Midterm Review

Question 1

IRF PAI LEVEL 6

Answer 1

independent

Question 2

IRF PAI LEVEL 5

Answer 2

Set up/clean up assistance

Question 3

IRF PAI LEVEL 4

Answer 3

Supervision assistance

Question 4

IRF PAI LEVEL 3

Answer 4

Minimum assistance

Question 5

IRF PAI level 2

Answer 5

Maximum assistance

Question 6

IRF LEVEL 1

Answer 6

dependent

Question 7

What is the Occupational functioning model?

Answer 7

• Guides assessment and treatment for someone with a physical dysfunction
• Feeling of self-empowerment

Question 8

What are the assumptions of the occupational functioning model:

Answer 8

-people who are competent in life roles- have a high self-esteem
Ability to carry out life roles depends on capacities
-satisfactory occupational functioning occurs only within enabling environments

Question 9

Basic abilities and capacities + enabling environment and contexts=

Answer 9

satisfactory occupational functioning

Question 10

What are the 4 principles of ethics and therapeutic relationships:

Answer 10

1. OT personnel shall demonstrate a concern for wellbeing and safety
2. OT should refrain from actions that cause harm
3. OT should respect the individual to self-determination
4. OT should provide services in a fair manner

Question 11

What are the purposes of documentation:

Answer 11

• articulate rationale for OT service
• reflect therapists clinical reasoning
• communicate information about the client from OT perspective
• create a chronological record of client status, OT services provided and client outcomes

Question 12

T/F: Must document all things in ink

Answer 12

True

Question 13

All entries for documentation must be signed by what:

Answer 13

Therapists legal name and professional credentials

Question 14

What is the top-down approach

Answer 14

Looking at the individual as a whole

- what they can and cannot do

Question 15

What assessments are top down

Answer 15

IRF PAI , GG Codes, FIM,

FIG

Question 16

Bottom up approach

Answer 16

Look at specific things- ex: ROM, strength, MMT, goni, eye movements

Question 17

Precautions and considerations when patient is not stable:

Answer 17

• notify nurse/medical staff
• wait until medically cleared for OT services
• If they pass out or are medically unstable call 911

Question 18

Contraindications/Precautions for Administering Assessments

Answer 18

Medical safety

Question 19

Orthostatic hypotension

Answer 19

drop in blood pressure depending on position changes- sit at edge of bed and dorsiflex/plantar flex to get blood flow back up to legs

Question 20

DVT

Answer 20

• swelling in the legs
• can lead to PE
• warmth on the skin
• red coloring

Question 21

Pulmonary embolism

Answer 21

• chest pain
• tachycardia
• difficulty breathing
• cynosis
• passing out

Question 22

Infection-

Answer 22

Redness, swelling, pain, heat, fever over 101 degrees, oozing, drainage, foul odor,

Question 23

What is the OT necessary for in LE fracture/joint replacement

Answer 23

• helping clients get back to prior function
• preforming ADL’s
• manage pain
• decrease swelling
• monitor wound care
• maintain limb alignment
• teach patient to maintain safe precautions

Question 24

Anterolateral approach precautions:

Answer 24

• no hip extension
• no adduction past midline
• no external rotation

Question 25

posterior approach precautions

Answer 25

- no internal rotation - no bending past 90 degrees - no crossing midline

Question 26

NWB

Answer 26

0 percent

Question 27

TTWB

Answer 27

0-20 percent

Question 28

PWB

Answer 28

20-50%

Question 29

WBAT

Answer 29

50-100%

Question 30

Full weight bearing

Answer 30

100%

Question 31

Principles of UE assessment (Scapular alignment/posture/AROM/MMT)

Answer 31

stabilize pelvis and spine

Question 32

Occupational performance assessments:

Answer 32

top-down approaches, client-centered, function-based assessments of tasks and activities based on what the client, needs, wants, and is expected to do

Question 33

Semi-structured interviews:

Answer 33

- COPM - Occupational performance history inventory - Life balance inventory

Question 34

Assessment of life roles:

Answer 34

- OPHI II | - role checklist

Question 35

Assessment of community integration

Answer 35

CHIEF, RNL index, CIM

Question 36

Assessment for IADLs

Answer 36

Nottingham Extended ADL Scale AMPS (Assessment of Motor and Process Skills) KELS (Kohlman Evaluation of Living Skills) PASS (Performance Assessment of Self-Care Skills) SAFER-HOME Kitchen Task Assessment (KTA) Rabideau Kitchen Evaluation Revised

Question 37

Assessment of work

Answer 37

VALPAR Component Work Samples Functional Capacity Evaluations (FCE) Worker Role Interview

Question 38

Assessment of leisure

Answer 38

``` COPM OPHI II LBI Nottingham Extended ADL Scale Nottingham Leisure Questionnaire RNL Index Modified Interest Checklist Leisure Diagnostic Battery Idyll Arbor leisure Battery (IALB) ```

Question 39

Considerations when conducting self-care assessment

Answer 39

Conduct self-care assessments in task-specific contexts Direct observation is the preferred method of gathering information over self-report, for: Accuracy Detection of inefficient or unsafe methods Determining underlying reason(s) that a particular task cannot be performed Self-reports and interviews may not accurately reflect what the person can do

Question 40

Guidelines for ramp

Answer 40

1 foot of ramp for every inch of rise

Question 41

Doorways:

Answer 41

Minimum clearance of 32 as close to 36 as possible

Question 42

Door threshold

Answer 42

1/2 inch

Question 43

Turning radius

Answer 43

at least 60 inches

Question 44

Common home safety concerns:

Answer 44

``` Fire and shock – overloaded electrical outlets Extension cords Smoke detectors in all rooms Temperature control of hot water Stove controls Exit plan Emergency preparedness ```

Question 45

Most common problems/home modifications:

Answer 45

Elevations Doorway width Inaccessible environmental controls – ie. switches for illumination, windows, doors/locks, hallway width, storage (shelves, cabinets, closets), thermostats, counter heights, appliance-controls

Question 46

7 principles of universal design

Answer 46

Equitable use  same means of use for all; identical when possible, equivalent when not (ie. automatic doors, Siri) Flexibility in use  provide choice in methods of use (ie. scissors for right- and left-handed users) Simple and intuitive use  minimize unnecessary complexity (ie. instruction manual with pictures and no text) Perceptible information  maximize legibility in all sensory modalities; simple instructions/directions (ie. tactile, visual, audible cues on thermostat) Tolerance for error  fail-safe features; minimize hazards of accidental/unintended actions (ie. double-cut key, “undo” key on computer) Low physical effort  reasonable operating forces; user able to maintain neutral body position (ie. lever handle on door) Size and space for approach and use  reach to all components comfortable for seated/standing user

Question 47

Environmental assessments

Answer 47

Community assessment involves: Changing environments to enable their clients’ participation and fulfillment of community roles Consultation or advocacy roles with groups seeking to make educational, cultural, commercial, and religious facilities accessible Assessments of access to community = ie. CHIEF, Facilitators and Barriers Survey, Measure of Quality of Environment, Multidimensional Scale of Perceived Social Support, Home and Community Environment, Instrument, CHEC-M