
True
Shared governance does not empower both residents and staff!
False
Personal characteristics that have been reported to affect a CNA’s structural decision-making include gender, positive attitudes, emotional exhaustion and one’s perceived work.
True
