week 1 Flashcards
(50 cards)
1
Q
international classification of functioning, disability and health
A
ICF
2
Q
ICF
A
- addresses diesease impairments
- activity/acitivy limitations
- describes importanceof domains/life situations
- embraces concepts of OTPF-4
3
Q
occupational therapy is to assist others in
A
achieving health, well-being and participation in life through engagement in occupations
4
Q
domain
A
- occupations
- client factors
- performance skills
- performance patterns
- contexts and environments
5
Q
occupations
A
- ADLs
- IADLs
- rest & sleep
- education
- work
- play
- leisure
- social participation
6
Q
client factors
A
- value, belief and spiritually
- body functions
- body structures
7
Q
performance skills
A
- motor skills
- process skills
- social interaction skills
8
Q
performance patterns
A
- habits
- routines
- rituals
- roles
9
Q
contexts and environments
A
- cultural
- physical
- personal
- social
- temporal
- virtual
10
Q
occupational functioning model
A
- assumptions
- occupation
11
Q
occupational functioning model: assumptions
A
- role competency
- self-efficacy, self-esteem, life satisfaction
- basic abilities and capacities are needed
- enabling environments and contexts needed
12
Q
occupational functioning model: occupation
A
- occupation-as-ends
- occupation-as-means
13
Q
life roles = areas of occupations
A
- self-maintenance roles
- self-advancement roles
- self-enhancement roles
- competency
14
Q
independence
A
people are considered independent when they perform tasks for themselves using adaptive equipment alternative methods or adapted environments, as required, or when they oversee completion of activities by others on their own behalf
15
Q
process how OT’s provide services
A
- chart review
- evaluation
- intervention
- outcomes
16
Q
evaluation
A
- occupational profile
- ability
- inability
17
Q
intervention
A
leading to performance
18
Q
outcomes
A
- client-centered goals
- guided by the OT
- meaningful
19
Q
occupational balance
A
balance occupations of doing with occupations of being
20
Q
occupations-as-ends
A
- activities and tasks that compromise roles
- focus on changing task demands/environment
- OTPF- areas of occupation
- WHO’s ICF equivalent- activities and participation
21
Q
occupations-as-means
A
- occupation as an intervention
- therapeutic change agent
- just right challenge to a larger outcome or goal
- focuses on changing person
22
Q
evidence occupation-as-means motivates participation
A
- enjoyment
- choice
- end product
- enhance context
- leads to improved self-efficacy and self-esteem
23
Q
selection of occupation-as-end
A
- activities and tasks = life roles
- enable engagement in desired roles within context and environment
- compare activity demands patient’s skills independently, with adaptation, or not at all
24
Q
selection of occupation-as-means
A
- restores skills within patient’s capacity currently & future
- intrinsically demands response determined to need improvement at just right challenge
- contrived methods
25
activity analysis
- specific abilities to perform an activity
- how activity can be adapted
- skill limitations impeding performance
- changes in variables (speed, size & type of tool, equipment)
- prerequisite abilities
26
analysis of activity should yield
- direction
- coherence
- meaning
27
analysis of patient's performance consider
- patient's sensory and motor
- visual-perception
- cognitive
- psychosocial functions
- level sufficient to support occupational participation
28
analysis of environment
- assess person-environment fit
- address patient's social contexts
- address patient's financial resources
- changes may affect patient's performance level
29
grade the activity
- reduce or increase activity challenge
| - used to promote psychomotor learning- leading to increased occupational performance
30
adapt activity
process of modifying ADL to enable performance, prevent cumulative trauma injury or accomplish a therapeutic goal
31
activity demand
- modify object size or shape
- modify time
- modify steps
- required body function
32
evaluation of ADL
- chart review
- occupational profile
- assessment of ADL performance
33
assessment of ADL performance
- assistance level
- ability to direct care
- contextual factors
34
functional independence measure (FIM)
- independent
- modified independent
- supervision
- contact guard
- min assist
- mod assist
- max assist
- dependent
35
functional independence measure (FIM): independent
performs independently; timely. no modifications
36
functional independence measure (FIM): modified independent
assistive device needed, takes longer time or safety concerns
37
functional independence measure (FIM): supervision
need therapist to stand by for safety, verbal cues
38
functional independence measure (FIM): contact guard
can do, but needs 1-2 therapist hands on body for safety, stability
39
functional independence measure (FIM): min assist
therapist provide 25% assist (physical/verbal) clients do 75%
40
functional independence measure (FIM): mod assist
therapist provide 50% assist (physical/verbal) clients do 50-74%`
41
functional independence measure (FIM): max assist
therapist provide 75% assist (physical/verbal) clients do 25-49%`
42
functional independence measure (FIM): dependent
therapist provide >75% assist (physical/verbal) clients do <25%`
43
GG-codes
```
6- independent
5- set up/ clean up assist
4- supervision/ touching assist
3- partial/moderate assist
2- substantial/max assist
1- dependent
```
44
GG-codes: independent
with/ without assisted devices by themselves and no assistance
45
GG-codes: set up/ clean up assist
need only setup/cleanup assist (1 helper)
46
GG-codes: supervision/ touching assist
need only verbal/nonverbal cueing or steadying/ touching/ contact guard assist (1 helper)
47
GG-codes: partial/moderate assist
need physical assistance
ex: lifting or trunk support
(1 helper- less than half of effort)
48
GG-codes: substantial/max assist
need physical assistance
ex: lifting or trunk support
(1 helper- more than half of effort)
49
GG-codes: dependent
helper provide all effort OR assistance of 2 or more helpers
50
ADL intervention
- long and short-term goals
| - set up for intervention (just right challenge)
