Everything Flashcards
(104 cards)
1
Q
Leisure Assessment Inventory (LAI)
A
Measures adult leisure behaviors 4 Components: 1. Leisure Activity Participation Index 2. Leisure Preference Index 3. Leisure Interest Index 4. Leisure Constraint Index
2
Q
Leisure Barriers Inventory
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Interview style assessment used to measure leisure barriers in 8 areas: leisure partners, activity skills, time, money, leisure resources, transportation, age, disability
3
Q
State Technical Institute Assessment Process (STIAP)
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Adults with physical disabilities
Measures general scope of leisure activity skills which provides the basis for program decision making
More balanced program and leisure skills
4
Q
Leisure Competence Measure
A
Coincides with FIM and can be used with most populations
Measures OUTCOMES of recreational therapy
5
Q
Leisure Diagnostic Battery (LDB)
A
Assesses current leisure functioning and perceived freedom in leisure Based on attribution theory 5 sections: 1. Freedom 2. Control 3. Needs 4. Involvement 5. Playfulness
6
Q
Leisurescope
A
Measures interest in leisure, emotional motivation and risk-taking activity attraction
Uses pictures
7
Q
Intake Assessment Report
A
Helps RT set goals consistent with a lead doctors treatment goals
8
Q
Health Protection/Health Promotion Model
A
Emphasizes self actualization
- Help person recover from threats to health (health protection)
- Help person achieve optimal health (health promotion)
-use prescriptive activities, recreation and leisure
Clients health behavior is influenced by 8 beliefs
9
Q
Therapeutic Recreation Activity Assessment (TRAA)
A
Adult clients with TBI, DD, psychiatric disabilities, or receiving supported care like residents of a nursing home, group home, adult daycare center, or assisted living facility. Originally piloted with clients with Alzheimer’s. burlingame noted the assessment is one of the best for use with people who have severe mental illness. Also can be used with geriatric and gero-pscyhiatric clients.
Purpose: To assess basic functional skills as demonstrated in a group setting
Measures 6 areas: Fine motor skills, gross motor skills, receptive communication, expressive communication, cognitive skills, and social behaviors
Uses interview and series of activities (game, exercises, and arts and crafts activity)Has a protocol for establishing departmental levels of interrater reliability
10
Q
Sentinel Event
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Unplanned incident within a healthcare facility that results in death or psychological damage to a patient
11
Q
Prospective Payment System PPS
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Purpose:
- Focus on client-centered provision of services
- Sets but does not limit costs
- Making sure that medicare recipients do have access to the same heath care services as others
- Assure quality of health care services provided
RT is included in #1
12
Q
Problem-Oriented Medical Record (POMR)
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organized around patient problems
Divided into data base, a problem list, an initial plan and progress notes
13
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Source-Oriented Medical Record (SOMR)
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Divides each section by discipline
Nurse notes, TR notes, medical notes, etc
14
Q
Quality Improvement
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Purpose: Implement specific changes to healthcare which have measurable improvement for a group of patients
Measured through patient satisfaction
15
Q
Utilization Review
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focuses on resources of department or agency that are over utilized and under utilized
Should be included in the TR written written plan of operation
16
Q
3rd Party Payer
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Health insurance company
17
Q
Multiple Sclerosis
A
Affects the nervous system and can cause atrophy and restrict ROM and flexibility.
ROM exercises are important
Exercise Therapy helps with QOL, physical and numerological function
18
Q
Muscular Dystrophy
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group of hereditary diseases characterized by degeneration of muscle and weakness
Activities that encourage movement are important
19
Q
Spina Bifida
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Activities to strengthen muscles are important
20
Q
Cerebral Palsy
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GMS Activities (coordination)
21
Q
Left Hemisphere Brain Damage
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Impaired language, memory
Use physical gestures, modeling, demonstrations, reality orientation
22
Q
Right Hemisphere Brain Damage
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Impair visual, spatial, dept perception
Use verbal directions, remove distractions, Leisure education
23
Q
Phenylketonuria
A
Metabolic disorder where the body can’t process trace amounts of copper in foods
24
Q
Ottis Media
A
Conductive hearing loss
Middle ear infection from fluid buildup, if untreated pressure build up can lead to ruptured eardrum
25
Conductive
Any hearing loss caused by outer or middle ear
26
Sensorineural
hearing loss caused in inner ear, nerves, and or brain
27
TBI
Acquired injury resulting from trauma to the brain
Mild: GCS 13-15 (concussion like symptoms)
Moderate: GCS 8-12 w/ loss of consciousness (persistent confusion and functional impairments)
Severe: GCS 7 or lower with prolonged unconsciousness and/or coma (severe functional impairments)
28
Ranchos Los Amigos Scale
TBI outlines predictable sequence of cognitive and behavioral recovery seen w/ brain injury
Level 1: no response (coma)
Level 2: Generalized response (limited & delayed)
Level 3: Localized Response (reacts to light/sound, pain)
Level 4: Confused-agitated (alert, restless)
Level 5: Confused-non agitated
Level 6: Confused-Appropriate (follows simple direction)
Level 7: Automatic-appropriate
Level 8: Purposeful-Appropriate
29
Glasgow Coma Scale
measures motor response, verbal response, and eye opening
levels based on points
30
Frontal Lobe
judgement, reasoning, motivation
31
Parietal lobes
sensations of touch, perception
32
Temporal lobes
memory function, receptive language and behavior
33
Occipital lobes
vision
34
Brain stem
controls basic functions
35
cerebellum
controls motor coordination, muscle tone & balance
36
Life Satisfaction Scale
measures perceived satisfaction with life
1. Pleasure vs. Apathy
2. Determination
3. Desired/ Achieved goals
4. Mood
5. Self Concept
37
Gullian Barre Syndrome
autoimmune disorder that attacks the nervous system causing weakness, ataxia and progressing paralysis
Begins with lower extremities and ascends bilaterally
38
TR for Gullian Barre Syndrome
Relaxation Therapy, stress management, leisure education, adaptive activities, movement activities
39
TR for TBI
Leisure ed, endurance, safety, functional skills, compensation strategies, community re-entry
40
Bond-Howard Assessment on Neglect in RT (BANRT)
Measures scope and density of individuals with visual neglect
41
SCI
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Cervical 8
C4: Diaphragm
C5: Shoulder
C6: Wrist
T1: Hand
L2: Hips
L4-S1: Foot
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42
General Recreation Screening Tool (GRST)
Developmental Disabilities
0-6 months 7-10 years
Measures general development of functioning
43
CERT-PB
Psychiatric setting
44
4 Areas of functional intervention
1. Physical
2. Cog/ Mental
3. Affective
4. Social
45
4 Behavioral Domains
1. Psycho-motor (physical)
2. Affective (psych)
3. Social (interactional)
4. Cognitive (intellectual)
46
ABC Framework of International Functioning
A: clarify relationship with activating events
B: Beliefs about them
C: Cog, emotional, or behavioral consequences of our beliefs
47
5 Basic Needs of Glasser's Reality Therapy
1. Power 2. Love + Belonging 3. Freedom 4. Fun 5. Survival
48
The Recreation Behavior Inventory
Observe the clients behavior in 20 different activities in order to evaluate skills (Sensory, Motor and Cognitive) as a pre-rec to leisure participation
Intended use for children, also used in psychiatric and long term care settings
49
Five stages of substance abuse
1. Experimentation
2. Regular Use
3. Problem Use
4. Dependence
5. Addiction
50
Task/Activity Analysis Steps
1. Separate the activity into component parts
2. determine what the client needs to know to participate
3. Assess the client for physical skills required
4. Assess what modifications are required
51
Attribution Model
To what I attribute my success and failures
4 Factors to determine success or failure:
1. Ability
2. Effort
3. Difficulty to task
4. Luck
52
Type 1 Outcome Oriented Program
Designed to a large group of clients so there is little focus on individual needs and goals
All clients receive the same program, program usually intended for socialization & entertainment (movies, games like bingo)
Long-term care facilities and group homes
53
Flat
Blank facial expression
54
Blunted
Reduced or minimal emotional response
55
Labile Affect
Changing rapidly
56
Under the IDEA requirements, A functional behavioral assessment for children includes assessment of the following
1. Precipitating Conditions (Setting, Situation prior to onset of behavior)
2. Specific Behavior Observed
3. Consequences
4. Function of Behavior (assumed reason for behavior)
57
CAGE Tool
C: Cutting down
A: Annoyed at criticism
G: Guilty feeling
E: Eye opener
2 out 4 indicates drinking problem
58
4 Criteria for Active Treatment
1. Prescribed and supervised by physician
2. Based on assessment & individualized treatment plan
3. Specified duration. intensity, & frequency of interventions
4. Positive outcomes expected
59
Therapeutic Recreation Outcome Model
- extension of Service Delivery Model
- looks at products / outcomes of the delivery of TR services
- takes into account changes in functional capacities and health status that will impact quality of life
60
Steps to Ethical Decision Making
1. Gather facts and info
2. Assess if ethical problem is present
3. Identify alternative actions
4. Identify consequences
5. Choose action
6. Evaluate
61
4 Core Values of Recreational Therapy
1. Right to leisure
2. Autonomy
3. Optimal Health
4. Quality of life
62
Digital Repetition Test
Used to assess attention
| Scores less then 5 indicate impaired attention
63
Leisure Activity Blank (LAB)
Focuses on past and future
Assesses types and degrees of activity client participated in prior to disability and can serve as a guide for selecting activities clients may enjoy
64
Proprioceptive
position and movement impairment
65
Clinical Problem Solving
1. Define the issue
2. Collect data
3. Identify important concepts
4. Consider reasons
5. Decision
66
Negligent conduct
Failure to provide reasonable care to another, based on standards and expertise
67
Gross Negligence
Willful provision of inadequate care
68
Therapeutic Recreation Accountability Model
1. Assessment
2. Treatment plan
3. Progress Notes
4. Discharge/referral summaries
Focuses on accountability and documentation
69
4 Steps of Risk Management
1. Identify
2. Analysis
3. Prevention
4. Assessment
70
Therapeutic Service Delivery Model
1. Diagnosis/needs assessment
2. Treatment/ rehabilitation
3. Leisure Education
4. Health Prevention/ Health Promotion
71
Motivational Interviewing
Role motivation has to bring about change
Elements:
Collaboration
Evocation (Draw ideas out of clients)
Autonomy (clients responsible to make change)
72
Activity Therapy Model
Similar to the medical model but is a blurring of different departments
73
Experimental Learning Model
The process of making meaning from direct experience.
Experiential Learning is learning from experience.
The experience can be staged or left open.
Staged experiential learning is often called a Dynamic Learning Experience (DLE)
Kolb's Model of Experiential Learning
74
Theory if Reasoned Action (TRA)
Derived from the attitude model
Can predict actions based on personal attitude and perception of how others will view them
Used as a basis for the practices of health education
Developed in the 1960's
Tool for observing behaviour and developing interventions based on those observations
Person intention is the main factor
Intention is a function of attitude and subjective norm:
Attitude: concerns a person's belief that their behaviour will produce a beneficial outcome
Subjective norm: whether key people in the person's life support the behaviour, and whether the subject Is inclined to agree with them
75
Theory of Planned Behavior (TPB)
A persons intention of doing something is the main factor in determining whether he will actually do it
Behavior attention does not necessarily result in action
Builds on TRA by adding a their indicator of a person's intent:
Perceived behavioral control: whether the person believes he can control the conditions necessary for change to occur
76
Transtheoretical Model
Six stages of behaviour change and advocated various interventions to keep clients motivated:
1. Pre-contemplation - client does not feel they have a problem. (Interventions would involve making him/her aware of the problems)
2. Contemplation - client admits a problem, but is still not sure if he/she wants to change. (Interventions would include encouraging the subject to make specific plans to change.)
3. Preparation/commitment - client realizes a need to change and gathers information. (Interventions would include setting goals; awareness of the positives vs. the negatives of change)
4. Action - client follow a plan for change behaviors.
(Interventions involve providing feedback and support.)
5. Maintenance - client sees the benefits of the new behaviors. (Interventions including helping in case of relapse; continues feedback and support)
6. Termination - client can't imagine ever doing the old behavior. (Interventions include proving help when needed and continuing to offer support.)
77
Therapeutic Milieu Model
Where every person & interaction can be therapeutic.
Everyone has equal impact.
Emotional problems are often the product of unhealthy interactions with one's environment
Staff are organized as a caring community
Primary therapist = most effective relationship
78
Rehabilitative Model
Activities of Daily Living: Activities related to personal care
These Include: bathing, showering, dressing, getting in and out of bed or a chair, using the toilet, and eating
A plan of care must be developed that allows for meeting both the physical and psychosocial needs of the client/patient
Two types of goals:
1. Rehabilitative - the goal of restoring independence
2. Habilitative - helping the person function at their highest level
79
Optimizing Lifelong Health Model
Therapeutic recreation specialists work with individuals who have illness, disease, and/or lifelong disability to achieve and maintain leisure lifestyles that will enhance their health and well-being across the life course.
```
Through the elements of
o selecting
o optimizing
o compensating
o evaluating
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80
Havighurst developmental tasks
Early childhood: learn walking, toilet, talk
Middle childhood: school related skills, conscious + values, independence
Adolescence: skills for occupation, emotional independence, social role
Early Adulthood: life partner, establish family, +career, take care of a home
Middle Adulthood: civic + social responsibility, maintain standard of living, caring for teens, adjust to physiological change
Late Maturity: Deteriorating health, retirement, loss of spouse
81
Health Belief Model
Predicts health behavior w/ understanding that people take health action to avoid negative outcome.
82
CTRS credential
Rectified every 5 years
| Recertification requires 50 hours of continuing ed and 480 total hours of work
83
Diverging
Concrete experience and reflective observation
84
Assimilating
Abstract conceptualization and reflective observation
85
Converging
Abstract conceptualization and active experimentation
| Accommodating: concrete experience and active experimentation
86
Accommodating
Concrete experience and active experimentation
87
Kolb Model
Acquiring knowledge through grasping experiences and transforming that experience into knowledge through cognitive process and perception
88
Pseudohypertrophic (Duchenne) muscular dystrophy
Enlargement of muscles by fatty infiltration, which causes contractors and deformities of joints
Progresses rapdily
89
Facioscapulohumeral (MD)
weakness in upper arms, shoulders angled forward, and lack of facial mobility
90
Limb Girdle MD
weakness of proximal musical of the pelvic and shoulder girdles
91
Oculopharyngeal MD
weakness of eyelid muscles and throat muscles
92
FIM
Purpose: make measurements and data on disability and rehabilitation
Level 7 = complete independence;
Level 6=modified independence;
Level 5= client requires supervision or set up;
Level 4= minimal contact assistance, client performs 75% or more of the task;
Level 3= moderate assistance, client performs 50-74% of task;
Level 2=maximum assistance, client performs 25-49% of task;
Level 1= dependent/total assistance, client performs less than 25% of task;
93
Pre transfer assessment should include
Physical, cognitive and emotional status
94
Screening child for hearing loss
0-6 months: Otoacoustic emissions or auditory brain stem response
6-24 months: visual reinforcement audiometry
2-5: conditioned play audiometry
5+: standard audiometry
95
PPO
Provides discounted rates for those on medicare who have agreed to accept medicare assignment
96
COPD
Progressive airflow limitation.
Inflammatory response that causes a narrowing of the peripheral airways and a thickening of the vessel walls of the pulmonary vasculature.
Exertional dyspnea and chronic cough.
97
Mini-Cog Test
Assesses dementia
| Remember and repeat common objects and draw a clock face with a time
98
MMSE
Assesses dementia w/ a series of tests (remembering names, counting backwards, providing location, copying shapes and following directions
99
Digit Repition test
Assesses attention
100
ASIA (American Spinal Injury Association) Impairment Scale
Used to classify the degree of Spinal Cord Injury and degree of strength of 10 key muscles
101
WHODAS
Psychiatric assessment
102
Global Assessment of Functioning GAF
This is considered one of the most often used scales for assessing impairment in clients with psychiatric disorders. Mental health and social work practitioners use it during patient or caregiver interviews. It is a helpful tool for tracking individual patient's clinical progress.
103
Global Deterioration Scale
also called the Reisberg Scale, to measure the progression of Alzheimer's disease. This scale divides Alzheimer's disease into seven stages of ability.
104
Ohio Scale of Leisure Functioning
Evaluation for recreational therapy
Individuals with MR/DD
Purpose: To obtain functioning levels
Measures 3 areas: functional skills, behavioral skills, and social/communication skillsd.Used specific activities to assess area
