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o Glaucoma:
group of conditions with differing cause that result in damage to the optic nerve
o
Macular Degeneration:
o
loss of central vision
Cataracts:
opacification of the lens (AKA: lens becomes cloud)
o
Diabetic Retinopathy:
complication for DM that causes damage to blood vessels to the retina
• As an OT what are common interventions to improve function for LV population?
o Compensatory strategies is the use of the internal and/or external strategies to improve performance of an occupation
Moving an object closer to eye for better viewing
Organizational strategies
Organized scanning patterns
Line guides
Anchors
o Adaptation:
Process of using changes in the environment or changing the demands of a task to increase safety and function.
Adjusting placement and intensity of lighting
Increasing contrast between items
Adjusting print size
Tactile dots for oven knobs
• Why is role disruption important after a physical disability?
o We as OTs cannot overlook the importance of social roles
o Role disruption resulting from a disability can have devastating effects on the ability ot maintain roles prior onset of disability
• How many adults who have a moderate to severe disability have children?
o Approx.. 6-9 million adults with moderate adults with moderate to severe disability (ex: TBI, SCI, MS) have young children under the age of 10
o Parenting activities that could be impacted:
Bathing, feeding, dressing infants and children
Engaging in play and recreational activities
Providing affection
Healthy limit setting
o Important to help restore family roles:
This can be by using transitional activities (holding, carrying transferring), safety straps, harnesses, front packs
• What is included in work as an occupation and some examples?
o The occupation of work includes as defined by OTPF:
Employment interests or pursuits
Employment seeking and acquisition
Job performance
Retirement preparation and adjustment
Volunteer exploration
Volunteer participation (AOTA, 2020)
o In order to be successful in the occupations of work and education, one must also effectively manage his or her own ADLs and IADLs
Safely getting to and from work or school
Preparing and eating meals at work or school
Dressing and performing hygiene in an acceptable manner for work or school
o Adapting Technology:
: Computers and technology are used regularly in our daily lives, especially in the worker and student roles
Adapting technology for decreased strength or motor control:
• Dictation software, talk to text software, voice commands
• Large key size on phones or computers
• Key-guards
• Single click or easy to grasp mouse
• Track balls, joy sticks
• Eye gaze technology or head pointers
• Mouth stick
• Universal cuff typing stick or stylus
• Switches
Adapting technology for low vision:
• Dictation software, text to speech software
• Large key size on phones or computers
• High contrast keyboard, mouse, etc.
• Magnifying screens or enlarging print options
• Bump dots on keys or mouse
Adapting technology for cognitive and attention difficulties
• Simplify screen/keyboard (fewer options, increased space between items)
• Color coded keyboard
• Picture symbols/visual cues
• Single click mouse
• Auto-correct
• Dictation software, talk to text software, voice commands
• Switches
Adapting technology for hard of hearing/deafness
• Captioning
o Adapting work examples:
Person level: person with low vision may recommended to adjust computer monitor display settings and lighting to improve contrast
Group level: equipment or physical aspects for work may be adjusted to improve access, usability and ability to work. (Example: standing desk).
• Also includes workplace practices, example to facilitate an inclusive office culture and environment for individuals who are transitioning (ex: policy and guidelines for child leave, access to facilities).
Population level: policies may guide the prevention and response to workplace violence, injury risk exposure and equity in benefits and opportunities for advancement
• How does culture play a role with play and leisure?
o Culture can have a significance influence on an individuals’ play and leisure activities
o An important aspect of honoring a person’s cultural background is working with them to ensure they can participate in valued cultural occupations
o Culture influences the way individuals raise and promote development of their children. Consider the client’s culture when making recommendations for developmental activities.
•
Name an adaptation for the role of parenting.
o Transitional activities (holding, carrying transferring), safety straps, harnesses, front packs