Occupational Therapy and the Musculoskeletal System (Week 1) Flashcards Preview

OCTH 1031 > Occupational Therapy and the Musculoskeletal System (Week 1) > Flashcards

Flashcards in Occupational Therapy and the Musculoskeletal System (Week 1) Deck (25)
1

Orthopedic conditions compromise _____

occupations - adls, iadls, leisure, sleep, education, social life, work, play

2

Client factors effected by orthopedic conditions

Values, beliefs, and spirituality
Body functions
body structures

3

Limited joint mobility =

decrease in daily activities which affects ones role performance

4

Decrease in muscle strength and endurance is a result of

immobilization of joint during recovery

5

Impact of Guarding position

decreased ROM
Decrease in strength
pain in joints not involved in the injury/condition

6

impact of Joint pain and inflammation

limited ROM
Integrity of bone is compromised
(use adaptive equipment)

7

Balance issues require _______ to prevent falls.

modifications

8

Intervention for movement related function

practice energy conservation

9

Interdisciplinary interventions for orthopedic conditions

1. medical therapy (pain management, antibiotics, anticoagulants)
2. physical therapy - general strengthening and ROM - LE focused

10

7 parts of the occupational-focused assessment

1. Role Checklist
2. Occupational performance Hx Interview II (OPHI-II)
3. Assessment of motor and process skills (AMPS)
4. Activity Measure for Post-Acute Care (AM-PAC)
5. Performance Assessment of Self Care Skills (PASS)
6. Canadian Occupational Performance Measure (COPM)
7. Short Form-36

11

What is the Role Checklist assessment?

client participation in and value placed on occupational roles

12

What is the Occupational Performance Hx Interview II (OPHI-II) assessment?

gathers information about occupational performance and participation overtime

13

What is the Assessment of Motor and Process Skills (AMPS)?

assessment of skills in context to performing functional tasks

14

What is the Activity Measure of Post-Acute (AM-PAC) care assessment?

measures mobility, adl's and cognition

15

What is the Performance Assessment of Self-Care Skills?

Observation of functional mobility, personal care and home management

16

What is the Canadian Occupational Performance Measure (COPM)?

a self-assessment of performance and satisfaction in various areas of occupation overtime

17

What is the Short Form-36 assessment?

a standardized scale that measures health-related quality of life

18

Assessments of client factors (6)

1. disability of arm, shoulder, hand (DASH)
2. ROM
3. Measure of Pain
4. Manual Muscle testing
5. Measures of grasp and pinch strength
6. Measures of edema

19

What is the DASH assessment?

a questionnaire that rates the disability and symptoms related to UE musculoskeletal disorders (arm shoulder hand)

20

Occupational therapists role in orthopedic conditions

restore occupational function while following proper precautions and communicating them continually to the client.

21

During the acute stage of recovery an OT will (4)

1. educate the client
2. evaluate client factors and therapeutic goals
3. remediate muscles and joints around the site through controlled movement and strengthening exercise
4. provide additional support and comfort when working with slings/ braces/ splints

22

What are the compensatory strategies of ADL retraining (3)

1. adaptive devices
2. task modification
3. environmental modification
* may be temporary or permanent

23

Occupation therapists conduct environmental assessments and fall prevention by

1. educating older adults
2. prevent exacerbation of the client
3. conduct a home/work visit to assess mobility and participation and recommend modifications
4. suggest community mobility

24

Evidence that early mobilization of UE is effective (3)

1. decreased pain
2. decreased swelling
3. quicker return to occupation

25

Evidence occupational therapy is effective in acute care for older adults and hip fx

1. increased recovery of ambulation
2. increase in functional recovery
3. decreased stay in the hospital
4. increase LE strength
5. increase in fall self-efficacy