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7/13/15 NBCOT Exam > Extra > Flashcards

Flashcards in Extra Deck (51):
1

What is mirror therapy?

designed to strengthen arms/hands weakened by a stroke. We 'trick' the brain thinking that the weaker arm is moving.

2

visual perceptual assessment

The Motor-Free Visual Perceptual Test

-used w/the neurologically impaired.

3

Prosthetic Interventions

-Don/doff prosthesis
-training in limb hygiene
-wound healing w/whirlpools and massage
-limb shrinkage and shaping
-desensitization of the limb through WB on surfaces, massage, tapping/rubbing
-increasing flexibility/strength of limb to prevent flexion contractures

4

Standards of body mechanics

-bend from the hip
-avoid twisting
-maintain good posture
-carry loads close to the body
-lift w/a wide base of support

5

Chemotherapy Precautions

-Use a mask
-restricted diet
-screening for anxiety, depression, fatigue

6

Radiation Precautions

-assistance to maintain ROM and avoid pulling the burned skin
-Use water-based ointments

7

Principles of Joint Protection/Fatigue Management

-maintain muscle strength and joint ROM
-Use each joint in its most stable anatomical/functional plane
-avoid positions of deformity
-Use the strongest joint-avoid staying in one position for long periods

8

Therapeutic Use of Self Definition

The use of one's self in a therapeutic manner to enter into a relationship that has a therapeutic outcome.-OTs who are aware of their own personality, leadership, and communication styles are better able to establish rapport w/clients in a helping relationship.

9

Sternal Precautions are:

-Do not lift more than 8 pounds. (A gallon of milk weighs 8 pounds.)
-Do not push or pull with your arms when moving in bed and getting out of bed.
-Do not flex or extend your shoulders over 90°.
-Avoid reaching too far across your body.
-Avoid twisting

10

Cardiac Rehab Phase 1 of OT Treatment

-monitor electrocardiogram, blood pressure, pulse
-Activity according to Metabolic equivalent (MET) levels

11

Cardiac Rehab Phase 2 of OT Treatment

-Exercise and activity tolerance with progression of MET levels
-weight training at 2-4 weeks
-work hardening

12

Cardiac Rehab Phase 3 of OT Treatment

-stress test

13

Altruism

Ability to place the needs of others before their own.

14

Equality

The desire to promote fairness in interactions w/others

15

Freedom

The desires of the client must guide OT interventions

16

Justice

In a fair and impartial manner to individuals w/whom they interact and respect and adhere to the laws/standards of practice

17

Dignity

Treating clients respectfully as a person and allowing the client to engage in meaningful occupations regardless of disability

18

Truth

Accurate information

19

Prudence

Use of clinical and ethical reasoning skills, sound judgement and reflection to make decisions

20

Beneficence

OT personnel shall demonstrate a concern for well-being and safety of pts-Maintain current knowledge by attending EB sessions

-Use current/updated assessment tools to get accurate data

21

Nonmaleficence

OT personnel shall refrain from actions that cause harm.-Locking wheelchair breaks
-Not practicing under influence of drugs/alcohol

22

Autonomy/Confidentiality

OT personnel shall respect the right of the individual to self-determination

-Refuse OT services
-Safeguarding privacy/confidentiality of pts w/HIPPA

23

Social Justice

OT personnel shall provide services in a fair/equitable manner
-Assisting at a health fair
-Treating clients fairly

24

Procedural Justice

OT personnel shall comply w/institutional rules, local, state, federal and international laws-Learning about laws and regulations that impact OT services.

-Following reimbursement guidelines for different payer sources

25

Veracity

OT personnel shall provide comprehensive, accurate, and objective information when representing the profession.

-Documentation is accurate/truthful
-Avoiding plagiarism

26

Fidelity

OT personnel shall treat colleagues and other professionals with respect, fairness and integrity.

-Treating everyone w/respect and not divulging personal info to others

27

Anticontracture Positioning: Neck

Netural to slight extension

28

Anticontracture Positioning: Elbow

Extension

29

Anticontracture Positioning: Axilla (armpit)

Shoulder abduction to 90 degree, external rotation

30

Anticontracture Positioning: Forearm

Neutral to supination

31

Anticontracture Positioning

Is critical because the position of greatest comfort is usually the position of contracture

32

Anticontracture Positioning: Dorsal Wrist

Wrist in neutral to 30 degree extension

33

Anticontracture Positioning: Volar Wrist

Wrist in 30-45 degrees extension

34

What are activity demands?

The features of an activity that influence the type and amount of effort required to perform the activity.-objects-physical space-social demands-sequence and timing-actions/skills needed-required body functions/structures used

35

Performance Skills

Observable, concrete, goal-directed actions.-Small, measurable units of actions that are observed:
-motor/praxis skills
-sensory/perceptual skills
-emotion regulation skills
-cognitive skills
-communication and social skills

36

Pelvic Obliquity

One side of the pelvis is lower than the other side, which and lead to pressure ulcers

37

Kyphosis

The pelvis rotates posteriorly, resulting in sacral sitting and flexion of the lumbar spine

-clients tend to slide forward on the seat.

38

Scoliosis

The pelvis rotates to one side - resulting in the spine/trunk moving to the opposite side.

39

Lordosis

The pelvis rotates anteriorly, increasing the curvature of the lumbar spine - clients use UE for support

40

Windswept deformity

The pelvis rotates laterally, with the thighs moving to the other side

41

The goal for the thighs in a wheel are?

to be parallel to the floor .

42

Armrest height should be?

1 inch higher from the seating surface to the bottom of the clients flexed elbow

43

Short Term Goals

Steps to reach long-term goals.

44

Long-term goals

Goals the client is expected to achieve on discharge

45

Medicare Part A

"Hospital Insurance"
-Stays in hospitals
-Short-term stays at SNF
-Hospice
-Some Home HealthSNF Coverage
-100 days at a SNF

46

Medicare Part B

Supplementary medical insurance Covers:
-Outpatient care
-Physician visits
-OT
-Some Home Health
-Supplies/equipment
-Pts pay a premium each month

-Covers 80% of the cost (Pt needs other insurance to pay for the other 20%)!!!

47

Medicare Plan C

Offered by a private company that contracts w/Medicare

48

Medicare Plan D

Prescription drug

49

HMO

Prepaid organized delivery system where the organization and the primary care physicians assume some financial risk for the care provided to the members

50

PPO

People can go directly to a specialist w/o going through the primary care physician.

51

POS

Allows people to refer themselves to physicians who do not belong to the network.