Final Flashcards

1
Q

Explain the distinction between using an Occupation as Means vs. End:

A

Occupation as a Means:
• Occupation is used in intervention to help client work toward their goal.

Occupation as an End:
• Prepatory interventions, tasks, activities, or other types of interventions are used to reach those particular goals.

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2
Q

What makes up the Intervention Process?

A

3 Steps:

1) Plan: based on Evidence, Theory, & FORs.
2) Implementation: target identified outcomes/goals.
3) Review: The intervention plan & any progress toward outcomes/goals.

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3
Q

What factors does the OT take into account when creating the Intervention Plan?

A
Client's
• Performance Skills & Patterns
• Goal
• Values
• Health
• Surrounding Context & Environment
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4
Q

What should be determined along with Goals?

A
  • Relevant time frame.

* Outcome measures to analyze progress toward goal.

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5
Q

What factors does the OT need to determine when forming the Intervention Plan?

A
  • Goals
  • Outcome Measures
  • Intervention Approaches
  • Service Delivery Models
  • Relevant Time Frame for intervention
  • Discharge needs
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6
Q

What does it mean for the OT to create, promote?

A

“Assumed disability will not interfere with performance; provides enriched activity experience that enhances performance for all persons.

E.g., Developing a fatigue management program for a client recently diagnosed with MS.

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7
Q

What does it mean for the OT to Establish, Restore (remediation, restoration)?

A

“Changes client variables to establish a new skill or restore an impaired skill.”

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8
Q

What does it mean for an OT to Maintain?

A

“Allows a client to Preserve performance capacities.”

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9
Q

What does it mean for an OT to Modify (compensation, adaptation)?

A

The OT “focuses on revising a context or activity.”

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10
Q

What does it mean for the OT to Prevent (disability prevention)?

A

“Clients with or without disiability; prevents occurrence in clients that are at risk for performance problems.”

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11
Q

Describe & give an example of Occupation Interventions Type:

A

• Description: Broad & specific daily life events that are personalized & meaningful to the client.

• E.g., Client completes morning dressing & hygiene using adaptive devices.
(Occupation as means)

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12
Q

Describe & give an example of Activities Intervention Type:

A
  • Description: Components of occupations that are objective & separate from the client’s engagement or contexts.
  • E.g., Client selects clothing & manipulates clothing fasteners in advance of dressing.
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13
Q

What are the 6 main types of OT interventions?

A

1) Occupations & Activities
2) Interventions
3) Virtual Interventions
4) Advocacy
4) Group Interventions
5) Education & Training

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14
Q

Explain the Occupation & Activities type of Intervention:

A

E.g.,

“Client makes a meal using adaptive devices.”

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15
Q

Explain the Interventions to Support Occupations type of intervention:

A

E.g.,

“OT Practitioner applies a heat pack to decrease pain & joint stiffness.”

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16
Q

Explain the Education type of intervention:

A

Imparting knowledge & info to help client acquire helpful behaviors, habits, routines.

E.g.,
“OT practitioner provides instruction to a caregiver on how to protect their back during transfers.”

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17
Q

Explain the Advocacy type of intervention:

A

E.g.,
“OT practitioner advocates to & collaborates with the local school board to get a handicap-accessible playground swing for his/her students.”

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18
Q

Explain the Group Interventions type of interventions:

A

E.g.,

“A communication skills group on an adolescent psych unit.”

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19
Q

Explain the Virtual Interventions type of intervention:

A

E.g.,

“OT Practitioner provides a telehealth session with a child & parent who are unable to travel to clinic.”

20
Q

What are the steps of implementing the Outcome Measure Process?

A

1) Select the measure appropriate for client’s goals & situation.
2) Monitor progress, adjust goals & interventions, & modify plans for discharge.

21
Q

Explain the Outcome: Occupational Performance

A

Act of doing & accomplishing a selected action, activity or occupation through improvement or enhancement.

22
Q

Explain the Outcome: Improvement

A

Increased occupational performance through adaptation when a performance limitation is present.

23
Q

Explain the Outcome: Enhancement

A

Development of performance skills & performance patterns that augment existing performance of life occupations when a performance limitation is not present.

24
Q

Explain the Outcome: Prevention

A

Efforts designed to identify, reduce or prevent onset or incidence of unhealthy conditions.

25
Explain the Outcome: Health & Wellness
A state of physical, mental, & social well-being; providing resources for everyday life.
26
Explain the Outcome: Quality of Life
Life satisfaction; hope; self-concept; health & functioning.
27
Explain the Outcome: Participation
Engagement in occupations that are personally satisfying & congruent with cultural expectations.
28
Explain the Outcome: Role Competence
Ability to meet demand of roles a client engages in.
29
Explain the Outcome: Well-being
Contentment with one's health, self-esteem, & roles; the total universe of human life domains.
30
Explain the Outcome: Occupational Justice
Access to and participation in the full range of meaningful & enriching occupations that are afforded to others.
31
What can an OT change to Upgrade or Downgrade an activity?
* Objects or tools * Rules * Supporting structures (adaptive equipment) * Practitioner (use of prompts, facilitation) * Environment (mimicking the actual occupation setting-home, work, store.. Are materials far or near) * Process (steps of task–task demands)
32
S.O.A.P. Which one? | Resident reports pain in R shoulder when reaching to comb hair.
S
33
S.O.A.P. Which one? | Patient asked for help when it was needed during session.
S
34
S.O.A.P. Which one? | Client unable to communicate verbally due to expressive aphasia.
S
35
S.O.A.P. Which one? | Client did not speak without cueing.
S
36
S.O.A.P. Which one? | Resident does not clearly verbalize during treatment, but smiles & nods appropriately when asked questions.
S
37
S.O.A.P. Which one? | Mother reports difficulty with diapering & dressing the infant, stating, "He just gets all stiff & arches his back."
S
38
S.O.A.P. Which one? Pt. tearful throughout session, with little verbalization. Social worker reports pt.'s family just informed pt. they cannot care for her at home * that she will have to go to a skilled nursing facility.
S
39
What are the 4 important steps of writing the "O" in a SOAP note?
1) Begin with *length, setting, & purpose.* 2) Brief overview of key *deficits* affecting performance. 3) Summary of what was observed. 4) Be professional, concise, & specific.
40
S.O.A.P. Which one? | Pt. attempts to stand without locking w/c brakes raises safety concerns for falls during ADL transfers.
A
41
S.O.A.P. Which one? | Poor problem solving when using the stove raises safety concerns for staying home alone.
A
42
S.O.A.P. Which one? Limited coping strategies for dealing with stress raise concerns for continuing to demonstrate self-destructive behaviors.
A
43
S.O.A.P. Which one? | Although pt expressed willingness to do ADL tasks, motor planning problems create a barrier to ADL task performance.
A
44
S.O.A.P. Which one? | Left-side neglect necessitates verbal cues to attend to left side during ADL tasks.
A | "Necessitates"
45
Format of the "A" in SOAP Notes?
Contributing factor > Impact > Ability to Engage in Occupation.
46
What distinguishes the "A" in SOAP Notes from the others?
The 3 Ps! • Problems • Progress • Potential Ps can be mentioned without using the direct P. E.g., • Problems = difficulty, deficits, lack of... • Progress = ...make difficult..., results in, affects, limits. • Potential = ability, indicate, demonstrate, Where need for continued OT services is mentioned.