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Rationales OT > AOTA/NBCOT Immediate things we need to know > Flashcards

AOTA/NBCOT Immediate things we need to know Flashcards

1
Q

Rancho I presents as?

OT?

A

No response (in coma stage) almost TOTAL A

OT: Sensory Stimulation, positioning

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2
Q

Rancho II?

OT?

A

Generalized response (respond to stimuli inconsistently to sounds/touch) TOTAL A

OT:Sensory stimulation, PROM, splinting

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3
Q

Rancho III?

OT?

A

Localized response (respond to pain stimuli or more specific stimuli, awake) TOTAL A

OT: Sensory Stimulation, PROM, visual/auditory tracking, safety adaptations

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4
Q

Rancho IV?

OT?

A

Confused Agitated

  • Alert
  • heightened state of activity
  • no STM
  • unable to cooperate with treatment
  • perform activities (sitting-standing) without any purpose and don’t really know what’s going on with your surroundings

OT: A/AAROM, begin ADLs, simple cognitive tasks, simple reaching

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5
Q

Rancho V?

OT?

A

Confused, inappropriate

  • inappropriate use of objects (apraxia) and words
  • Attention span is few mins
  • Disoriented
  • Cannot learn new tasks
  • Wander randomly

OT: A/AROM, simple reaching activities, single-step fine motor tasks, orientation to self, place; basic hygiene, SAFETY adaptations

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6
Q

Ranchi VI?

OT?

A

Confused Appropriate MOD A

  • Sometimes oriented
  • Attention span is up to 30 mins
  • Can follow simple directions
  • Complete familiar activities with supervision
  • May remember events but not details.

OT: Cognitive activities, like simple sequencing, short term memory, simple cold food prep, labels to compensate for memory

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7
Q

Rancho VII

OT?

A

Automatic Appropriate MIN A

  • IND for BADLs
  • Appropriate Behavior
  • Yes to new learning
  • Unrealistic future plans
  • Overestimating abilities
  • Able to follow schedule
  • Can initiate steps but forgets the purpose of what you’re doing

OT: Simple cooking tasks (microwave, oven, toaster), cognitive actvities

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8
Q

Rancho VIII

OT

A

Purposeful Appropriate

  • Both LTM and STM is INTACT
  • Can learn new information at a slower rate
  • May begin driving
  • Can compensate for problems
  • IRRITABLE

OT: Provide AT for memory aids,

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9
Q

Rancho IX

OT

A

Purposeful appropriate SBA

  • attend to more than 2 hours on a task
  • Can do work/leisure
  • Aware of impairments
  • Depression
  • Able to think about consequences
  • Self monitor appropriateness

OT: memory aids, emotional regulation for frustration tolerance, coping skills

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10
Q

Rancho X

A

Purposeful appropriate MOD I

  • able to multitask
  • IND maintains memory
  • anticipates consequences/impacts of impairments
  • socially appropriate
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11
Q

ASIA SCALE: A

A

Complete motor and sensory SCI

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12
Q

ASIA SCALE B:

A

INCOMPLETE: Sensory intact, but no motor function below the injury site

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13
Q

ASIA SCALE C

A

INCOMPLETE: Motor intact, but half of the muscles below neurologic level is graded
less than 3

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14
Q

ASIA SCALE D

A

INCOMPLETE: Motor function yes, but at least half of the muscles below the injury site is graded above 3

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15
Q

What muscle does C4 innervate?

A

Trapezius, Levator Scapulae, Diaphragm

Movement: breath on your own and shoulder elevation

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16
Q

What movement does C5 innervate?

A

Shoulder ABD

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17
Q

What movement does C6 innervate?

A

Wrist Extension, Elbow flexion

18
Q

What muscle does C7 innervate?

A

Elbow Extension, Wrist flexion

19
Q

What muscle does C8 innervate?

A

Thumb extension, finger flexion

20
Q

What muscle does T1 innervate?

A

Thumb ab/adduction

21
Q

What are sternal precautions?

A

No shoulder flexion above 90
No push/pull
No lifting beyond 10 lbs

22
Q

What do you expect in Phase 1 of Cardiac Rehab?

A

Inpatient- MET: 1-3.5

5-14 days since onset

  1. Prioritize and monitor vitals (EKG, pulse, BP)
  2. Progress ADL’s based on MET levels
  3. Monitory Sxs and activity tolerance
  4. Bed mobility WC move, transfers, Seated grooming/feeding, dressing
  5. HEP regarding activity guidelines,
  6. ID Appropriate DC place next (Home? subacute? Acute?)
23
Q

What do you expect in Phase 2 of Cardiac Rehab?

A

Outpatient MET: 3.5 +

  1. OT 3 days/week for 4-8 weeks
  2. Weight training 2-4 weeks if symptoms are controlled
  3. Warm Showers, Bowel movement, climb stairs, house chores, biking
  4. Work hardening if indicated
24
Q

What do you expect in Phase 3 of Cardiac Rehab?

A

Community—Maintenance

  1. only via physician referral
  2. Not covered by Medicare
25
Q

What does MET means?

A

Metabolic Equivalent of Task

26
Q

Stage 1: Met LEVEL 1- 1.4

A
  • Seated Feeding, Hands/face wash
  • Transfers
  • Bed mobility
  • Reading, light handwork, table games
27
Q

Stage 2: Met LEVEL 1.4- 2.0

A

Seated: bathing, grooming, shaving, dressing

  • Light ambulation
  • Unlimited sitting
  • Crafted activities while seated
  • NO ISOMETRIC EXERCISES
28
Q

Stage 3: Met LEVEL 2.0-3.0

A
  • Seated warm shower
  • Transfer of light items
  • Ironing
29
Q

Stage 4: Met LEVEL 3.0-3.5

A
  • STANDING: bathing, dressing , grooming, showeringWARM water,
  • light vacuum, light laundry
  • Unlimited ambulation distance
  • Climb Stairs
  • Driving
30
Q

Stage 5: Met LEVEL 3.5-4.0

A

WASH CLOTHES/dishes, ironing
hang light clothes, MAKE BED, Swimming
BM on toilet

31
Q

Stage 6: Met LEVEL 4.0-4.5

A

Most home management, SEX, HOT SHOWER

32
Q

Carpal Tunnel syndrome

A

median nerve compression presents with numbness in the 1st to 4th digit

33
Q

What is the OT tx for Carpal tunnel syndrome?

A

Avoid repetitive motions and place wrist in neutral with wrist cock-up splint, and median gliding exercises

34
Q

Cubital Tunnel syndrome

A

Ulnar compression at the elbow, presents with tingling and numbness along with forearm/hands, pain elbow, weak power grip.

Tests: Wartenberg and Froment

35
Q

What is OT tx for cubital tunnel syndrome?

A

Elbow splint

36
Q

Guyon’s canal syndrome

A

ulnar nerve compression at the hand

37
Q

What is OT tx for Guyon’s canal?

A

Wrist splint in neutral, work activity modification

38
Q

Pronator Teres

A

median nerve compression to forearm, no pain at night, palmar numbness

ELBOW SPLINT AT 90 WITH FOREARM NEUTRAL

39
Q

WHAT IS RADIAL NERVE PALSY?

A

Wrist drop treatment with wrist cock up splint

40
Q

What is Radial tunnel syndrome?

A

Forearm radial nerve injury

treated with wrist cock up (w/ surgery) or long arm splint (w/out surgery)

41
Q

What is ape hand deformity

A

high and low median injury loss of thumb ABD and default fixed position

Treated with C-bar splint with thumb opposition

42
Q

What is Claw hand deformity?

A

trauma to ulnar nerve, decreased power grip, trouble cutting

TX: ulnar nerve injury splint, dynamic static splint to MP flexion

Rationales OT (13 decks)

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