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7/13/15 NBCOT Exam > Extra > Flashcards

Extra Flashcards

1
Q

What is mirror therapy?

A

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

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2
Q

visual perceptual assessment

A

The Motor-Free Visual Perceptual Test

-used w/the neurologically impaired.

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3
Q

Prosthetic Interventions

A
  • 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
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4
Q

Standards of body mechanics

A
  • bend from the hip
  • avoid twisting
  • maintain good posture
  • carry loads close to the body
  • lift w/a wide base of support
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5
Q

Chemotherapy Precautions

A
  • Use a mask
  • restricted diet
  • screening for anxiety, depression, fatigue
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6
Q

Radiation Precautions

A
  • assistance to maintain ROM and avoid pulling the burned skin
  • Use water-based ointments
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7
Q

Principles of Joint Protection/Fatigue Management

A
  • 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
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8
Q

Therapeutic Use of Self Definition

A

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.

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9
Q

Sternal Precautions are:

A
  • 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
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10
Q

Cardiac Rehab Phase 1 of OT Treatment

A
  • monitor electrocardiogram, blood pressure, pulse

- Activity according to Metabolic equivalent (MET) levels

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11
Q

Cardiac Rehab Phase 2 of OT Treatment

A
  • Exercise and activity tolerance with progression of MET levels
  • weight training at 2-4 weeks
  • work hardening
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12
Q

Cardiac Rehab Phase 3 of OT Treatment

A

-stress test

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13
Q

Altruism

A

Ability to place the needs of others before their own.

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14
Q

Equality

A

The desire to promote fairness in interactions w/others

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15
Q

Freedom

A

The desires of the client must guide OT interventions

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16
Q

Justice

A

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

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17
Q

Dignity

A

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

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18
Q

Truth

A

Accurate information

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19
Q

Prudence

A

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

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20
Q

Beneficence

A

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

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21
Q

Nonmaleficence

A

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

22
Q

Autonomy/Confidentiality

A

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

  • Refuse OT services
  • Safeguarding privacy/confidentiality of pts w/HIPPA
23
Q

Social Justice

A

OT personnel shall provide services in a fair/equitable manner

  • Assisting at a health fair
  • Treating clients fairly
24
Q

Procedural Justice

A

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
Q

Veracity

A

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

  • Documentation is accurate/truthful
  • Avoiding plagiarism
26
Q

Fidelity

A

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
Q

Anticontracture Positioning: Neck

A

Netural to slight extension

28
Q

Anticontracture Positioning: Elbow

A

Extension

29
Q

Anticontracture Positioning: Axilla (armpit)

A

Shoulder abduction to 90 degree, external rotation

30
Q

Anticontracture Positioning: Forearm

A

Neutral to supination

31
Q

Anticontracture Positioning

A

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

32
Q

Anticontracture Positioning: Dorsal Wrist

A

Wrist in neutral to 30 degree extension

33
Q

Anticontracture Positioning: Volar Wrist

A

Wrist in 30-45 degrees extension

34
Q

What are activity demands?

A

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
Q

Performance Skills

A

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
Q

Pelvic Obliquity

A

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

37
Q

Kyphosis

A

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

-clients tend to slide forward on the seat.

38
Q

Scoliosis

A

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

39
Q

Lordosis

A

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

40
Q

Windswept deformity

A

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

41
Q

The goal for the thighs in a wheel are?

A

to be parallel to the floor .

42
Q

Armrest height should be?

A

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

43
Q

Short Term Goals

A

Steps to reach long-term goals.

44
Q

Long-term goals

A

Goals the client is expected to achieve on discharge

45
Q

Medicare Part A

A

“Hospital Insurance”

  • Stays in hospitals
  • Short-term stays at SNF
  • Hospice
  • Some Home HealthSNF Coverage
  • 100 days at a SNF
46
Q

Medicare Part B

A

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
Q

Medicare Plan C

A

Offered by a private company that contracts w/Medicare

48
Q

Medicare Plan D

A

Prescription drug

49
Q

HMO

A

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

50
Q

PPO

A

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

51
Q

POS

A

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

7/13/15 NBCOT Exam (12 decks)

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