quiz 1 -adults/ older adults (OT process and ADLs)

AM-PAC

focuses on functional performance across settings and uses standardized scoring with computer adaptive testing options; works on basic mobility, daily activity and applied cognition. settings: acute care and post -acute care

Barthel Index

quantifies the level of assistance required and is commonly used in rehab settings with a numerical score. measures functional independence, score 0-100, settings: hospital or a rehab

Meville Nelson

provides a detailed task breakdown and observational scoring for self care performance and medicare documentation.

KATZ Index

measures basic ADLs with a simple independence/dependence scoring system: measures: bathing, dressing, tolieting, transfers, continence and feeding. population: older adults, scoring: 0-6

what are the three phases of learning

acquistion, retention, and transfer

acqusition phase

occurs durig initial instruction and education along with practice; this phase is often characterized by numerous errors of performance as the learner develops strategies to successfully complete the task

retention phase

demonstrated during subsequent sessions, when the learner demonstrates recall or retention f the task in a similar situation

transfer phase

focuses on the generalization of skill that is seen when the learner is able to spontaneously perform the task in different environments

procedural learning

occurs for tasks that are typically performed automatically, such as many motor and perceptual skills; developed through repeated practice in a variety of environmental settings

declarative learning

creates knowledge that can be cognitively recalled; the client being able to verbalize the steps while completing the task or if the client can repeat all the steps that go into completing the task

three instructional modes

visual instruction, somatosensory instruction, verbal instruction

referral

the client is directed to OT sercices by a physican, a healthcare provider, teacher or caregiver to identify the need for OT services and initates the OT process

screening

a brief process used to determine if OT services are needed; identify potential probles and decide if full evaluation is warranted

evaluation

comprehensive process of gathering information to determine occupational performance issues; occupational profile, analysis of occuaptional performance; standardized and non standardized assessments; determines strengths, limitations and intervention needs

intervention plan

the collaborative plan developed from evaluation findings. Includes goals, intervention approaches, frequency, duration and discharge planning

intervention implementation

carrying out the intervention plan. Includes ADL retraining, therapeutic exercise, education, adpative equipment training

reevaluation

determines progress towards goals. includes measuring changes, modifying the plan and determine continued need for therapy

outcomes

results of the interventions. includes improved independence, improved participation, improved quality of life and discharge status

continuum of care

the flow of a patient’s treatment that takes place over different healthcare services

self report

information provided by the client. ex: interviews, occupational profile, and questionnaires

advantages: client perspective and personal meaning

disadvantages: bias, reliability and memory issues

direct observation

therapist watches performance ex. dressing assessment and meal prep

advantages: actual performance observed and objective data

disadvantages: time intensive

OTPF intervention types

occupations and activities, preparatory methods, preparatory tasks, education and training, advocacy, group interventions

cultural context

influences routines and expectations (ex. bathing practices differ across cultures)

personal context

age, values, and gender identity

temporal context

time of day or life stage of the patient

virtual context

telehealth, technology and online occupations (ex. online grocery shopping)

IRF-PAI

setting: inpatient rehab facility, contains: Section GG, measures: self-care and mobility

MDS

setting: skilled nuring facilities, measures: functional status, care planning and reimbursement