OTA 110 - Ch. 10 Symptom Responses Flashcards Preview

OTA 110 - Mental Health > OTA 110 - Ch. 10 Symptom Responses > Flashcards

Flashcards in OTA 110 - Ch. 10 Symptom Responses Deck (11)
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Anxiety (Response)

Do: encourage talking about feelings, reassure them, turn attention to neutral topic, calm/familiar env., “preview” activities

Activity Strategy: avoid excessive detail, allow stop/return, include movement/sensory

Samples: small woodworking, simple cooking, yoga, gross motor (stretching), stress management


Depression (Response)

Do: Allow talk about feelings, be matter-of-fact, reinforce hygiene, match tempo, safe env., less stimulation and choices

Activity Strategy: guaranteed success, feeling of control, helping others, short-term, simple, outdoors/sun

Samples: housework (folding), clerical, mosaics/copper tooling/leather, gross motor, coping skills training


Mania (Response)

Do: focus on improving behavior, firm, matter-of-fact, do not criticize, minimal stimulation, maintain control, reduce distractions

Activity Strategy: activities that get up/move, short-term, immediate gratification, portable, 3 or less steps, structured

Samples: give choice of 2-3, copper tooling/sanding/beads/personalized item, gross motor (1:1 is best), time/stress/money management


Hallucinations (Response)

Do: reassure/support, remind disease causing it, be calm/soothing, point out reality, redirect to reality/neutral topic, reduce stimulation, prevent isolation

Activity Strategy: Simple, high-structured, short-term, strong sensory stimulation, some limited interaction

Samples: coloring, current events, wood kits, lunch prep, familiar tasks (laundry), TV


Delusions (Response)

Do: avoid discussing delusion, redirect to reality, relatively stimulating env., get involved in real life

Activity Strategy: match intellectual level, avoid things linked to delusions

Samples: board games, current events, crosswords, computer games; expressive activities (dance, poetry)


Paranoia (Response)

Do: try to see their perspective, avoid startling/direct eye contact, unambiguous directions, no empty promises, maintain control, patience, reliable env.

Activity Strategy: avoid competition, controllable, match to client’s intellect, independence (no need to ask)

Samples: leather/metal/woodworking, high level clerical, jewelry making, photography, puzzles


Aggression (Response)

Do: watch for signs, talk about feelings, use calm, do not show fear, avoid punishing/criticizing, offer alternative ways to deal, may need isolation, do not touch, situate for safety

Activity Strategy: encourage sublimation of aggression (dance, art); avoid frustration/sharp objects, repetition, relaxation

Samples: assertiveness training, gross motor/sports, sanding large wood/peel potatoes, anger mgmt.


Seductive Behavior (Response)

Do: inform of inappropriate behavior, do not embarrass, enforce rules (no touching), avoid crowds/physical contact

Activity Strategy: forceful gross motor, social skills training, reinforce appropriate behavior

Samples: maturbation, gross motor, wedging clay, non-sexual contact (basketball, dance), yoga, cycling


Negative Behaviors w/Neurocognitive Disorders (Response)

Do: use empathy, approach vision slowly, speak efficiently, restate feelings to them (“you seem..”), redirect to activity, avoid startling, remove cues to bad behavior, introduce items that cue positive behavior

Activity Strategy: distract, positive activities, familiar/interesting topics, social interaction, make feel useful, calming stimulation

Samples: Walk to familiar place, simple known tasks, bright colors/attention-getters, multisensory room


Cognitive Deficits (Response)

Do: approach at client’s level, remind of where they are etc., orient to landmarks, direct attn to activity, match tempo, be warm/accepting, consistency; label things, watch cues, consistent env., memory aids

Activity Strategy:
Transitory: 1-day, simple, familiar;
Permanent/Stable: adapt known activities
Permanent/Progressive: maintain skills, encourage independence, familiar/necessary activities

Samples: Simple choices to build confidence (pick color), tour facility, journal/note taking, self-care, modify familiar activities


Attention Deficits (Response)

Do: shout person’s name, touch gently on shoulder, approach from front, be alert to nonverbal behavior, redirect if unable to do task, encourage/positivity; reduce distractions, social interaction

Activity Strategy: Simple, definite steps; avoid flexible activities, match to cognition, adapt for dementia

Samples: meditation, yoga, safety management, simple crafts (mosaic, coin purse), self-care tasks, coping skills, computer games for cog skills