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OCCUPATIONAL THERAPY > OCTA 227 LAB Final > Flashcards

OCTA 227 LAB Final Flashcards

1
Q

What are three symptoms of a Right CVA?

A
  1. Paralysis/weakness of left side of body
  2. Poor balance
  3. Poor coordination
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2
Q

What are 3 symptoms of a Left CVA?

A
  1. Paralysis/weakness of the right side of the body
  2. Blurred vision
  3. Sensitivity to touch
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3
Q

An example of fine chopped food is

A

Scrambled eggs

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4
Q

An example of mechanical soft food is

A

Ham

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5
Q

An example of regular food is

A

Chicken

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6
Q

An example of thin food is

A

Water

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7
Q

An example of nectar thick food is

A

Juice with thickening packet

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8
Q

Community accessibility issues:

A
  • Ramps

* Double lines for parking

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9
Q

What are 2 energy conservation techniques?

A
  • Pursed lip breathing

* Diaphragmatic Breathing

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10
Q

A breathing technique that helps strengthen your diaphragm

A

Diaphragmatic Breathing

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11
Q

A breathing techno that prevents air from being trapped in your lungs, helps regulate your breathing pattern, and reduces anxiety from feeling short of breath

A

Pursed Lip Breathing

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12
Q

A scale that measures spasticity (tone)

A

Modified Ashworth Scale

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13
Q

Hand placement for measuring tone in the shoulder?

A

shoulder/elbow

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14
Q

Hand placement for measuring tone in the elbow?

A

above the elbow/wrist

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15
Q

Hand placement for measuring tone in the wrist?

A

forearm/hand

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16
Q

Hand placement for shoulder PROM?

A

_____/elbow

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17
Q

Hand placement for elbow PROM?

A

above the elbow/wrist

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18
Q

Hand placement for wrist PROM?

A

forearm/hand

19
Q

Upper Extremity Donning flaccid or spastic:

A
  1. position shirt on lap
  2. position sleeve opening for affected hand
  3. put affected arm in first
  4. use unaffected arm to pull the shirt over back
  5. put unaffected arm in last
20
Q

Lower Extremity Dressing flaccid or spastic:

A

1.

21
Q

Lower Extremity Dressing flaccid or spastic:

A
  1. position pants on the floor
  2. put affected leg in then affected leg in
  3. use reacher/dressing stick to pull pants up to thighs
  4. grab pants weight shifting side to side to pull pants over buttocks
22
Q

When donning affected extremities

A

affected leg/arm first and followed by the unaffected arm/leg

23
Q

When doffing affected extremities

A

unaffected leg/arm first followed by the affected arm/leg

24
Q

a medical scale used that assess individuals after a closed head injury (TBI) based on cognitive and behavioral presentations as they emerge from coma

A

Ranchos Los Amigos Scale

25
Q

Level 1 :

A
  • No response to external stimuli (senses)

* Coma

26
Q

Level 2:

A
  • Generalized response

* Pt reacts to external stimuli in nonspecific, inconsistent, and nonpurposeful manner

27
Q

Level 3:

A
  • Localized response (responds directly to the stimulus)
  • Total assist
  • Pt responds specifically and inconsistently with delays to stimuli, but may follow simple commands for motor action
28
Q

Level 4:

A
  • Max assist
  • Agitated and Confused
  • Pt exhibits bizarre, non-purposeful, incoherent or inappropriate behaviors, has no short term recall, attention is short and non-selective
  • Doesn’t cooperate
  • Moody/ Aggressive
29
Q

Level 5:

A
  • Max Assist
  • Confused, Non-agitated, Inappropriate
  • Inappropriate use of objects (toothbrush)
  • Pt gives random, fragmented, and non-purposeful responses to complex or unstructured stimuli- simple commands are followed inconsistently, memory and selective attention are impaired, and new info not retained
  • Perform tasks with structure and max cues
30
Q

Level 6:

A
  • Mod assist
  • Confused and Appropriate
  • Pt gives context appropriate, goal-directed responses, dependent upon external input for direction. There is carry-over for relearned, but not for new tasks, and resent memory problem persists
31
Q

Level 7:

A
  • Min assist
  • Automatic and appropriate
  • Judgement impaired
  • Pt behaves appropriately in familiar settings, performs daily routines automatically, and shows carry-over for new learning at lower than normal rates. Pt initiates social interactions
32
Q

Level 8:

A
  • Standby assistance
  • Purposeful and appropriate
  • Pt oriented and responds to the environment but abstract reasoning abilities are decreased relative to premormid levels
33
Q

Level 1 activity:

A

ROM, positioning, coma stem (stimulate the senses)

34
Q

Level 2 activity:

A

ROM, positioning, coma stem (therapist may lift arm and the pt may move legs)

35
Q

Level 3 activity:

A

Ask the pt can he/she grasp toothbrush or brush (pt give delayed nods and blinks eyes spontaneously) try to grasp object

36
Q

Level 4 activity:

A

Ask pt to brush hair or brush teeth, Pt screams I DON’T WANT TO BRUSH MY TEETH and throw the object

37
Q

Level 5 activity:

A

ask pt do she know what the object is (say no) tell pt that the object is a toothbrush/brush, ask pt to demonstrate what do you do with a toothbrush (pt brush hair)

38
Q

Level 6 activity:

A

Pt doesn’t know the time or day of week Have pt identify object in therapist hand (toothbrush/brush), have pt brush teeth or brush hair

39
Q

Level 7 activity:

A

Ask pt to brush teeth and he/she put too little or too much paste (pt asks did she put enough) or have pt brush hair but the pt continuously brushes it w/o stopping

40
Q

Level 8 activity:

A

Have pt set an alarm in his/her phone for a reminder of when to brush teeth or comb hair, or write things to do on a dry erase board

41
Q

How do you perform diaphragmatic breathing?

A
  • Seated or laying
  • put one hand on your stomach and one on your chest
  • breathe in through your nose expanding your stomach
  • As you breathe out through pursed lips flatten your stomach (12 deep breaths)
42
Q

How do you perform purse lip breathing?

A
  • Relax neck and shoulders
  • Breathe in through your nose while counting to 3
  • Breathe out slowly though pursed lips counting to 6
  • repeat for a min or 2 or until you feel comfortable
43
Q

Energy conservation and work simplification:

A
  • Pace yourself
  • Sit whenever possible
  • Eliminate unnecessary tasks
  • Change positioning
  • Use assistive devices

OCCUPATIONAL THERAPY (36 decks)

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