Therapy Ed test A Review Flashcards
(31 cards)
Stress managment and pulmonary status
Stress management techniques are beneficial for the majoriyt of patients with COPD as stress can negatively impact one’s cardiovascular status. Patients with high levels of stress cna experience breathlessness and panic which causes shortness of breath
Valsava Maneuver
Technique where a patient “bears down” or hold his/her breath while engaging in strenuous activity in order to gain more power. It is contraindicated in patents with cardio vascular conditions such as COPD and CABG.
COPD and strengthening activities
Strengthening activities should include approaches such as free weights. and elastic bands, which all healp to build strength. The therapist should encourage the patient to pace him/herself during these activities to rest when feeling short of breath.
Guidelines for DME medical necessity by insurance carriers
- include a diagnosis that requires the use of a hospital bed (such as CHF or pulmonary disease where the bed must be elevated higher than 30 degress, pressure sores, or the need for traction equipment) and the requirements for positioning cannot be accomplished in a standard bed.
- Anxiety is not a reimbursable condition for a hospital bed.
How should the therapist/ caregivers speak to and individual with dementia
speak slowly and validate statements made by the client - speaking slowly allows for time to process and the validation of statemsn has proved to enhance the performance and carry-over skills in persons with cognitive impairments. This would allow for successful engagement in activities.
Decreasing restlessness with clients with Dementia, (wandering due to hunger)
- Resless behavior can increase in the early evening hours due to hunger and the increased environmental stimulation. Providing a snack can help ameliorate hunger, decreasing the effect of stressor. Having them engage in favorable activity can provide appropriate snesory stimulation and positive feelings.
Patient with Depression, taking MAOI’s complains of recurrent headaches and difficulty focuisng during the day
What should the OT do?…
notify the psychiatrist of these complaints
The symptoms should be considered serious side effects and may lead to stroke or other cardio vascular reactions. The physician must be contacted. The individual needs to collaborate with the psychiatrist to determin if an MAOI is the best medication
PNF patterns facilitate…..
- trunk rotation. best when paired with a functional activity.
You know of a patient who presents with unilateral neglect but insists on continuing to drive.
THE OT SHOULD…..
- Inform the physician - the physician is responsible for taking action on the individual’s ability to drive.
OTAs and evaluations
- OTAs, depending on their experience level, are able to complete IADL evaluations, under the supervision of an OT.
- the OT is the only one able to interpret and design protocols.
What to do when a 19 year old in a vocational rehabilitation program shows up, clearly intoxicated
- arrange for transportation to bring the client home - it is not approprate use of time to discuss alcohol use, nor is the client able to participate
- he is over 18 years of age so his parents do not need to be contacted.
Child with spastic quadriplegic CP demonstrates a consistent gag reflex.
Technique used to inhibit this reflex
- Press a spoon down firmly on the center of the tongue - also apply pressure from distal to proximal.
- Lateral and circular movements can facilitate the gag reflex.
degree of outrigger for most effective application of force
90 degrees to the joint - it is the most effective application of force. the application of a perpendicular force prevents unwanted traction on the joint and shearing stress.
The best type of spoon for a child with a reflexive bite is….
- a narrow shallow coated spoon - it will help the food slide off. a deeper bowl would be more difficult for the food to slide off.
ADA exemption
Religious organizations are exempt from ADA accessibility
Some notes about Medicare part A
Too recieve medicare homecare reimbursement, an individual must be homebound which means he can only leave home according to specific criteria.
focus of hospice care
The major focus of hospice care is to maintain teh individual’s control over his life while enabling engagement in meaning ful actvitiesthat are related to person’s valued roles. due to terminal stage, it is unlikely that person will make gains in ADLs, selfcare. They’re assistance level will stay the same or continue to decline..
Osteogeneisis imperfecta
- results in brittle bones that fracture easily. Fracture prevention through activity restrictions is the primary focus.
- Social isolation can occur with this diagnosis
- find age approprate activities such as computer clubs for child.
Leadership style needed for acute psychiatric inpatient groups
- Directive - involves the provision of structure, clear directions, immediate and consistent feedback which are needed in a group whose members are actuely ill with psychiatric disorders.
Erb’s palsy
- injury to the brachial plexus characterized by weakness or paralysis of involved arm(injury to C5and C6). The arm hangs limp with the shoulder rotated inward due to atrophy and paralysis in the biceps, deltoid, brachilais and brachioradialis.
- The elbow lock splint stabilizes the elbow to enable the individual to position the hand closer to or away from his/her body for functional use.
Can a therapist date a former patient
Yes. they can date a former patient but not a CURRENT patient. if there was no indication that they dated during treatment, then it is okay.
How to address a situation where your client with an amputation does not want to use his prosthesis.
What should the OT do….
- Work on developing unilateral skills for completion of meaningful actvities - Most individuals are able to achieve functional independence in desired activities using their intact UE for skilled task functions with their residual limb serving as a stabilizer. a prosthesis can readily become unnecessary as a person develops unilateral skills.
Working with an 8 month old child with mild developmental delay. Child had poor dynamic sitting balance.
What positioning and toy placement are the most beneficial for the therapist to use with the child
- Sit with the child between the therapist’s extended legs and laternate placing the covered toy to the child’s right and left side - this positioning can enable th etherapist to easily provide postural support for th child as needed. Placing th toy to right and lef will facilitate the child’s sideward protective extension response.
- being in a child seat would provide too much support and not enough challenge.
Hypoglycemia
- abnormally low blood glucose.
- symptoms - acute weakness, dizziness nauseous, sweating profusely and unsteady when standing
- Intervention - have patient sit down and ingest an oral sugar.
Note - profuse sweating and nausea do not accompany orthostatic hypotension.
