Neurodegenerative Conditions Incorrect

-Provide the family with information about functional decline and strategies for management and referral

-Discontinue occupational therapy services; all goals are met

-Provide the family with strategies and education to prevent caregiver burnout

A client with middle-stage dementia lives with family and recently fell down the stairs while wandering in the middle of the night. The client was uninjured, but family members are concerned about the client’s safety. Locks have been installed on all the doors to prevent the client from leaving the home in the middle of the night. The client has been attending adult day care, but the center is allowing the client to sleep all day.

Question

Family members have maintained monitors in the home, installed door alarms, and commenced more structured activity with the client. The goal of maintaining nighttime safety for the client has been met. What is the MOST appropriate next step for the OTR® to take with this client and the client’s family? Select the 3 best choices.

Plan an in-service for staff about AD and how to set up the environment for maximal function.

An OTR® at an assisted-living facility has received multiple referrals for clients with Alzheimer's disease (AD) who are having a decline in functional ability in personal hygiene and grooming. When intervening with these clients, the OTR® observes that they have more residual ability than the referral or staff report indicates. What might the OTR® do next?

-The Modified Fatigue Impact Scale

-performance-based cognitive screen

-The Timed Up and Go (TUG)

An OTR® is evaluating a 60-year-old client with multiple sclerosis who has been referred to the occupational therapy clinic because of recent falls at home. The client’s spouse indicates that the client’s most recent falls have occurred in the evening while showering and when transferring to bed. The client reports difficulty paying attention during tasks and increasing lack of endurance but states that it is a priority to complete self-care activities independently and without using adaptive equipment.

Question

What assessments would provide further information about the client’s situation

-Have the client follow up with the OTR in 1 year, or earlier if the client has a change in status

-Suggest that the client keep a record of falls and report any increased frequency

-Provide client with resources to participate in a group light aerobic exercise program

An OTR® is evaluating a 60-year-old client with multiple sclerosis who has been referred to the occupational therapy clinic because of recent falls at home. The client’s spouse indicates that the client’s most recent falls have occurred in the evening while showering and when transferring to bed. The client reports difficulty paying attention during tasks and increasing lack of endurance but states that it is a priority to complete self-care activities independently and without using adaptive equipment.

Question

The OTR® follows up with the client 2 weeks after the last intervention session. The client reports that no falls occurred during showering in that 2-week period and that showering in the morning enables the client to rest afterward, leaving more energy for other activities during the day. The client’s goals have been met. What action should the OTR take next?

Universal cuff with a D-ring

An OTR® is working with a client with amyotrophic lateral sclerosis to address interosseous muscle wasting and atrophy in the dominant hand and to promote self-feeding. Which compensatory strategy would be MOST beneficial?

Recommend that the spouse use simple verbal instructions.

A client with Parkinson’s disease is experiencing difficulty in executive functioning. The client’s spouse would like the client to continue participating in leisure activities. Which intervention would be the MOST appropriate for this client?

Instruct the caregiver in ways to assist the client’s participation in activities

A client with Parkinson’s disease has experienced a significant decrease in participation in activities in the home. The OTR® finds that this decrease in activity is related to the client’s postural instability and the caregiver’s fear that the client will fall. Which intervention is BEST to restore this client’s participation in home activities?