Flashcards in Extra Deck (51):
What is mirror therapy?
designed to strengthen arms/hands weakened by a stroke. We 'trick' the brain thinking that the weaker arm is moving.
visual perceptual assessment
The Motor-Free Visual Perceptual Test
-used w/the neurologically impaired.
-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
Standards of body mechanics
-bend from the hip
-maintain good posture
-carry loads close to the body
-lift w/a wide base of support
-Use a mask
-screening for anxiety, depression, fatigue
-assistance to maintain ROM and avoid pulling the burned skin
-Use water-based ointments
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
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.
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.
Cardiac Rehab Phase 1 of OT Treatment
-monitor electrocardiogram, blood pressure, pulse
-Activity according to Metabolic equivalent (MET) levels
Cardiac Rehab Phase 2 of OT Treatment
-Exercise and activity tolerance with progression of MET levels
-weight training at 2-4 weeks
Cardiac Rehab Phase 3 of OT Treatment
Ability to place the needs of others before their own.
The desire to promote fairness in interactions w/others
The desires of the client must guide OT interventions
In a fair and impartial manner to individuals w/whom they interact and respect and adhere to the laws/standards of practice
Treating clients respectfully as a person and allowing the client to engage in meaningful occupations regardless of disability
Use of clinical and ethical reasoning skills, sound judgement and reflection to make decisions
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
OT personnel shall refrain from actions that cause harm.-Locking wheelchair breaks
-Not practicing under influence of drugs/alcohol
OT personnel shall respect the right of the individual to self-determination
-Refuse OT services
-Safeguarding privacy/confidentiality of pts w/HIPPA
OT personnel shall provide services in a fair/equitable manner
-Assisting at a health fair
-Treating clients fairly
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
OT personnel shall provide comprehensive, accurate, and objective information when representing the profession.
-Documentation is accurate/truthful
OT personnel shall treat colleagues and other professionals with respect, fairness and integrity.
-Treating everyone w/respect and not divulging personal info to others
Anticontracture Positioning: Neck
Netural to slight extension
Anticontracture Positioning: Elbow
Anticontracture Positioning: Axilla (armpit)
Shoulder abduction to 90 degree, external rotation
Anticontracture Positioning: Forearm
Neutral to supination
Is critical because the position of greatest comfort is usually the position of contracture
Anticontracture Positioning: Dorsal Wrist
Wrist in neutral to 30 degree extension
Anticontracture Positioning: Volar Wrist
Wrist in 30-45 degrees extension
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
Observable, concrete, goal-directed actions.-Small, measurable units of actions that are observed:
-emotion regulation skills
-communication and social skills
One side of the pelvis is lower than the other side, which and lead to pressure ulcers
The pelvis rotates posteriorly, resulting in sacral sitting and flexion of the lumbar spine
-clients tend to slide forward on the seat.
The pelvis rotates to one side - resulting in the spine/trunk moving to the opposite side.
The pelvis rotates anteriorly, increasing the curvature of the lumbar spine - clients use UE for support
The pelvis rotates laterally, with the thighs moving to the other side
The goal for the thighs in a wheel are?
to be parallel to the floor .
Armrest height should be?
1 inch higher from the seating surface to the bottom of the clients flexed elbow
Short Term Goals
Steps to reach long-term goals.
Goals the client is expected to achieve on discharge
Medicare Part A
-Stays in hospitals
-Short-term stays at SNF
-Some Home HealthSNF Coverage
-100 days at a SNF
Medicare Part B
Supplementary medical insurance Covers:
-Some Home Health
-Pts pay a premium each month
-Covers 80% of the cost (Pt needs other insurance to pay for the other 20%)!!!
Medicare Plan C
Offered by a private company that contracts w/Medicare
Medicare Plan D
Prepaid organized delivery system where the organization and the primary care physicians assume some financial risk for the care provided to the members
People can go directly to a specialist w/o going through the primary care physician.