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45 Cards in this Set

  • Front
  • Back

A COTA is running a discharge planning group in which people discuss their personl feelings and concerns about returning to the community. Which of the following would be the BEST method to facilitate this process?

Pt.s write fears & concerns on index cards, then the COTA collects and reads the cards for group discussion,

After a 3o yr hospitalization, a pt. /c mental illness has been discharged to a group community home . She is used to being told what to do, where to go. Which of the following would be BEST approach for this pt;s first meal prep group?

Give pt. one task, such as making drinks. So as not to isolate or overwhelm.

Child /c tongue thrust

?toothbrush

soft bristle
oral hypersensitivty

oral care
toothette
child /c limited dexterity

oral care
electric toothbrush
group park outing pt's take neuoleptic meds

encourgae sunscreen

neuroleptic meds caz photosensitivy

positioning child with
low muscle tone
and postural instability
in proone stander to develop head righting
child shows fatigue and associated reactions

what to do
position the stander 75 to 90 degress from the floor
laundry basket with foam lined bottom

bathing child 3 who lacks sitting balance
cost concerns and positioning
horse shoe shaped bath collar
for a child with severe motor limitations lying supine in water
bath hammock
fully holds child for parent to bathe thoroughly

not as cost effective as a hamper with foam insert
evaluating two-point discrimination in person with median nerve injury
aply stimuli at the beginning of the little finger and progress toward thumb

since unlar side is uninvolved, test first
interview
individuals goals for tx, pt's perspective of problem
abilities determined by
thru performance measure
recent MI now stable, to determine current edurance level practicinor plans to monitor performance of self care activities
1st-VS at reat

2- pt perform while being observed

3-take VS after activity

final-take VS after 5 min of rest
4 yr old with spina bifida has lesion at lumbar cazing baldder to be flaccid

parents want bladder training
xpalin this is not feasible
11 month old premature by 3 mths

demo's ability to creep. pull to standing, put objects in c ontainers, respond to the word no

she does NOT understand object permanance, cruise, or demo a pincer grasp

developmental level
is age appropriate caz chronological age for premature infants is corrected to better correlate with such

correct age would be 8 months
meal prep graded from cold to hot foods or beverages and from simple to multilple steps
1 pouring glass of juice

2- cold sandwich prep

hot food or beverage
t4 quadraplegia in rehab setting will attain most likely what level of independance with bathing dressing and transfers
complete i with self care and t/f's d/t sufficent truck balance, ue strength and coordination needed
high cervical injuries SCI
dependeant in self care and t/f's
SCI low cervical and high thoracic req some assistance with
self care and t/f's
child shows poor postural stabiity caz of low muscle tone

to promote beginning anti gravity control

first
pull to sit, leaning back against a therpay ball\\addresses beginning control in neck and shoulders
control develops
cephalocaudally for antigravity control
hammer nail into wood
cylindrical grasping
cylindrical grasp
stabilize object on palm and fingers, thumb is positioned as an opposing force
tip prehension
positioning a nail on a peice of wood
hook grasp
carrying a purse, a pail of bolts
hook grasp dynamics
req's MCP joints to extend
PIP and DIP to flex

may not use thumb
spherical grasp
unscrewing thermos

req's 4 and 5 digits to assume more flexion for palm cupping
ms avoid
high temperature can make symptoms worse
jra avoid
resistive materials
child c/ tactile defensiveness
avoid light touch
child /c seizure avoids
rapid vestibular stimulaion
L visual fiel cute d/t TBI, diff. crossing midliine during self-care

best to address is
weaving on a frame loom req's use of attention to entire loom

shutttle slides across width of loom addressing midline issues
ak amput. has activity of retreive items from a grocery bag on floor and place on various heights of cabinet levels FOR
postural control

imp with le amputaions-impacts ability to safely perform
splint for swan neck deformity
to prevent
hyperextension of PIP

and flexion of DIP
bouton-niere deformity is
flexion of PIP

hyperEXT of DIP
living skills group

what composition will result in more attention on group leader and NOT interaction
less than 5
ideal group size for member interaction
7-10
grp members similiar goals
cohesiveness
post cva pt. displays random movements in all 4 extremeties

most appropraite w/c control switch
sip and puff
sip and puff swtch
not affected by random extremeity movements

operated by breath control
infrared swtch
sends beam to surface and reflects backs, when beam broken switch activated

maybe started by eyeblink of finger twitch
AP switch
piezoelectric sensor starts by muscle tensing
rocking lever switch
starts device when one side of switch is pushed

turns off when other side is pushed
remediation of fuctional performance deficits in a psychosocial setting

activity most consistent with this approach
class about job seeking strategies