final exam

What is pain?

Measured with instrument developed by McGill

What is Borg's Rating of Perceived Exertion (RPE)?

Instrument or technique used to measure one's perceived exercise intensity

What is cognitive orientation? 

Outcome measured with the MMSE

What is community reintegration?

Measured with the Craig Handicap Assessment & Reporting Test (CHART)

System SSIS rating scale

administration time: 10-25 mins

scores: social skills, problem behaviors, and academic competence.

What is the systolic reading?

the 140 measurement in this BP reading?

140/70

What is BIRP?

documentation system more likely to be used in Behavioral Health system

What is Narrative?

Type of documentation system that is similar to documenting a chronological narrative story

What are Flow Sheets?

Alternate Streamline documentation used to document ROUTINE care

Definition of the S.O.A.P

What is Subjective, Objective, Assessment, Plan?

What is "D" Data?

section of the Focus Chart that would report a physical and verbal outburst in group treatment session

What is the Minimal Data Set (MDS) 3.0?

REQUIRED Medicare/Medicaid instrument used by RT to indicate "Preferences for Customary Routine and Activities

What is a dynomometer?

measures hand strength

What is a goniometer?

Used to measure range of motion

SPECIFIC name of this pictured instrument.

Wong-Baker Pain Faces Scale

What is the Leisure Competency Measures (LCM)?

Instrument based on the FIM to measure RECREATION-based outcomes

What are OVERT words?

Words that describe things in a behavioral and measurable manner

What is event recording method?

Observation system used to measure # of times a patient attended group

What is target behavior?

the desired outcome to be measured during observation

What is Duration Method?

best observation method to record how LONG behavior occurs

What is time interval observation?

Observation system used to record when a behavior occurs in small segments of an observation system

What is reliability?

psychometrics indicating that data is repeatable and consistent

What is nominal data?

Level of measurement data represented by the following examples: male, African-American, Catholic

What is Greater than .80?

coefficient criterion number indicating instrument has some evidence of reliability

Type of reliability used to measure with this data?

Intraobservation reiability

Percent OCCURRENCE Agreement

50%

What is Section GG?

Name of the new measurement system replacing the Functional Independence measures (FIM)

What is heart or cardiac function?

Vitals measured with blood pressure?

What is Focus Charting?

Documentation system that includes columns

What is the Leisure Ability Model? 

What is the ICF Model of Health?

What is interval?

Level of measurement in this instrument

What are the ATRA Standards of Practice? 

National professional organization of recreational therapy established these MINIMAL levels of expectations of how how RT is implemented

Who is Dr. John Davis? 

Author of this 1932 book that was first to provide clinical structure to field of recreational therapy

First STANDARDIZED assessment in RT

the Mundy Inventory for the
Trainable Mentally Retarded

What is the Timed Up & Go (TUG) Test?

What is the Multidimensional Reach Test (MDRT)?

What is the Montreal Cogntive Assessment (MoCA)? 

What is upper extremity/body flexibility?

Outcome measured with this test.

What is a spirometer?

What is hand grip strength?

Often considered a direct correlation to one's overall measure of upper body strength

What is a Visual Analog Scale or VSA?

What is involvement? 

the cognitive and emotional dimension of recreation engagement

What is the State Technical Institutes Leisure Assessment Process (STILAP)? 

The recreation assessment that measures how BALANCED one is in their leisure lifestyle.

What is the Motor Skills Inventory (MSI)?

systematic assessment tool for measuring method body management, locomotion, body fitness, object movement, and fine motor skills for children 2-12yo

WHO-based assessment that measures the level of handicap in a community setting?

Craig Handicap Assessment & Reporting Technique (CHART)?

Four levels of the MSI

pre-rudimentary, rudimentary, functional and mature motor skills? 

What is the Snellen Eye Chart Test?

What is unilateral or visual neglect?

Condition whereas someone has difficulty seeing a portion of their visual plane typically due to a cerebral lesion. 

Jaeger Eye Chart Test?

test for a condition when the eyeball is too short for the lens and cannot become round enough, causing difficulty focusing on near objects (FAR SIGHTED)

the term used to describe when the dominant eye is on one side and the dominant hand is on the other

cross-dominance vision?

What is dynamic balance?

the ability of the body to maintain balance point in motion

Score of 56 on Berg Balance Scale

someone who has good balance and not "at risk" for falling?

THREE human systems that impact Balance

sensory, skeletal muscle, and central nervous systems

Optimal Blood Pressure

120/80

Oriented x3

someone oriented to time, person, and place?

What is the section of the MDS completed by the Recreational Therapist? 

Section F

What is the Social Readjustment Rating Scale (SRRS) or Holmes & Rahe Stress Scale?

Self-rated instrument measuring "Life Change Units" in one's life

Three categories of pain in the McGill Pain Inventory (MPI)

Sensory, Affective, & Evaluative types of pain

What are daily vital signs? (monitoring)

weight, BP, & appetite

POMR Includes

-Data base or initial assessment
-Client problem list
-Initial treatment plan
-Progress notes
-Discharge summary
(SOAP NOTES ARE OFTEN USED IN POMR)

Variance

NOT on critical pathway. The idea is that all patients are on a path and those that vary will need to provide a variance.

PIE

P= problems (labeled given a number)
I= Intervention
E= Evaluation
24-Hour flow sheet combined with progress notes

6 moments to documents

1.Unit Coverage
2.Referrals
3.Prescriptions or Reactions
4.Medications or Change in Status
5.Ongoing Service Delivery
6.Discharge

What are Covert Descriptions?

terms are subjective, not objective interpretations of behaviors or feelings

do not describe directly observable and measurable behaviors

vague or confusing representations of a behavior or feeling

SHOULD BE AVOIDED AT ALL TIMES in an attempt to provide clear, consistent information

what are the four levels of measurement used to classify data and analyze client outcomes.

multiple form reliability

It measures the correlation between two or more forms of a tool developed to measure the same construct (e.g., leisure interest, functional ability).

split-middle reliability

analyzing data trends, particularly in single-subject designs, by dividing baseline and treatment data to estimate progress

Mayo Clinic

Founder: William Worrall Sons: william James, Charles Horace

Used lisure and park programs to help patients experience enjoyment and hope

still around today

Florence Nightingale

Nurse in British hospitals during crimean war

Saw soldiers using alchol to cope with war

created inkerman cafe as alternative

included recreation room and coffee house

Hull house

Jane Addams Mary Keyser, Ellen gates Starr “play ladies”

in chicago to support improverished immigrants

used recreation programs in therapeutic manner to address social problems ( expressive arts, Bibliotherapy, Leisure education)

Dr. Bernie Phillips

Hospital RT director at Walter Reed general hospital

he was the first council for the advancment of hospital recreation

first to have registration card.

Best example of a state and a trait

anxiety

What measures anger

speilbergs STAXI-2

Least persice or weakest evidence

nominal

assessment focused on maintaining ones stability or achiving ones full potiental

Health protection/ Health promotion

Purpose of DC Summary discharge summary

document clients progress

evaluate goal achievements

Communicate with the interdisciplinary team

Provide recommendations for after discharge

Support legal, ethical, and reimbursement requirements

Reflect clients strengths