copied from josh's nbcot quizlet

thanks josh <3

Worker role interview

psychosocial and environmental factors related to individual's past work experience, job settinga dna bility to return to work
adults in work hardening program

Procedural reasoning

Type of reasoning that is systematic in gathering and interpreting data. considers diagnosis, symptoms, prognosis, assessment methods , theories etc..

Express empathy
Develop discrepancy
Roll with resistance
Support self-efficacy

Principles of Motivational Interviewing

interactive reasoning

Type of reasoning that focuses on the clinet as a person and involves the therapeutic relationship between the practitioner, individual, and caregiver. Focuses on rapport building and family/caregiver involvement as well as teaching styles

pragmatic reasoning

Considers context of service in the situation and practe environment. looks at client factors, reimbursement issues, legal parameters, referral options

conditional

Type of reasoning that represents the integration of proceudral, interactive and pragmatic. Looks at roles, goals, the illness, the prognosis, and discharge options

16 inches depth
18 inches wide
20 inches high

Standard wheelchair measurements:

11in

All steps should have uniform riser heights and uniform tread widths of no less than \______

32, 26, 18

regarding a doorwayThe minimum clear opening is \_____. (Note: The minimum clearance width for a standard adult-size wheelchair is \____ inches; the minimum clearance width for a walker is \_____ inches.)

3/4, 1/2

Thresholds at doorways should not exceed \___ inch in height for exterior sliding doors or \___inch for other types of doors

egocentric group

A type of group in which members focus on completing a project or activity over several sessions
• group members choose level of interaction with each other, which is often based on the need to complete various aspects of the project

mid-wheel drive

Feature of a powered wheelchair that requires a third set of stabilizing caster wheels, designed with smaller turning radius which increases overall maneuverability

A
The PRIMARY reason for using a hydrogel dressing with this client is to establish a clean, moist wound healing environment to promote autolytic debridement.

An OTR is working with a client in a home health setting who has a wound on the lateral aspect of the proximal forearm. The wound is 4 cm (1.57 inches) in diameter and is being treated by the wound care nurse with a hydrogel sheet dressing. The wound margins are pink and flat, and the wound is draining a low volume of serosanguinous exudate. What is the PRIMARY reason for using a hydrogel sheet dressing type for this client?
A.To keep bacteria out of the wound while promoting autolytic debridement
B.To create a moist healing environment while absorbing discharge from the wound
C.To provide hydration to the wound while offering pain relief with a hydrogel sheet

3.0

How many METS is Washing dishes standing at a kitchen sink

trunk support ring

Device used in the bathtub to provide external stability of the torso for children seated upright during bathing, typically used in the presence of mild hypotonicity

4.0

Regarding ACLS

a client would attend to visible sensory cues and ignore what is not in plain sight (e.g., not tucking in the back of the shirt).

decorticate

Spastic and flexed, with internal rotation and adduction

feedforward praxis

\________ enables a person to compare previous motor plans and sensory information to detect potential errors and correct the plan before attempting it again.

proprioceptive

Research indicates that \__________ input inhibits vestibular stimulation

36 in

max height for counter tops should be?

OSHA

was created to ensure "safe and healthful working conditions . . . by setting and enforcing standards and by providing training, outreach, education, and assistance". The agency provides information about general workplace safety and health, including ergonomics guidelines for lifting and to reduce workplace injuries

ADA

\_______ is legislation governing employment practices and public accommodations for people with disabilities.

seat depth

measure from the posterior buttock along the lateral thigh to the popliteal foldsubtract 2 inches

Grasp the hand rims posteriorly and pull them forward forcefully and abruptly, throwing the head back forcefully, if needed.

how to pop a wheelie

ventricular tachycardia

\__________of more than 100 beats per minute can cause sudden cardiac death. Therapy should be deferred until the client is medically stable

Stable angina usually resolves with rest, nitroglycerin, or both.Unstable angina does not resolve with rest or nitroglycerin. It requires emergency treatment

stable vs unstable angina

2nd or 3rd day

Recent literature has indicated that ambulation may be permitted on the \___________ day after anticoagulation therapy has been initiated.

side-lying position

Because of the obesity, the client will be able to breathe better in a \_________ with the entire upper trunk elevated.

Vocational evaluation

provides information about a person's capacities and interests for work in situations when he or she has not worked before or is looking for a new job after injury or illness

community integration questionaire

specific for brain injury to address community integration- integration into a home like setting, social integration, integration to productive activities

Rancho V

The following is an intervention example of which rancho level

-Active or active-assistive range of motion
-Simple reaching and single step fine motor tasks
-Simple cognitive activities including orientation to self, place, locating own room, etc.
-Basic hygiene, grooming and dressing tasks with step by step cues-Adaptations for safety, such as a bed alarm

coping inventory

assesses coping skills, habits, and behaviors to cope with self and with the environment in three areas: productive, aging, and flexible, for those aged 15 and older. This is an appropriate evaluation for a student who will be transitioning to life after high school.

Rancho IV

The following is an intervention example of which Rancho level

-Active or active assistive range of motion as person will tolerate-Simple reaching activities-Simple cognitive activities such as picture or object identification-Participate in simple activities of daily living with assistance, i.e. washing face, brushing hair, self feeding

min

A person al level VII of the Rancho level is able to appropriately complete highly familiar tasks such as BADL with\_____ assistance

work hardening

Structured rehabilitation program aimed at maximizing a client's physical ability to return to a specific job function after an injury, may include:
-job simulation activities
-work conditioning exercises

work conditioning

a rehabilitation technique in which a person learns/preforms a series of strength building or safety exercises that will aid their ability to function in a work environment

Rancho VI

The following are intervention examples of which rancho level

-Therapeutic exercise and activity as appropriate for physical condition with direct supervision and cuing
-Cognitive activities including short term memory exercises, simple sequencing, structured single step problem solving
-Basic hygiene, grooming and dressing tasks with supervision and periodic cues
-Simple cold food preparation-Simple, familiar housekeeping tasks
-Adaptations to immediate surroundings, including labels on drawers and closets for clothing and personal items

Functional Capacity evaluation (FCE) (*Fisical capabilities)

Eval for a pt in regards to the physical aspects of a job. Will include things such as pt tolerance for sitting etc etc

supported employment

programs that are designed specifically to help people with conditions with work readiness, searching for jobs and providing support in the workplace.

job site analysis

Looks at the ergonomics and essential job functions to help base reasonable accomodations for a pt

T

T/F
An OT is not allowed to make changes in a patient's level of O2 intake without standing orders by a physician

Rancho VII

The following is an intervention example of which rancho level

-Therapeutic exercise and activity as appropriate for physical condition with initial instruction and general in-clinic supervision
-Cognitive activities including short term memory exercises, simple problem solving, decision making, basic executive function tasks
-Hygiene, grooming and dressing tasks with set-up and periodic supervision
-Simple cooking tasks with assistance and direct supervision, instruction in use of microwave oven, toaster
-Basic housekeeping tasks
-Basic home maintenance or tool use-Adaptations including labels on kitchen cupboards, closets

exploratory play

child is 0-1 years old, what type of play

functional, pretend, symbolic

child is 1-2 years old, what type of play

imaginary, contstructive, rough and tumble

child is 2-3 what type of play

simple game with rules (candyland)

child is 3-5 what type of play

sports, recreational

child is 5-7 what type of play

2-2.5 years

at what age can a kid do palm to finger translation ex. putting coins in a slot

inability to experience pleasure

Anhedonia

1. inflammatory response phase
2. proliferation
3. maturation-remodeling phase

Phases of the healing process

1. Heat: Acutely inflamed joints may be exacerbated by heat, whereas ice may be more helpful in reducing pain and inflammation. Patients with RA often have unstable vascular reactions to heat and cold that cause greater than normal heat retention with heat agents or increased coldness and stiffness with cold exposure.

2. Active ROM can exert more stress on a joint compared to gentle passive ROM.
3. Resistance:Resistive exercise of any kind should never be performed during periods of acute flare or inflammation.When testing strength: Strength testing in patients with arthritis differs from normal testing procedures. Resistance is applied at the end range of pain-free motion rather than at the true end of the ROM.
4. Isotonic exercises
5. Active or passive stretches
6. Inappropriate use of splints


(Should be doing splinting, PROM, isometric exercise)

Preacautions for RA- Flare-up Acute/Exacerbation

PAMS- Thermal modalities, especially heat.

Contraindications for Multiple sclerosis (MS)

Involuntary rapid eye movements

nystagmus

peripheral vision

Glaucoma patients lose

parietal

Damage to which lobe leads to deficits in body schema

1-1.5

at what age should the student be using a palmar-supinated grasp for prewritting skills

temporal

Which lob is damaged with werneckies

transfers and walking

slings for CVA should be used during?

foam

What type of seat is this

Benefits
• Low cost• Lightweight• Low maintenance

Downside
Can "bottom out" quickly (lose its shape)

gel

What type of seat is this

Benefits
• Good pressure distribution• Keeps you cool and can be used with a foam base

Downside
• Heavier, adds weight to the wheelchair

• Knead prior to each use to keep in place

air

What type of seat is this

Benefits
• Exceptional pressure relief• Adjustable firmness

Downside
• Air levels need to be checked daily for leaks

• Less stable

honeycomb

What type of seat is this

Benefits
• Stable• Keeps you cool

Downside
• Limited pressure distribution and positioning

word recognition

C4 typing is

A technique that increases the probationer's awareness of their potential problems by asking them to visualize a better future and learn strategies to reach their goals.

motivational interviewing

1. Interventions, strategies, techniques, policies, and programs implemented should be grounded in research.
2. The studies should be of high quality defined by field.
3. Attempt to close the gap between what researchers know works and what teachers often do.
4. Eliminate practices that are of habit but no use.

principles of evidence based practice

precontemplation, contemplation, preparation, action, maintenance

Transtheoretical Model

soft speech

Hypophonia

oral, pharyngeal, esophageal

swallowing phases

practical reasoning used to fit therapy possibilities into realities of service delivery

Pragmatic reasoning

Initiate compression therapy for both edema control and scar compression
-Temporary interim pressure bandages or garments
*Elastic bandages
*EM Corban (EM) wrapping of fingers
*Elasticated tubular support bandages
*Thigh-high or knee-high thomboembolism-deterred hose
*spandex bicycle pants
*Isotonic gloves with impression silicone (otoform), elastomor, closed-cell, silicone pad inserts
-Measurement for custom-made compression garment
*Use of compression garment is indicated for all donor sites, grafted sites, and burn wounds that take more than 2 weeks to heal spontaneously
-Custom-made pressure garment and insert
*custom-made pressure garment are constructed to provide gradient pressure starting at 35 mmHg distally
*Garment should be worn 24 hours daily except during bathing and other skin care activity
*Minimum of 2 sets of garments should be affected for changing and laundry
*Conformers added under garments to distribute pressure more evenly

Scar management in the rehab stage of burn healing

Phase I: inpatient phase
Phase II: outpatient phase
Phase III: outpatient phase

Stages of cardiac rehab

a mild form of pervasive developmental disorder (PDD) characterized by an inordinate interest in letters and words and by early ability to read but with little comprehension

Hyperlexia

2-2.5 years

at what age can a kid do turning or rolling of an object using finger pads ex. unscrewing cap

12-15 mo

at what age can a kid do finger to palm translation ex picking up a coin

If the pt indicated desire to change career or the condition resulted in an inability to perform the essential fx of the job

when do you refer a pt to vocational counseling

stress management

\__________ techniques are beneficial for the majority of pts with COPD

90, 70

what is the normal ROM for external rotation of sh.
What about internal rotation

when the pt has cognitive deficits

when is it best practice to administer kitchen task assessment

measures an individual's impairment level in ADLs according to Allen's model of cognitive levels. given as self-report and/or report of cargiver

What is the routine task inventory?

Tactical aspects

aspects of driving that ivnolve the ability to respond to changes in the road conditions and traffic/driving risks

T

T/F: Reality orientation is useful for people with delirium. It is not an effective technique to use with a person who has dementia

Assesses coping skills for those aged 15 yo and older. Appropriate evaluation for a student who will be transitioning to life after high school

What is the coping inventory?

functional performance to promote participation in school environment

What does SFA assess

provides training in a specific job, 3-6 months with discharge to competitive employment, supportive employment or rehab workshops.

Transitional employment program (TEP)

Emotional regulation development: Neurophysiologic modulation phase

Phase of emotional regulation development, occurring between birth and 2-3 months of age

Characterized by ability to:
• regulate arousal (e.g., self-soothe, respond to parental soothing)
• activate organized patterns of behavior (e.g., routine sleep-wake cycles)

Emotional regulation development: Sensorimotor modulation phase

Phase of emotional regulation development, occurring between 3-9 months of age

Characterized by:
• enjoyment of sensorimotor play
• sensory exploration
• possible sensory modulation challenges

Stage of motor learning: Exploratory stage

Stage of motor learning development, occurring between 1-3 months of age where the infant learns about the self and the environment using primitive movement patterns to:
• swipe at objects
• initiate reach
• complete low level skills

Stage of motor learning: Perceptual learning

Stage of motor learning development, occurring between 3-6 months of age where the infant uses perceptual skills developed through exploration

Characterized by:
• more accurate and direct reach
• consistency of movement patterns
• engagement in trial-and-error learning

Stage of motor learning: Skill achievement

Stage of motor learning development, occurring between 6-9 months of age

Characterized by:
• high adaptability
• both perceptual learning and increased self-organization• using action patterns that are orderly and efficient

Systemic lupus erythematosus

Autoimmune inflammatory disease affecting, joints, skin, blood cells and vital organs, characterized by a distinct butterfly-shaped facial rash that crosses both cheeksSymptoms may be acute, chronic or episodic and may include one or more of the following: joint pain and swelling, skin lesions, fatigue, Raynaud's phenomenon, dyspnea, alterations in cognition

declarative memory (ex what did you do for newyears)

The memory of specific facts or events that can be brought consciously to mind and explicitly stated or declared.

working memory

a newer understanding of short-term memory that focuses on conscious, active processing of incoming auditory and visual-spatial information, and of information retrieved from long-term memory

Rett syndrome

is a progressive neurodevelopmental disorder that affects a child's brain development and cognitive ability. Over time, it can cause severe problems with language and communication, lack of coordination and muscle control, involuntary hand movements, and slowed growth.

backwards chaining

A teaching procedure in which a trainer completes all but the last behavior in a chain, which is performed by the learner, who then receives reinforcement for completing the chain. When the learner shows competence in performing the final step in the chain, the trainer performs all but the last two behaviors in the chain, the learner emits the final two steps to complete the chain, and reinforcement is delivered. This sequence is continued until the learner completes the entire chain independently.

forwards chaining

Trainer completes all but the first step

The remodeling phase completes the wound healing process and often takes several years. Beginning and overlapping with the proliferation phase, remodeling works to form and lyse collagen within a scar to help increase strength and skin integrity. It is during this phase that the initial 15%-strength scar eventually regains 80% of the skin's original strength. During the remodeling phase, scar tissue changes in appearance. In light-skinned individuals, the scar's color changes from pink or red to a white color as vascular changes occur. The diminished need for additional worker cells to repair the site reduces the need for additional vascular support. Scar tissue also becomes more flexible as it ages.

remodeling phase

Lymphocytes stimulate some of the dormant T and B lymphocytes to enlarge, divide, and proliferate

proliferation stage

HELP

Non-standardized scale, cognitive language gross motor, fine motor, social-emotional, and self-help
Natural environment
Birth to 3 with developmental delay, disabilities, or at risk, HELP for preschoolers age 3 to 6

Myasthenia gravis

Autoimmune motor unit disorder, characterized by:
• ptosis and double vision
• possible difficulty with chewing, swallowing, and speech
• weakness and fatigue that increases throughout the day

Intervention(s)
may include: energy conservation and work simplification education, sleep hygiene strategies, recommendation of adapted and assistive devices, activity modification

Orthopnea

Shortness of breath due to impaired breathing when lying in a supine positionRecommendations may include for client to sleep in an upright position