Midterm Flashcards

1
Q

What is the Vision for the Future of OT?

A

To maximize health, well-being, & QoL for all people, populations, and communities through effective solutions.

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2
Q

What services does the Community-Based Practice provide?

A
  • Acute & chronic medical care.
  • Direct & indirect service provision.
  • Habilitation & rehabilitation.
  • Prevention & health promotion.
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3
Q

What are the means of Community-level interventions?

A

Modify the sociocultural, political, economic, & environmental context of the community to Achieve Health Goals.

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4
Q

Community-Centered Initiatives:

A

Generated by leaders & members of a community to utilize community resources. Client is Entire Community.

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5
Q

How can an OT Advocate for Community Health?

A

Identify needs of community for optimal functioning & advocate for services to meet those needs.

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6
Q

How would an OT act as a Consultant?

A

Identify and analyze issues, develop strategies to address issues & prevent future issues from developing.

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7
Q

How would an OT act as a Case Manager?

A

Advise the consumer; Coordinate services; Evaluate financial resources; & Advocate for services.

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8
Q

How would an OT act as an Entrepeneur?

A

Organize business endeavors, manage its operations, and assumes risk associated.

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9
Q

How would an OT act as a Supervisor?

A

Manage activities of team, schedule, delegate, recruit, train, & performance appraisals.

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10
Q

How would an OT act as a Program Manager?

A
  • Budgeting and Staffing
  • Design & Development
  • Function & Evaluation of program
  • Supervision
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11
Q

Moral Treatment:

A

18th & 19th century. Movement instituted by Philippe Pine resulted in a more humane treatment of the mental.

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12
Q

Paradigm of Occupation:

A

1900-1940

Focus is on occupation & its potential for therapeutic use in both life & health.

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13
Q

Mechanistic Paradigm:

A

1960s
• Focus is on the Inner Mechanism of disease & disability.
• More aligned with the medical model–Lack of occupation.

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14
Q

Emerging Paradigm:

A

1980–1990
• Synthesis of Mechanistic & Contemporary Knowledge of occupation from many disciplines.
Dynamic interaction–PEO.

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15
Q

Community Practice Paradigms:

A

• Based on the Dynamic Systems Theroy

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16
Q

Community Model Paradigm:

A

Community member is…
• Responsible…
•Autonomous…
• Clinician answers to consumer–Collaborative.

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17
Q

Define Public Health…

A

Art & Science of preventing disease, prolonging life, & promoting health through society.

18
Q

Explain Health Education…

A

Learning experiences increasing knowledge or influencing their attitudes, improving health.

19
Q

Explain Health Promotion…

A

Educational, Environmental, Organizational, Political, or Regulatory means of supporting actions & conditions contributing to the health of individuals, groups, & communities.

20
Q

Explain Community Health…

A

Physical, Emotional, Social, & Spiritual well-being of a group defined by either proximity or shared characteristics.

21
Q

What are the Levels of Prevention?

A
  • Primary: Preventative.
  • Secondary: Prevents secondary complications.
  • Tertiary: Contain damage once disease/disability has progressed beyond early stages (contain the turd).
22
Q

What are the Levels of Occupation-Based Intervention?

A
  • Individual: Personal wellness goals addressed through direct interaction.
  • Group: Small groups with same disability/characteristics with shared goals.
  • Organizational: Broad groups, individual goals may differ but organizational goal is shared.
  • Community: Address broad issues impacting large population with common characteristics.
  • Governmental Policy: Laws, Policies, & Procedures impacting health of all covered by policy.
23
Q

Reciprocal Determinism:

A

Bandura’s idea of reciprocal interaction between us & environment.

24
Q

Social Cognitive Theory… Determinants & Strategies:

A
Key Aspects Determining Health Behaviors Include…
• Facilitators & Barriers.
• Knowledge of health risks & benefits.
• Self-determined goals.
• Self-efficacy.
• Outcome expectations.

Strategies:
•Modeling.
• Reinforcement.
• Self-monitoring.

25
Q

Transtheoretical Model of Health Behavior Change

A
  • Pre-contemplation: Unaware of need for change with no intention of changing.
  • Contemplation: Aware of problem–no action.
  • Preparation: Planning & identifying methods & materials needed for change.
  • Action: Taking steps.
  • Maintenance: Making long-term investment in sustaining change.
  • Relapse/recycling: Typical–restarting cycle to re-create change.
26
Q

Precede–Proceed Planning Model: Precede

A

Precede: Predisposing, reinforcing, enabling factors.

  • Phase 1–Social Assessment: Health problems impact on community’s QoL.
  • Phase 2–Epidemiological, Behavioral, Environment Assessment: Health related factors impact on community.
  • Phase 3–Educational & Ecological Assessment: Predisposing, enforcing, & enabling factors impacting health-related behaviors.
  • Phase 4–Policy Assessment & Intervention Alignment: Implications of budget, resources, policies & regulations, barriers to change.
  • Phase 5–Implementation.
27
Q

Precede–Proceed Planning Model: Proceed

A

Proceed: Policy, Organizational, Regulatory constructs in Educational & Environmental Development.

  • Phase 6: Evaluation of Process.
  • Phase 7: Evaluation of Impact.
  • Phase 8: Evaluation of Outcome.
28
Q

Occupational Resiliency Factors:

A

Precursors increasing resistance to developing disease or disability.

29
Q

Population Health…

A

Collaborative, interdisciplinary approach involving advocacy, policy revision & development to maximize health equity & occupational justice.

30
Q

Epidemiology…

A

Study of disease or disability distribution, determinants, & frequencies.

31
Q

Characteristics of Community & Population Health Practice Paradigm (CPHP)…

A
  • Client-centered
  • Occupation-based
  • Evidence-supported
  • Based on the Dynamic Systems theory
  • Ecologically supported
  • Strengths-based
32
Q

Occupational Risk Factors…

A

Factors that increase individual’s vulnerability to developing a disease or disability.
–Can be physical, social, economic, environmental, & political.

33
Q

Well-being…

A

General term–”total universe” of human domains: Physical, Mental, & Social aspects.
• Considered the outcome of health Promotion & OT.

34
Q

Wellness…

A

Perception of & responsibility for Psychological & Physical wellbeing = QoL.

35
Q

Define Eustress…

A

Promotes Accommodation, Adaptation, & Positive Change.

36
Q

Define Distress…

A

Actual or perceived threat to body’s ability to maintain homeostasis.

37
Q

Chronic Stress: Body Systems…

A
  • Skin: eczema, psoriasis.
  • Metabolic: Hypothyroidism & diabetes.
  • Neurologic: Depression, anxiety, & migraines.
  • Cognitive: Production of Glucocorticoid = STM production.
38
Q

Chronic Stress: Physiological Responses…

A

• Cardiovascular System:
– Acutes response: increased HR.
– Chronic response: Hypertension, CAD, or CHF.

• Gastrointestinal System:
– Acute response: Changed eating habits, or “butterflies.”
–Chronic response: Ulcers, colitis, Crohn’s disease.

•Respiratory System:
– Acute: Fast breathing.
–Chronic: Asthma, Hay fever.

• Musculoskeletal System:
– Acute: Muscles tense & can trigger headaches.
– Chronic: Rheumatoid arthritis, chronic pain.

•Endocrine System:
– Acute: Increased release of Cortisol.

• Nervous System:
– Acute: Fight or Flight.

39
Q

Wellness Recovery Action Plan (WRAP)…

A
  • Used in Psychiatric Rehab.
  • Supports self-management & coherence, improves perceived recovery.
  • Decreases depression & anxiety.
* 5 Key Principles:
–Self-advocacy.
–Support.
– Hope.
– Education.
–Personal Responsibility.
40
Q

Healthy People 2020…

A

Goal of reducing adults with no physical activity/sedentary lifestyle–increase amount of people who meet minimum.

41
Q

Caregivers–at risk for…?

A

& Increased stress = alcohol, prescription & psychotropic drug, substance use.