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440 Cards in this Set
- Front
- Back
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T or F
it is easy to define OT |
false
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When occupational therapists use term occupation, what do they mean?
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they are refering to the ordinary activites that people engage in as part of their daily lives
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NAME
when OT use this term they referring to the ordinary activites that people engage in as part of their daily lives |
occupation
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Describe what occupations involve (2)
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(1)involves mental and physical abilities (2)meaning for the indivudal
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OT view humans as (1)
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occupational beings
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What are (2)that occupational therapy is based on?
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(1)the belief that occupation can be used to prevent and minimize dsyfunction and (2)that it can bring forth beneficial adaptions in indivudals
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NAME
this is based on the belief that occupation can be used to prevent and minimize dsyfunction and it can bring forth beneficial adapations in indivudals |
OT
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How do OT's use occupation?
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ordinary activites are selected for their therapeutic value (2)are used by OT's to help regain abilities that have been lost or limited as result of physical or psychological disturbances
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overall, an OT is a person who selects and use occupations to (1)
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prevent the development of problems, to improve performance or to maintain a client's exisiting abilties
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overall, an Ot is a person who selects and uses (1)to prevent the development of problems, to improve performance or to maintain a client's existing
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occupation
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Explain how defs of OT have changed over the yrs?(4)
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(1)early defs emphasized the use of occupation as remedial activity to restore the indiviudal to an improved phsyical and mental state, was medically prescribed (3)much of OT was medically prescribed and occured at hospitals, sanitarium or community workshops (4)As OT grew, expanded, it used w many different types of clients of all ages and who being cared for a variety of different settings.
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Explain how defs of OT have changed over the yrs?(4)
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(1)early defs emphasized the use of occupation as remedial activity to restore the indiviudal to an improved phsyical and mental state, was medically prescribed (3)much of OT was medically prescribed and occured at hospitals, sanitarium or community workshops (4)As OT grew, expanded, it used w many different types of clients of all ages and who being cared for a variety of different settings.
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Explain how defs of OT have changed over the yrs?(4)
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(1)early defs emphasized the use of occupation as remedial activity to restore the indiviudal to an improved phsyical and mental state, was medically prescribed (3)much of OT was medically prescribed and occured at hospitals, sanitarium or community workshops (4)As OT grew, expanded, it used w many different types of clients of all ages and who being cared for a variety of different settings.
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why is hard to define OT?
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bc of its increasing diversity
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According to the AOTA what is OT?
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is the use of purposeful activity or interventions desinged to acheive functional outcomes which promote health, prevent injury or disability and which develop, improve sustain or restore the highest possible level of independence of any individual who has an injury illness, cogintive development, psychosocial dysfunction, mental illness, developmental or learning disability or other disorder or condition
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According to the AOTA what is OT?
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is the use of purposeful activity or interventions desinged to acheive functional outcomes which promote health, prevent injury or disability and which develop, improve sustain or restore the highest possible level of independence of any individual who has an injury illness, cogintive development, psychosocial dysfunction, mental illness, developmental or learning disability or other disorder or condition
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According to the AOTA what is OT?
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is the use of purposeful activity or interventions desinged to acheive functional outcomes which promote health, prevent injury or disability and which develop, improve sustain or restore the highest possible level of independence of any individual who has an injury illness, cogintive development, psychosocial dysfunction, mental illness, developmental or learning disability or other disorder or condition
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According to the AOTA, what does OT services include but are not limited to?
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(1)the assessment and provision of treatment in sonulation w the indivudal, family or other person (2)interventions directed toward developing, improving, sustaining or retaining living skills including self care skills and activites taht involve interaction w others and his or her evironmnet (3)developing, improving, sustaining or restoring sensory-motor, perceptual or neuromuscular functioning or range of motion; or emotional, motivational, cognitive, or psychosocial components of performance (4)education of the individual and family or other person
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According to the AOTA, what does OT services include but are not limited to?
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(1)the assessment and provision of treatment in sonulation w the indivudal, family or other person (2)interventions directed toward developing, improving, sustaining or retaining living skills including self care skills and activites taht involve interaction w others and his or her evironmnet (3)developing, improving, sustaining or restoring sensory-motor, perceptual or neuromuscular functioning or range of motion; or emotional, motivational, cognitive, or psychosocial components of performance (4)education of the individual and family or other person
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According to the AOTA, what does OT services include but are not limited to?
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(1)the assessment and provision of treatment in sonulation w the indivudal, family or other person (2)interventions directed toward developing, improving, sustaining or retaining living skills including self care skills and activites taht involve interaction w others and his or her evironmnet (3)developing, improving, sustaining or restoring sensory-motor, perceptual or neuromuscular functioning or range of motion; or emotional, motivational, cognitive, or psychosocial components of performance (4)education of the individual and family or other person
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OT is an (1)as well as a (2)
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(1)art (2)science
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OTs help people live as normally and as fully as possible within (1)
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their own evironment
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What is occupation?
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(1)culturally and personally meaningful activity (2)active, particpation in self-maintenance, work, leisure, and play (3)a relationship btwn occupation form (task and context)and occupational performance (doing)
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occupation is a relationship btwn (1)and (2)
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(1)occupational form (task and context) (2)occupational performance (doing)
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HUmans are (1)
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relationship beings
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we view our evironments through our (1)
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relationships
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What is purposeful activity when used in occupational therapy?(3)
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(1)goal directed behaviors or tasks that comprise occupations (2)used by therpaist to translate therupatic theories and principles to apply to particular patient's source of disfunction into concrete tasks that will promote behavior away from disfunction towards function (3)used to faciliatate change in impairment or functional limitation
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How do you chose the right activity?
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(1)determine the compoenents of the activity (2)determine the level of capability the components demand (3)should be guided by a frame of reference=have a rationale to explain your choice of activity
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How does using occupation affect the patient's performance? (2)
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(1)from a physical disabilites (sensor motor)standpoint, goals are motor problems (2)the goal forces the client to organize movement
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What are some constraint to purposeful activity?
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(1)are either intrinstic or externsic in nature
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What does instrinstic problems mean?
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refers to biomechnical limitations patients may have
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NAME
this refers to biomechnical limitations patients may have |
intrinstic limitations
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What does it extrinsic limitations mean?
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refers to limitations patients might have because of their environment or context
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NAME
this refers to limitations patients might have because of their evironment or context |
extrinsic limitations
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What are some different types of extrinsic constraints?(3)
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(1)physical surroundings (2)social surroundings (3)prior experience (3)task constraints
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NAME
some of these include physical surroundings, social surroundings, prior experience, and task constraints |
extrinsic constraints
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How do OT intervene to help patients?(2)
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(1)remediate constraints and/or (2)compensate/adapt to minimize constraints
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T or F
all patients can be remediated |
FALSE
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NAME
these are ordinary activites |
occupation
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NAME
these are selected for their therapeutic value |
occupation
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occupation are selected for their (1)
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therapeutic value
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Why do OTs use occupations? (3)
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to help the client regain abilities that have been lost or improve functional capacity (2)to prevent the development of problems (3)improve performance or to maintain existing abilties
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NAME
these are used by OTs to help the client regain abilities that have been lost |
occupations
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NAME
these are used to prevent the development of problems and improve performance or to maintain existing abilities |
occupations
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What does occupational therapy include?(6)
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(1)assessment (2)treatment (3)consultation (4)a focus on ADL (5)a focus on components of performance (6)education
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NAME
this includes assessment, treatment, consultation, a focus on ADL, components of performance, and education |
occupational therapy
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What does ADL stand for?
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activities of daily living
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What is the art of occupational therapy?
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is the therapeutic use of self including the therapist's personality and strengths
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NAME
this is the therapeutic use of self including the therapist's personality and strengths |
art of occupational therapy
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WHat is the science of occupational therapy?
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is use of the anatomy, physiology psychology that uses the scientfic method in occupational therapy
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NAME
this the use of anatomy, physiology psychology and the scientfic method in occupational therapy |
science of occupational therapy
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you need to be (1)to be successful in life
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meaninful engaged
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What are some philosophies of every day life? (5)
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(1)need to be meaningful engaged to be succesful (2)be avaluated with as a member of a group (3)acquire objects and experiences that result in pleasure (4)philosophies vary w culture (5)philosophies shape conduct and performance
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What are the philosophies of everyday life? (5)
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(1)need to be meaningful engaged to be succesful (2)be avaluated with as a member of a group (3)acquire objects and experiences that result in pleasure (4)philosophies vary w culture (5)philosophies shape conduct and performance
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T or F
philosophies do not vary w culture |
False
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NAME
these shape conduct and performances |
philosophies
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Describe the professional philosophies?(3)
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(1)foundation for practice (2)helps to provide a professional id (3)guides our vision
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NAME
this is the foundation for practice, helps to provide a professional id, and guides our vision |
professional philosophies
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Who said this
"it is not enough to give a patient something to do with his hands. You must reach for the heart as well as the hands. It is the heart that does the real healing. |
Ora Ruggler
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Who was Ora Ruggler ?
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said"it is not enough to give a patient something to do with his hands. You must reach for the heart as well as the hands. It is the heart that does the real healing.
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What are some societal influences that have shaped Occupational therapy? (3)
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(1)humanism (2)pragmatism (3)existentialism
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NAME
this has been shaped by humanism, pragmatism, and existentialism |
occupational therapy
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What is humanism?
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is the idea that man is capable of self-fullfillment and ethical conduct
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NAME
this is the idea that man is capable of self-fullfillemtn and ethical conduct |
humanism
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What is pragmatism?
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is the idea that meaning and truth is determined by practical consquences
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NAME
this is the idea that meaning and truth is determined by practical consquences |
pragmatism
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What is existentialism?
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is the idea that humans are free and responsible for their acts, individual existence, and precedence
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NAME
this is the idea that humans are free and responsible for their acts, individual existence, and precedence |
existentialism
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OT orginally started out as (1)
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reconstruction aides taking care of World War I soliders
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(1)originally started out as reconstruction aides taking care of world War I soliders
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OTs
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OT originally started out as (1)
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reconstruction aides World War I soliders
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Who was William Rush Punten, jr?
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he was a psychiatrist said "that occupation is necessary to life as food and drink. That every human being should have both physical and mental occupation...that sick minds, sick bodies, sick souls, may be healed through occupation"
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Who said this..
"that occupation is necessary to life as food and drink. That every human being should have both physical and mental occupation...that sick minds, sick bodies, sick souls, may be healed through occupation" |
William Rush Punten, Jr
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NAME
this person said "that occupation is necessary to life as food and drink. That every human being should have both physical and mental occupation...that sick minds, sick bodies, sick souls, may be healed through occupation" |
William Rush PUnten, Jr
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What are (7)core concepts of occupational therapy?
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(1)altruism (2)equality (3)freedom (4)justice (5)dignity (6)truth (7)prudence
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NAME
these include altruism, equality, freedom, justice, dignity, truth, and prudence |
core concepts of occupational therapy
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What are some responses that have affected our profession? (4)
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(1)changes in occupation (2)a growing knowledge base (3)leadership (4)societal influences such as the health system going from a service to a business
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What are (7)core concepts of occupational therapy?
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(1)changes in occupation (2)a growing knowledge base (3)leadership (4)societal influences such as the health system going from a service to a business
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What are some responses that have affected our profession? (4)
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(1)altruism (2)equality (3)freedom (4)justice (5)dignity (6)truth (7)prudence
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What are some early formers of OTs in history?(3)
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(1)the greeks and the Egyptains prescribed music, excerise, and occupations to mental illness? (2)Dr. Phillipe pineal released 50 maniacs in France (3)In England, William Tuke founded the practice of moral treatment in the USA
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What are some early formers of OTs in history?(3)
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(1)the greeks and the Egyptains prescribed music, excerise, and occupations to mental illness? (2)Dr. Phillipe pineal released 50 maniacs in France (3)In England, William Tuke founded the practice of moral treatment in the USA
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the (1)and (2)prescribed music, excerises, and occupations for the mental illness
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greeks and Egyptians
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Who was Dr. Philipee Pineal?
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released 50 maniacs in France in 1792
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NAME
in 1792, this person released 50 maniacs in France |
Dr. Philipee Pineal
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Who was William Tuke?
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During the 1800s in England,he founded the practice of "moral treatment" in the USA
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NAME
During the 1800s in England, he founded the practice of "moral treatment" in the USA |
William TUke
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How has arts and crafts played a role in Occupational therapy?
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practitioners of mental health care quickly saw the benefits of working w ones hands....for instance, they saw it as an outlet of creativity, independence, problem solving, and engagement
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NAME
the use of this was born out of rebellion against the culture of the industrial revolution |
arts and crafts
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How was arts and crafts born?
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it was born out of the rebellion against the culture of the industrial revolution
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arts and crafts was born out of the rebellion against the culture of the (1)
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industrial revolution
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NAME
pracitioners of mental health care quickly saw the benefits of this as a an outlet of creavity, independence, problem solving, and engagement |
art and crafts
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What are some things that practitioners in the mental health care observed about arts and crafts when it first came out?
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is can be used as an outlet for creativity, independence, problem-solving, and engagement
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Who where some early advocates of Occupational therapy?(5)
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(1)Susan E tracy (2)Dr. William Rush Dunton (3)Susan Cox Johnson (4)Elanor Clark Slagle (5)George Edward Barton
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Who where some early advocates of Occupational therapy?(5)
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(1)Susan E tracy (2)Dr. William Rush Dunton (3)Susan Cox Johnson (4)Elanor Clark Slagle (5)George Edward Barton
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Who where some early advocates of Occupational therapy?(5)
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(1)Susan E tracy (2)Dr. William Rush Dunton (3)Susan Cox Johnson (4)Elanor Clark Slagle (5)George Edward Barton
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Who was Susan E tracy?
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she said "the goal of patient occupation is to improve the patient's condition not to produce beautiful hand work
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NAME
this person said "the goal of patient occupation is to improve the patient's condition not to produce beautiful hand work" |
Susan E tracy
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Who said this
NAME this person said "the goal of patient occupation is to improve the patient's condition not to produce beautiful hand work" |
Susan E. tracy
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Who was Dr. William Rush Dunton?
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he followed Tuke's theory of moral treatment
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NAME
he followed Tuke's theory of moral treatment |
Dr. William Rush Dunton
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Who is Susan Cox Johnson?
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began teaching OT
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NAME
he begin teaching OT |
Susan Cox JOhnson
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Who was Elanor Clark Slagie?
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start habit training
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NAME
he started habit training |
Elanor Clark Slagie
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Who is George Edward Barton?
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was an architect that coined the phrase occupational therapy
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NAME
he was an architect that coined the phrase occupational therapy |
George Edward Barton
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How did World War I influence occupational therapy and the soceity? (2)
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(1)the 1st large scale educational programs for reconstruction aides was formed (2)aides moved quickly into civilian hospitals at the wars end
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NAME
during this time period, the 1st large scale educational programs for reconstruction aides was formed and aides moved quickly into civilian hospitals at the end of this |
world war I
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How did World War II influence occupational therapy?(2)
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(1)once again OT were pressed to service working w wounded vertans (2)rehabilitation hospitals were built and the specialty of rehabilitative medicine came int its own
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NAME
during this time period, once again OTs were pressed to service working w wounded vertans, and rehabilitation hospitals were built and the specialty of rehabilitative medicine came in to its own |
World War II
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How has the 1920s and 1930s influenced occupational therapy?(3)
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(1)the american occupational therapy association grew in membership (2)the AOTA began to puplish a professional journal (3)educational programs flourished under joint accrediation from the AOTA and AMA
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NAME
during this time period, this happened (1)the american occupational therapy association grew in membership (2)the AOTA began to puplish a professional journal (3)educational programs flourished under joint accrediation from the AOTA and AMA |
the 1920s and 1930s
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How did the rehabilitation movement infleunce OT?
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(1)started during end of world war II to 1960s (2)American had a disabled president Franklin Roosevelt (3)the discovery of antibiotics prolonged lives and created clients who would have died in earlier times (4)OT remained at a "technical" level but started to become more comprehensive near the end of the era
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NAME
during this time period, (1)started during end of world war II to 1960s (2)American had a disabled president Franklin Roosevelt (3)the discovery of antibiotics prolonged lives and created clients who would have died in earlier times 4)OT remained at a "technical" level but started to become more comprehensive near the end of the era |
the rehabilitation movement
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NAME
this president had a disability and played a role in OT |
Franklin Roosvelt
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Franklin Roosevelt had a (1)
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disability
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How did COTA emerge?
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bc during the 1950's there was a critical shortage of OTs so there was demand for assistants
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the 1st COTA had (1)of training
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3 months
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the 1st COTA had (1)of training
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3 months
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How did the 1960's infleunce OTs? (2)
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(1)OT's began to specialize their practices such as hands, geriatrics, and peds (2)OTs become more involved in prevention and health maintence
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NAME
during this time period, OT's began to specialize their practices such as hands, geriatrics, and peds, and OTs become more involved in prevention and health maintence |
1960s
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What happened to many of the mental health cleints in the 1970s and 1980s?
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they where deinstuitulianzed
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OTs went from (1)to (2)during hte 1970s and 1980s
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institutions to community based core
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How did the 80s and 90s influence occupational therapy? (6)
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(1)moved away from medical model (2)a demonstrated need for outcomes reserach (3)state licensure of OT practitioners (4)ethical dilemmas arose surrounding the allocation of the health care resources (5)managed care was born (6)balance budget amendement created in 1997 which gave rise to the prospective payment system
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NAME
during this time period: (1)moved away from medical model (2)a demonstrated need for outcomes reserach (3)state licensure of OT practitioners (4)ethical dilemmas arose surrounding the allocation of the health care resources (5)managed care was born (6)balance budget amendement created in 1997 which gave rise to the prospective payment system |
80s and 90s
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How did the 80s and 90s influence occupational therapy? (6)
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(1)moved away from medical model (2)a demonstrated need for outcomes reserach (3)state licensure of OT practitioners (4)ethical dilemmas arose surrounding the allocation of the health care resources (5)managed care was born (6)balance budget amendement created in 1997 which gave rise to the prospective payment system
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How has the OTs clients change?
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we are be are becoming more specialized in terms of age groups we werve
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OT are become more (1)in terms of age groups we serve
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spealized
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COTAs tend to work more w (1)
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geriatric population
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NAME
these tend to work more w the geriatric population |
COTAs
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OTs tend to work more w (1)
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peds
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NAME
these tend to work more w peds |
OTs
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Why would more COTAs be hired for the geriatric population and more OTs for peds?
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bc adults are more stable and peds need to be constantly revualted
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T or F
COTAs can elevauate |
false
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(1)do not elevate but implement treatment plans (2)make
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(1)COTAs (2)OTs
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What are the most common diagnoses OTs make/treat? (5)
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(1)strokes (2)development delay (3)hand injuries (4)fractures (5)learning disabilites
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(1)are one of the most common fractures in the elderly population
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hip fractures
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What are some interpersonal skills necessary for practice? (10)
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(1)emapthy (2)self-awareness (3)being emotionally available/maintaining objectivity (4)relate to other at their own level (5)honest and open (6)able to establish a therapeutic relationship (7)listen and communicate effectivly (8)non-judgmental attitude (9)resepct for the wishes and priorties of cleints (10)be supportive to cleints families, and caregivers
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What are some interpersonal skills necessary for practice? (10)
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(1)emapthy (2)self-awareness (3)being emotionally available/maintaining objectivity (4)relate to other at their own level (5)honest and open (6)able to establish a therapeutic relationship (7)listen and communicate effectivly (8)non-judgemental attidue (9)respect for the wishes priorties of cleints (10)be supportive to cleints, families, and caregivers
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What are some qualities needed to be a competent practitioner?(9)
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(1)postive attidues and beliefs (2)mastery of art and science of practice (3)professional behavior (4)mutal respect (5)clear communication skills (6)ability to accept criticism (7)taking initiative (8)dependable reliable (9)make wise use of time and resources
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What are some qualities needed to be a competent practitioner?(9)
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(1)postive attidues and beliefs (2)mastery of art and science of practice (3)professional behavior (4)mutal respect (5)clear communication skills (6)ability to accept criticism (7)taking initiative (8)dependable reliable (9)make wise use of time and resources
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What are the steps in the occupational therapy process?(9)
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(1)screening (2)referral (3)assessment (4)program (treatment planning)including priorties based upon assesment and goals and client centered (5)clinical reasoning (6)intervention plan (7)intervention (8)resassement (9)discontinuation of services
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What are the steps in the occupational therapy process?
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(1)screening (2)referral (3)assessment (4)program (treatment planning)including priorties based upon assesment and goals and client centered (5)clinical reasoning (6)intervention plan (7)intervention (8)resassement (9)discontinuation of services
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what do you learn about the average OTs in class?
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(1)is an aging health profession (2)1/3 of Ots have masters (3)pre-dominantly white female (4)OTs are moving from long term skilled nursing to peds, schools, and intervention and wellness programs (5)seen in increase in the salary
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AOTA published a position paper which presents (1)as the core of occupational therapy
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psychosocial
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What some typical mental health practice setting for OTS? (9)
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(1)public institutions (2)inpatient (acute)hospitals units (3)spealized facilities (4)day treatment centers (5)home health (6)community services (7)group homes (8)shelters (9)nursing homes (10)correctional instiutions
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What does NAMI stand for?
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national Alliance for the mentally ill
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What are the frames of reference in mental health occupational therapy? (4)
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(1)psychodynamic (2)behavioral (3)developmental (4)systems
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NAME
the frames of reference for OTs work in this field include psychodynamic, behavioral, developmental, and systems |
mental health
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What is behavioral psychology?
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uses postive and negative reinforcement to fix the behavior
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NAME
this uses positive and negative reinforcement to fix the behavior |
behavioral psychology
|
|
|
What is developmental psychology?
|
says that all people go through stages of development and sometimes people get stuck in these stages of developemnt
|
|
|
NAME
this says that all people go through stages of development and sometimes people get stuck in stages of development |
developmental pyscholgy
|
|
|
What is the systems psychology?
|
says that all kinds of types of psychology work such as the psycho dynamic, behavioral,and developmental
|
|
|
What are trends in mental health occupational therapy?(5)
|
managed care has forced a focus on evidence based outcomes (2)brief stay permit only evaluation and crisis management (3)practitioners are leaving evalution and crisis management (4)NAMI is working to reduce the stigma of mental illness and advocate the best practice (5)the mental healht practice act in 1996 mandates that insurance have to cover mental health
|
|
|
What are trends in mental health occupational therapy?(5)
|
managed care has forced a focus on evidence based outcomes (2)brief stay permit only evaluation and crisis management (3)practitioners are leaving evalution and crisis management (4)NAMI is working to reduce the stigma of mental illness and advocate the best practice (5)the mental healht practice act in 1996 mandates that insurance have to cover mental health
|
|
|
NAME
is working to reduce the stigma of mental illness and advocate for best practice |
NAMI
|
|
|
What is the setting of OTs working in acute hospitals? (3)
|
general or community hospital (2)fast paced (3)team approach most commonly used
|
|
|
What are some trends in the acute setting? (4)
|
(1)shorter average LOS due to PRGs in the medicare sytems (2)busier out patient clinics (3)health systems are replaced and are replacing many smaller community hospitals (4)puts pressure on rehab in outpatient clinics
|
|
|
What does LOS stand for?
|
length of stay
|
|
|
What are some trends in the acute setting? (4)
|
(1)shorter average LOS due to PRGs in the medicare sytems (2)busier out patient clinics (3)health systems are replaced and are replacing many smaller community hospitals (4)puts pressure on rehab in outpatient clinics
|
|
|
What are some advantages of health systems owning smaller hospitals?
|
can save money ex by sharing things such as MRI machines
|
|
|
NAME
have replaced and are replacing many small community hospitals |
health systems
|
|
|
(1)are the biggest funder of health care
|
people
|
|
|
What are changes in OT's role in acute care? (6)
|
(1)evaluations are recommendations for following up care (2)fewer positions for OTAs due to less treatment (3)larger role for OT in discharge planning (4)extended work hours/days (5)high volume of referrals leads to "prioritized care" (6)development of specialty care teams
|
|
|
What are changes in OT's role in acute care? (6)
|
(1)evaluations are recommendations for following up care (2)fewer positions for OTAs due to less treatment (3)larger role for OT in discharge planning (4)extended work hours/days (5)high volume of referrals leads to "prioritized care" (6)development of specialty care teams
|
|
|
Describe the adult physical disability practice? (2)
|
traditionally one of the largest practice specialty areas w occupational therapy (2)will cont to grow as population does
|
|
|
NAME
this is traditionally one of the largest practice specialty areas w occupational therapy and will cont to grow as population |
adults physical disability practice
|
|
|
What are some practice sites for adult physical dysfunction?(6)
|
(1)acute care hospitals (2)rehab centers (3)transitional care facilities (4)skilled nursing facilities (5)out patient facilites (6)community based facilities including home health care
|
|
|
What are some practice sites for adult physical dysfunction?(6)
|
(1)acute care hospitals (2)rehab centers (3)transitional care facilities (4)skilled nursing facilities (5)out patient facilites (6)community based facilities including home health care
|
|
|
What are some trends resulting from mananged care? (3)
|
(1)less OT are in home health T and skilled nursing (2)more therapist are working as contract employees (3)more OTs are going into peds
|
|
|
What is hand therapy? (3)
|
is specialized treatment for restoration of hand dysfunction (3)often hold advanced certification (3)outpatient
|
|
|
NAME
this is a specilized treatment for restoration of hand dysfunction |
hand therapy
|
|
|
What are some adult reimbursement trends?(4)
|
shorter lengths of stay (2)documentation used to justify treatment (3)subacute unites are moving out of hospitals into skilled nursing facilites (4)assistive techonology is becoming more expesnive and funding has become diffuclt to secure
|
|
|
NAME
has become more expensive, and funding has become more diffuclt to secure |
assitive techonology
|
|
|
Lengths of stay are getting (1)
|
shorter
|
|
|
T or F
some people can have hidden disabilities |
true
|
|
|
What are some the different types of life long disabilities? (8)
|
(1)CP (2)congential birth deficts (3)multiple handicaps (4)mental retardation (5)down syndrome (6)developmental delay (7)neuromuscular disorders (8)babies born to drug-addicted mothers
|
|
|
NAME
these include CP, congenital birth deficts, multiple handicaps, mental retardation, down syndrome, developmental delay, neuromuscular, and babies born to drug addicted mothers |
lifelong disabilties
|
|
|
Draw the Canadian model of occupation therapy
|
see notes
|
|
|
Draw the Canadian model of occupation therapy
|
see notes
|
|
|
Draw the Canadian model of what happens when an ot first sees a patient
|
see notes
|
|
|
Draw the Canadian model of what happens when an ot first sees a patient
|
see notes
|
|
|
Draw the Canadian model of what happens when an ot first sees a patient
|
see notes
|
|
|
What does ACOTE stand for?
|
accrediation council for occupational thearpy education
|
|
|
What does AOTF stand for?
|
American occupatioanal therapy foundation
|
|
|
What does ASAP stand for?
|
affiliated state association presidents
|
|
|
What does ASD stand for?
|
assembly of student delegates
|
|
|
What does assembly represent?
|
represntative of assembly of the assocaition
|
|
|
What does association stand for?
|
the American occupational therapy assocation
|
|
|
What does the board short for?
|
the board of directors
|
|
|
What does CCCPD stand for?
|
the commission on continuing competence and professional developemnt
|
|
|
What does COE stand for?
|
commission on education
|
|
|
What does COP stand for?
|
commission of practice
|
|
|
What does EC stand for?
|
ethics commission
|
|
|
What does FAOTA stand for?
|
fellow american occupational therapy assocation
|
|
|
What does the NBCOT stand for?
|
national board for certification in occupational therapy
|
|
|
What does OT stand for ?
|
occupatioanl therapist
|
|
|
What does OTA stand for?
|
occupational therapy assistant
|
|
|
What does RA stand for?
|
represnetative assembly of the assocation
|
|
|
What does RACC stand for?
|
representative of assembly coordinating cousnil
|
|
|
What does SCB stand for?
|
specialty certification board
|
|
|
What does SISs stand for?
|
special interest secetions
|
|
|
What does SISC stand for?
|
speacil interset sections council
|
|
|
What does WFOT stand for?
|
world federation of OT
|
|
|
What is the differ btwn the ACOTE and the AOTF?
|
(1)ACOTE=is nonprofit (2)AOTF=funds research
they are two separate organizations |
|
|
What is the differ btwn the ACOTE and the AOTF?
|
(1)ACOTE=is nonprofit (2)AOTF=funds research
they are two separate organizations |
|
|
What is the differ btwn the ACOTE and the AOTF?
|
(1)ACOTE=is nonprofit (2)AOTF=funds research
they are two separate organizations |
|
|
Describe what a lifelong disabilites is? (3)
|
can be mental or physical impairment or a combo of both (2)must occur before age 22 (3)likely to cont indefinitely
(4)must occur at or near birth (5)results insubstantial limiations in 3 ore more areas (6)reflects the need to continuing coordinated, multidisciplinary care |
|
|
NAME
this can be a mental or physical impairment or a combo of both, must occur before the age of 22, and likely to cont indefiently, must occur at or near birth, results insubstantial limiations in 3 ore more areas, and reflects the need to continuing coordinated, multidisciplinary care |
lifelong disabilites
|
|
|
lifelong disabilites must occur before the age of (1)
|
22
|
|
|
What are some practice sites for OTs working with children w lifelong disabilities?(6)
|
(1)NICU (2)early intervention program(3)school systems (4)sheltered workshops (5)vocational programs (6)institutional living
|
|
|
NAME
OTs working in these areas may be found at the NICU, early intervention programs, school systems, sheltered workshops, vocational programs, and institutional living |
lifelong disabilites
|
|
|
OTs working with lifelong disabilites use the (1)approach
|
team
|
|
|
What are some people that OTs working with people w life long disabilities may work w? (6)
|
(1)doctors (2)nurses (3)therapists (4)psychologists (5)vocational counselors (6)social workers
|
|
|
What are the different models that are used by OTs working with people w lifelong disabilities? (4)
|
(1)medical model (2)developmental model (3)socio-ecological model (4)behavioral model
|
|
|
What does NICU stand for?
|
neonatal intensive care unit
|
|
|
the most traditional model is the (1)
|
medical model
|
|
|
What is the medical model?
|
viwes the developmentally disabled person as one who has suffered from a physiological unit that has resulted in reduced functional capacity
|
|
|
NAME
this views the developmentally disabled person as one who has suffered from a physiological unit that has resulted in reduced functional capicity |
medical model
|
|
|
What is the developemental model?
|
this model assumses that the physical, emotional, and social development of the person goes through certain stages
|
|
|
NAME
this model assumes that the physical, emotioanl, and social developement of the person goes through certain stages |
developmental model
|
|
|
What is the social ecological model?
|
this model looks at the disabled person in relation to their social ecology and considers their habits, modes of life, and relationships to their surroundings and encourgaes normalization
|
|
|
NAME
this model looks at the disabled person in relation to their social ecology and considers their habits, modes of life, and relationships to their surroundings and encourgaes normalization |
social ecological
|
|
|
What is the psychoeducational model?
|
is a synthesis of the some of the models
|
|
|
NAME
this model is a synthesis of some of the models |
psychoeducatioanl model
|
|
|
(1)model is used in the NICU
|
medical
|
|
|
What is habilitation?
|
focuses on the needs for cleints to acquire abilites that were not previously present and must be learned from stratch
|
|
|
NAME
this focuses on the needs of the cleients to acquire abilites taht were not previsouly present and must be learned from stratch |
habilitation
|
|
|
What is normilization?
|
is concept that the quaility of life increases as access to typical cultural activites and setting increases
|
|
|
NAME
this is the concept that the quality of life increases as access to typical cultural activites and settings increases |
normilization
|
|
|
What are some changing of patterns of care in OTs working w people w lifelong disabilites? (4)
|
(1)intervention used to be for peds clients only (2)in the later 70s it began to be understood that those clients need continum of services (3)subsequent laws have mandated serivce provision and employment opportunites (4)medicad began community living funding in the 1992 but in 1995 the federal govt acted in turn treatment of those cleints largely over the managed care corportions
|
|
|
What are some changing of patterns of care in OTs working w people w lifelong disabilites? (4)
|
(1)intervention used to be for peds clients only (2)in the later 70s it began to be understood that those clients need continum of services (3)subsequent laws have mandated serivce provision and employment opportunites (4)medicad began community living funding in the 1992 but in 1995 the federal govt acted in turn treatment of those
|
|
|
What are some OT pratice and issues and trends of those OTs working w people life long disabilites?(8)
|
(1)growing number of OTs in the NICU (2)gerater variety and complexity of peds assesment tools available (3)growth in ped home health care (4)a better understanding of treatment and prvention of child abuse (5)increased group and consultative roles (6)case management role evolving (7)recognition of the need for long term care strategies (8)techonoloy
|
|
|
What are some OT pratice and issues and trends of those OTs working w people life long disabilites?(8)
|
(1)growing number of OTs in the NICU (2)gerater variety and complexity of peds assesment tools available (3)growth in ped home health care (4)a better understanding of treatment and prvention of child abuse (5)increased group and consultative roles (6)case management role evolving (7)recognition of the need for long term care strategies (8)techonoloy
|
|
|
What are some OT pratice and issues and trends of those OTs working w people life long disabilites?(8)
|
(1)growing number of OTs in the NICU (2)gerater variety and complexity of peds assesment tools available (3)growth in ped home health care (4)a better understanding of treatment and prvention of child abuse (5)increased group and consultative roles (6)case management role evolving (7)recognition of the need for long term care strategies (8)techonoloy
|
|
|
What is a big concern w the long term care strategies for children w life long disabilites? (2)
|
(1)many of those children died early, know they are living w their parents who are getting old and may die or be no longer capable of caring of them (2)people are more willing to fund peds than adults
|
|
|
What are some pratice sites for Ots working w the elderly?(6)
|
(1)95-96 nursing homes where the largest employers of OTS (2)assisted living facilities (3)geriatric home care (4)hospice care (5)community service agenies (6)acute care hospitals
|
|
|
NAME
Ots workin w these cleints make be working in the following areas: (1)95-96 nursing homes where the largest employers of OTS (2)assisted living facilities (3)geriatric home care (4)hospice care (5)community service agenies (6)acute care hospitals |
Ots working w the elderly
|
|
|
What are some goals of OTs working w the aging?(6)
|
(1)use a holistic appraoch (2)strong emphasis on prevenation of disabilities secondary to aging (3)screening (4)evironmental modifications (5)assistive techonology (6)modifications and subsution of activites
|
|
|
NAME
these are some of the goals of OTs working with these types of cleints: (1)use a holistic appraoch (2)strong emphasis on prevenation of disabilities secondary to aging (3)screening (4)evironmental modifications (5)assistive techonology (6)modifications and subsution of activites |
OTs working w the aging
|
|
|
Studies have shown that elderly people have a different (1)than the younger generations
|
set of values
|
|
|
What is one problem w the people and doctors view of aging?
|
treats aging as a disease rather than understanding that aging is normal and preventing prolems that result from normal aging
|
|
|
What are some changing patterns of elderly care?(4)
|
(1)medicare may not be there when are old (2)presricption drugs are expensive (3)Balanced Budget Act put caps on therapy and requires that all medicare outpatient rehab services would be provided by skilled nursing homes and home health agencies would be limited (3)more rehab being done in nursing home (4)a rise in the number of communty oriented services for individuals and families
|
|
|
What are some OT pratice issues and trends for elderly care?(7)
|
(1)staff shortages (2)the need for more long term care funding (3)the advent of long term care insurance (4)a rise in reported care of elderly abuses (5)a growing sucide rate in those over 65 (6)more attention to congintive impairments such as Alzheimer's that used to not get medicare funding for rehab (7)the emergence of the "old" old
|
|
|
What are some OT pratice issues and trends for elderly care?(7)
|
(1)staff shortages (2)the need for more long term care funding (3)the advent of long term care insurance (4)a rise in reported care of elderly abuses (5)a growing sucide rate in those over 65 (6)more attention to congintive impairments such as Alzheimer's that used to not get medicare funding for rehab (7)the emergence of the "old" old
|
|
|
What are some OT pratice issues and trends for elderly care?(7)
|
(1)staff shortages (2)the need for more long term care funding (3)the advent of long term care insurance (4)a rise in reported care of elderly abuses (5)a growing sucide rate in those over 65 (6)more attention to congintive impairments such as Alzheimer's that used to not get medicare funding for rehab (7)the emergence of the "old" old
|
|
|
What are some stats about OT who work in the public school system?(7)
|
(1)have a median of 13 years of expereince (2)work full time for the district (3)works as solo practiotners (4)have 9 month contract (5)report concerns of professional isolation (6)work on an ituberant basis (7)no room for avdancement
|
|
|
What are some stats about OT who work in the public school system?(7)
|
(1)have a median of 13 years of expereince (2)work full time for the district (3)works as solo practiotners (4)have 9 month contract (5)report concerns of professional isolation (6)work on an ituberant basis (7)no room for avdancement
|
|
|
What is the practice site for OTs working the public school system?
|
(1)its highly regulated and can be political (2)by law therapy must be educationally revelant
|
|
|
NAME
the pratice site for OTs working in this area is highly regulated and can be political and by law therapy must be educationally revelant |
public school system
|
|
|
What is the team that OTs may work w in the public system?
|
(1)parents (2)special ed teachers (3)SLP (4)PT (5)psychologists (6)social workers (7)school nurse, counselors, and classroom aids
|
|
|
NAME
OT working in these areas may work w parents, special ed teachers, SLP, PT, psychologists, social workers, school nurses, counslers, and classroom aides |
OTs who work in the public school systems
|
|
|
What is the process for OTs who work in the public school system?
|
(1)screening and referral (2)in depth assessment (3)formulation of the IEP (4)treatment and consultation
|
|
|
What is the process for OTs who work in the public school system?
|
(1)screening and referral (2)in depth assessment (3)formulation of the IEP (4)treatment and consultation
|
|
|
What are some changing patterns of care for OTs working the public school system?
|
(1)since the 70s legislation has been passed that mandates the presence of OTs working in educational settings. this now applies to services for children from birth through age 21
|
|
|
What are some competencies for OTs need to work in the public school system? (6)
|
(1)human growth and development (2)developmental treatment approaches (3)communication skills (4)understanding of roles (5)understanding of educational curriculum (6)understanding educational roles
|
|
|
What are some competencies for OTs need to work in the public school system? (6)
|
(1)human growth and development (2)developmental treatment approaches (3)communication skills (4)understanding of roles (5)understanding of educational curriculum (6)understanding educational roles
|
|
|
What are some practice issues and trends for OTs working in the public school system? (4)
|
(1)3rd party reimbursement services (2)employment arrangements for practitioners (3) psychosocial advocay (4)the challenge of working in rural schols
|
|
|
What are some practice issues and trends for OTs working in the public school system? (4)
|
(1)3rd party reimbursement services (2)employment arrangements for practitioners (3) psychosocial advocay (4)the challenge of working in rural schols
|
|
|
T or F
typically screening for the elderly is paid for |
false
|
|
|
Describe home health care? (5)
|
(1)typically short term (less 3 months (2) must be homebound to qualify (3)hospice benefit(6 months) (4)can include nursing, PT, SLA, and OT (5)represents a growing area of practice for all allied health professionals
|
|
|
Describe home health care? (5)
|
(1)typically short term (less 3 months (2) must be homebound to qualify (3)hospice benefit(6 months) (4)can include nursing, PT, SLA, and OT (5)represents a growing area of practice for all allied health professionals
|
|
|
in order to have home health care you must be (1)
|
homebound
|
|
|
Medicare pays for (1)of homehealth acre
|
3 months
|
|
|
Medicare pays for (1)of homehealth acre
|
3 months
|
|
|
Medicare pays for (1)hospice
|
6 months
|
|
|
Medicare pays for (1)hospice
|
6 months
|
|
|
(1)pays for 3 months of home health care and 6 months of Hospice
|
Medicare
|
|
|
What are some practice sites for OTs working w the home health care?
|
(1)home health agency (2)CIL (3)private practice
|
|
|
NAME
some practice sites for OTs working w these clients include home health agency, CIL, and private practice |
home health care
|
|
|
What does CIL stand for?
|
centers for indepedent living
|
|
|
homehealth agencies can be either (1)or (2)
|
non profit or profit
|
|
|
What is the treatment team for the home health care? (8)
|
(1)case manger (2)medical director (3)family members (4)nursing w RNs and CNAs (5)physical therapy (7)SLP (8)home makers
|
|
|
What does SLP stand for?
|
speech language pathologists
|
|
|
What are some key concepts for community care for the home health care?
|
(1)the value of home environment (2)a holistic approch (3)not well suited to the medical model
|
|
|
In health care, what is a holistic approach?
|
mean usng multiple approaches such as physical, emotional, cognitive, and environmental status
|
|
|
What are some requisite skils for working in the home health care?
|
(1)independence (2)flexibility (3)problem solving skills
|
|
|
What are some specfic concerns for OTs working home health car?(3)
|
(1)the need to network bc can be come isolated. networking also OTs to learn about new ideas and ask advice (2)cultural issues at home (3)safety
|
|
|
What are some specfic concerns for OTs working home health acre?(3)
|
(1)the need to network bc can be come isolated. networking also OTs to learn about new ideas and ask advice (2)cultural issues at home (3)safety
|
|
|
What are some changing patterns of care for the home health? (2)
|
(1)medicare reimburese for home care (2)medicare will reimburse for outpatient occupational therapy if other skilled services are not required (3)
|
|
|
T or F
OTs is considered primary care and Medicare will reimburse for outpatient occupational therapy if others skilled services are not required |
false
|
|
|
When will Medicare reimburse for occupational therapy in home health care?
|
only if other skilled services are required
|
|
|
What are some OT practice and trends in home health care?(6)
|
(1)students not well educated for practice in home health care (2)the need to market our services to home health care (3)the growth in mental health home care (4)rural outreach programs (5)the rural growth of ped home health care (6)issues of personal safety
|
|
|
What are some OT practice and trends in home health care?(5)
|
(1)students not well educated for practice in home health care (2)the need to market our services to home health care (3)the growth in mental health home care (4)rural outreach programs (5)the rural growth of ped home health care
|
|
|
What are the leading cause of accidental death in the elderly?
|
falls
|
|
|
Falls are the leading cause of (1)in the elderly
|
accidental death
|
|
|
Does medicare pay for long term home health care?
|
no
|
|
|
T or F
medicare pays for long term home health care |
false
|
|
|
Altough American are living longer, they are also (1)
|
retiring earlier
|
|
|
Most elderly want to stay in their (1)
|
home as long as possibly
|
|
|
NAME
this organization assists their clients to die w dignity, pain free, and in control of their lives until the end |
hospice
|
|
|
NAME
this has become a primary site for rehab services w occupational, physical and speech therapy |
nursing home care
|
|
|
the nursing home have become a (1)site for rehab services w occupatioanl, physical and speech therapy
|
primary
|
|
|
What are (3)theories of aging?(3)
|
(1)psychosocial theories(2)developmental theories(3)biological theories
|
|
|
What are some psychosocial theories of aging?(3)
|
(1)the activity theory (2)the disengagement theory (3)the continuity theory of personality
|
|
|
NAME
this consists of three theories: the activity theory, the disengagement theory, and the continuity theory of personality |
psychosocial theories of aging
|
|
|
What are the biological theories of aging?
|
(1)physical changes will occur (2)wear and tear theory (3)genetic theory (4)the free radical theory (5)stress and adaption theory
|
|
|
What are the biological theories of aging?(5)
|
(1)physical changes will occur (2)wear and tear theory (3)genetic theory (4)the free radical theory (5)stress and adaption theory
|
|
|
NAMe
this theory of aging consists of the physical changing that will occur, the wear and tear theory, the genetic theory, the free radical theory, and the stress adaption theory |
biological theories of aging
|
|
|
WHat is the activity theory of aging?
|
holds that by maintaining a high level of activity the effects of aging can be minimized and life can be made fullfilling for the older person
|
|
|
NAME
this theory of aging holds that by maintaining a high level of activity the effects of aging can be minimized and life can be made fullfilling for the older person |
activity of theory of aging
|
|
|
What is the disengagement theory of aging?
|
hypothesizes that as people age, their social systems also decline and they tend to withdraw from society
|
|
|
NAME
this theory hypothesizes that as people age, their social systems also decline and they tend to withdraw from soceity |
disengagement theory of aging
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What isthe continuity theory of personality development of aging ?
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assumes that the personility remains consistent over time and that during aging indivudals become more of waht they are already are
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NAME
this theory of aging assumes that the personility remains consistent over time and that during aging indivudals become more of what they already are |
continuity theory of personality development
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What happens in Erikson's stage when people are elderly?
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says it is a time in which the spiritual values predominate and the indivudal develop feelings of acceptance, fulfillment, and respect for the life cycle
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What are the biological theories of aging?
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are concerned w the physical manifestions of aging
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NAME
this theory is concerned w the physical manifestions of aging |
biological theories of aging
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What are some things that part of normal aging?(9)
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(1)lowered immune system (2)lower metabolism (3)decrease in bone mass (4)senses (vision, hearing, and body awareness) decline (5)do not sleep as well (6)cognitive issues such as memory issues (7)lowered reaction time (8)balance problems(9)lack of flexible thinking
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What are some things that part of normal aging?(9)
|
(1)lowered immune system (2)lower metabolism (3)decrease in bone mass (4)senses (vision, hearing, and body awareness) decline (5)do not sleep as well (6)cognitive issues such as memory issues (7)lowered reaction time (8)balance problems(9)lack of flexible thinking
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What are the wear and tear theory of aging?
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states that the body parts and systems simply run down during aging , leading to physical deteroization and death
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NAME
this states that the body parts and system simply run down during aging, leading to physical detorization and death |
wear and tear theory of aging
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What is the genetic theory of aging?
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hypothesize that certain genes may be responsible for built in defects that interfere w function and shorten life
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NAME
this hypothesizes that certain genes may be responisble for built in defects that interfere w function and shorten life |
genetic theory
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What is the free radical theory of aging?
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proposes that unstable free radical chemicals produce physical changes that over time interfere w cellular processes and lead to illness and death
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NAME
this proposes that unstable free radical chemicals produce physical changes that over time interfere w cellular processes and lead to illness and death |
free radical theory of aging
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What is the stress and adpation theory of aging?
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id life stresses as a source of physical damage and deteriorateion of bodily functions
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NAME
these id life stresses as a source of physical damage and deterioration of bodily funciton |
adapation theory of aging
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(1)is the biggest source of income for the elderly
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social secutrity
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WHat are some programs that are being used to help elderly clients mnatian their releaity ?
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(1)reality orientation (2)remotivation groups (3)life review groups
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What is the reality oreintation program?
|
it goal is to provide a structured method of improving congitive awarenesss in clients
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NAME
this provides a structured method of improving congitive awareness in cleints |
reality orientation
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What is the remotivation groups?
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aims at helping cleints become more interested in their surroundings
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NAME
this aims to helping cleints to become more interested in their surroundings |
remotivation groups
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What is the life review groups?
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offer opportunites for the elderly to share their lives
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NAME
this offer opportunites for the elderly to share their lives |
life review
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What does DRG stand for?
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diagnostic related groups
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What are DRGs ?
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they determine the average length of stay of hospital stay and Medicare paid a fixed cost for each DRG
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NAME
these determine the avergae length of stay at a hospital and Medicare pays for a fixed cost for each one |
DRG
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What is the nursing quality reform act?(2)
|
raised standards of care, tightened staffing requirements(2) required that nursing homes have to provide occupational physical, and speech therapy
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NAMe
this act raised standards of care, tightened staffing requirements and required that nursing homes have to provide occupational physical, and speech therapy |
nursing quality reform act
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What is the Balanced Budget Act?
|
`
this act intro therapy caps for Medicare's funding of outpatient rehabs and home health care |
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NAME
this act intro therapy caps for Medicare's funding of outpatient rehabs and home health care |
Balanced Budget Act
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NAME
this is the largest payer of home health services |
Medicare
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Medicare is the largets payer of (1)
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home health services
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What is the largest payer of home health services?
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medicare
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Therapy for home health care has to be (1) and the person must be (2)to be covered by Medicare
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ordered by the doctor (2)homebound
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What are (3)patterns that CIL may have?
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(1)free standing center (2)transitional living programs (3)residential programs
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What are some the knowledge bases for OTs in home health care?(3)
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(1)client centered model (2)community based rehab model (3)the independent living movement
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What are some the knowledge bases for OTs in home health care?(3)
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(1)client centered model (2)community based rehab model (3)the independent living movement
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What does NBCOT stand for?
|
National Board Certification Occupational therapy
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What is NBCOT?
|
is authorized to take displicanry action in cases proven unethical or incompetent pratice
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NAME
they are authorized to take displincary action in cases proven unethical or incompetent practice |
NBCOT
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Each state has there own (1)
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rules and regulations for OT
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What are some ethical issues that have arisen w OT? (3)
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(1)facilities require that their staff see greater number of clients--whether or not they need treatment (2)Medicare fraud (3)other OT staff ask OTs to bill for items that are not part of therapy
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What are the special interest areas in OT? (10)
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(1)mental health (2)developmental disabilities (3)physical disabilities (4)gerontology (5)sensory integration (5)administration and mangement (6)education (7)home health care (8)school therapy (9)technology (10)work programs
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What are the special interest areas in OT? (10)
|
(1)mental health (2)developmental disabilities (3)physical disabilities (4)gerontology (5)sensory integration (5)administration and mangement (6)education (7)home health care (8)school therapy (9)technology (10)work programs
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What are (3)areas OTs can get additioanal certification in?
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(1)hand therapy (2)sensory integration (3)advanced practitioner for OTAs
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T or F
AOTA has taken the postion that referral from doctors are need to receive treatment |
false
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Do OT need referrals ? (2)
|
(1)the AOTA has taken the postion that referrals from doctors are needed to receive treatment (2)However, the medical facility may require a referral and Medicare require a referral from a doctor
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What are some programs that OTs can use during assessment? (2)
|
(1)the uniform terminology for occupational therapy, 3rd edition (2)O.T. Fact
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What are some ways that OTs get reimbursemed?(4)
|
(1)the clients personal funds (2)commercial health insures (3)state and federal funds (4)grant programs
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What are some of the effects of managed care on OTs? (7)
|
(1)third party payers w no medical background are deciding who gets therapy and for how long (2)third party payers want to keep the costs as low as possible (3)bc of the above aspects, OTs have increased the efficeny of their services, learned to quickly anayalze and treat patients (4)cost containment has resulted in shorter time w patients (sometimes for one or two vists (5)OTs have become case managers (6)there is constant demand to justify occupational therapy (7)many OTs are in conflict btwn loyalty to employees and wanting quality of care for their pateints
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What are some of the effects of managed care on OTs? (7)
|
(1)third party payers w no medical background are decieding who gets therapy and for how long (2)third party payers want to keep the costs as low as possible (3)bc of the above aspects, OTs have increased the efficeny of their services, learned to quickly anayalze and treat patients (4)cost containment has resulted in shorter time w patients (sometimes for one or two vists (5)OTs have become case managers (6)there is constant demand to justify occupational therapy (7)many OTs are in conflict btwn loyalty to employees and wanting quality of care for their pateints
|
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|
What are some of the effects of managed care on OTs? (7)
|
(1)third party payers w no medical background are decieding who gets therapy and for how long (2)third party payers want to keep the costs as low as possible (3)bc of the above aspects, OTs have increased the efficeny of their services, learned to quickly anayalze and treat patients (4)cost containment has resulted in shorter time w patients (sometimes for one or two vists (5)OTs have become case managers (6)there is constant demand to justify occupational therapy (7)many OTs are in conflict btwn loyalty to employees and wanting quality of care for their pateints
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|
OTs who work w people who have mental, psychological, emotional, or behavioral problems are also called (1)
|
psychosocial or mental health practioners
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|
OTs who work w people who have (1)problems are also called pscyhosocial or mental health practioners
|
mental, psychological, emotional, or behavioral
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Mental health practioners are also called (1)
|
pscyhosoical practioners
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|
(1)are also called psychosocial health practioners
|
mental
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What are some normal reactions for people who have a disability or disease? (5)
|
(1)fear (2)sorrow (3)stress (4)depression (5)anger
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NAME
these once where the primary sites for treatment of people w mental problems |
large public institutions and smaller private hospitals
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What are the levels of health care treatment? (3)
|
(1)primary (2)secondary (3)tertiary
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|
What is the primary level health care?
|
is preventing the a problem such as heart attack from occuring
|
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NAME
this level health care involves preventing a problems such as heart disease from occuring |
primary level of health acre
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|
What is the secondary level of health care?
|
involves directly treating people w a problem or disease
|
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NAME
this level of health care involves directly treating people w a problem or disease |
secondary level of health care
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What is the tertiary care?
|
provides supportive care for those w the disease
|
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NAME
this provides supportive care for those w the disease |
tertiary care
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|
Who are Clifford Beers?
|
wrote a Mind that Found itself and helped to change the mental health system to view the patient as team memember
|
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NAME
he wrote a mind that found iteslf and helped to change the mental health system to view the patient as team member |
Clifford Beers
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|
What is the psychodynamic approach?
|
draws from the teaching and work of Freud on relationship btwn the unconscious and conscious in the human psyic
|
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NAME
this approach to mental health draws from the teaching and work of Freud on the relationship btwn the unconscious and conscious in the human psyic |
psychodynamic approach
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|
according to the psychodynamic appraoch, what is the mental illness?
|
reflects the unconscious thoughts or feelings
|
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|
According to the psychodynamic approach, the (1)reflects the unconscious thoughts or feelings
|
psychodynamic approach
|
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|
Behaviorism is based on the work of (1)and (2)
|
Skinner and Watson
|
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NAME
this is based on the work of Skinner and Watson |
Behaviorism
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|
What are two beliefs about health care that have influenced mental health care greatly?
|
(1)is the cost of care must be managed (2)humanism
|
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|
Many mental practitioners left the hospitals to work at (1)
|
community based centers
|
|
|
What is the American Disabilities Act?
|
protects people w disabilites against discrimination and offers them greater access to employment, transportations, education, and communication systems
|
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|
NAME
this act protects people w disabilites against discrimination and offers them greater access to employment, transportaions, education, and communications |
American Disabilities Act
|
|
|
What is the Mental Health Parity ACt?
|
applies to group health plan and requires that mental health coverage limits be on par w annual and lifetime medical and surfical limits
|
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|
NAME
this applies to group health plan and requires that mental health coverage limits be on par w annual and lifetime medical and surfical limits |
mental health Parity Act
|
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|
What are some bodies of knowledge for OTs working in Adult Rehab?
|
(1)neurodevelopmental appraoch (2)neurophysiological approaches (3)biomechanical appraoch
|
|
|
NAME
OTs who work w these type of cleints use these bodies of knowledge: (1)neurodevelopmental appraoch (2)neurophysiological approaches (3)biomechanical appraoch |
Adult rehab
|
|
|
What is the neurodevelopmental approach ?
|
is directed at facilitating changes in the CNS that will result in improved neuormotor control and function for the cleint
|
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|
NAME
this is directed at faciliating changes in the CNS that will result in improved neuoromotor control and function for the cleint |
neurodevelopmental appraoch
|
|
|
What is the neurophysiological approach?
|
focuses on rebuilding basic movement patterns in the client and utilizing sensory stimulation to elicit motor activty
|
|
|
NAME
this focuses on rebuilding basic movement patterns in the cleint and utilizing sensory stimulation to elicit motor actvity |
neurophysiological approach
|
|
|
What is the biomechanical approach?
|
focuses on the mechanical prinicples of movement as they are applied to the human body
|
|
|
NAME
this focuses on the mechanical principles of movement as they are applied to the human body |
biomechnical appraoch
|
|
|
What are the goals of the biomechnical approach? (4)
|
to improve the clients range of motion(2) muscle strength (3) sensory awareness (4)endurance
|
|
|
NAME
some goals of this are to improve the clients range of motion, muscle strength, sensory awareness, an endurance |
biomechnical approach
|
|
|
What are some treatments offers in the bimechanical approach?
|
may include the use of active or passive stretching of the muscle groups, traction, resistance, and graded exercise
|
|
|
NAME
this holds that man is capable of self-fullfillemnt and ethical conduct |
humanism
|
|
|
NAME
this determines the meaning and truth of all concepts by their practical consqunces |
pragmatism
|
|
|
What is pragmatism?
|
determines the meaning and truth of all concepts by their practical consquences
|
|
|
NAME
this based on the doctorine that concrete, indivudal existence takes precendence over abstract conceptual essence and that human beings are totally free and responisble for their acts |
existentalism
|
|
|
what are some models of practice delivery in the public school systems? (3)
|
(1)direct service delivery (2)monitor therapy (3)consulation
|
|
|
What are some trends in OT education? (9)
|
(1)a more diverse student pop (2)change in curricula w more emphasis on health policies, clinical reasoning and problem solving skills (3)changes in fieldwork education (into of fieldwork II) (4)increased use of distance learning (5)increased ethical and legal issues such as some recruiters offer students high pay but little supervision, or pay off education and put them in bad situations. (6)increasing Ot and OTA collaboration (7)carereer mobility (8)issues of multiskilled personal (9)the need for lifetime learning
|
|
|
What are some trends in OT education? (9)
|
(1)a more diverse student pop (2)change in curricula w more emphasis on health policies, clinical reasoning and problem solving skills (3)changes in fieldwork education (into of fieldwork II) (4)increased use of distance learning (5)increased ethical and legal issues such as some recruiters offer students high pay but little supervision, or pay off education and put them in bad situations. (6)increasing Ot and OTA collaboration (7)carereer mobility (8)issues of multiskilled personal (9)the need for lifetime learning
|
|
|
What are some trends in OT education? (9)
|
(1)a more diverse student pop (2)change in curricula w more emphasis on health policies, clinical reasoning and problem solving skills (3)changes in fieldwork education (into of fieldwork II) (4)increased use of distance learning (5)increased ethical and legal issues such as some recruiters offer students high pay but little supervision, or pay off education and put them in bad situations. (6)increasing Ot and OTA collaboration (7)carereer mobility (8)issues of multiskilled personal (9)the need for lifetime learning
|
|
|
What are some other tools other than occupation that OTs can use? (3)
|
(1)use of self (2)teach-learning process (3)nonhuman environment such as objects and physical structures
|
|
|
What are some other tools other than occupation that OTs can use? (3)
|
(1)use of self (2)teach-learning process (3)nonhuman environment such as objects and physical structures
|
|
|
What is the differ btwn activity analysis and activity synthesis?
|
(1)activity analysis= examination of activity's part (2)activity synthesis= is the use of the human environment to design an activity
|
|
|
What is the differ btwn activity analysis and activity synthesis?
|
(1)activity analysis= examination of activity's part (2)activity synthesis= is the use of the human environment to design an activity
|
|
|
What is the differ btwn humanism, pragmatism, and existentialism?
|
(1)humanism- says that man is capable of self fullfillment and ethical conduct (2)pragmatism- says that the meaning and truth is determined by practical consquences (3)existentialism= says humans are free and responsible for their acts, individuals existence taxes procedures
|
|
|
What is the differ btwn humanism, pragmatism, and existentialism?
|
(1)humanism- says that man is capable of self fullfillment and ethical conduct (2)pragmatism- says that the meaning and truth is determined by practical consquences (3)existentialism= says humans are free and responsible for their acts, individuals existence taxes procedures
|
|
|
What is the differ btwn humanism, pragmatism, and existentialism?
|
(1)humanism- says that man is capable of self fullfillment and ethical conduct (2)pragmatism- says that the meaning and truth is determined by practical consquences (3)existentialism= says humans are free and responsible for their acts, individuals existence taxes procedures
|
|
|
What are the different acts impacting people w disabilites and OT? (4)
|
(1)nursing quality reform (2)balanced Budget Act (3)mental Health practice act (4)American Disabilites Act
|
|
|
What are the different acts impacting people w disabilites and OT? (4)
|
(1)nursing quality reform (2)balanced Budget Act (3)mental Health practice act (4)American Disabilites Act
|
|
|
What is the differ btwn the various acts impacting OTs? (4)
|
(1)nursing quality reform act=raises standards of care, tightented staff requirements, and required that nursing homes provide PT, OT, and speech therapy (2)balanced Budget act=puts caps on therapy, and requires that all medicare out patient services be provided by skilled nursing homes and home health agencies be limited (3)mental health practice act= mandates insurance has to cover mental health (4)American Disabilities Act= protects the people against discrimination and offers greater access to employment, transportations, education, and communication services
|
|
|
What is the differ btwn the various acts impacting OTs? (4)
|
(1)nursing quality reform act=raises standards of care, tightented staff requirements, and required that nursing homes provide PT, OT, and speech therapy (2)balanced Budget act=puts caps on therapy, and requires that all medicare out patient services be provided by skilled nursing homes and home health agencies be limited (3)mental health practice act= mandates insurance has to cover mental health (4)American Disabilities Act= protects the people against discrimination and offers greater access to employment, transportations, education, and communication services
|
|
|
What is the differ btwn the various acts impacting OTs? (4)
|
(1)nursing quality reform act=raises standards of care, tightented staff requirements, and required that nursing homes provide PT, OT, and speech therapy (2)balanced Budget act=puts caps on therapy, and requires that all medicare out patient services be provided by skilled nursing homes and home health agencies be limited (3)mental health practice act= mandates insurance has to cover mental health (4)American Disabilities Act= protects the people against discrimination and offers greater access to employment, transportations, education, and communication services
|
|
|
Draw a chart of the differ areas OTs working include settings, trends and issues in the field and changing patterns of care
|
see chart
|
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|
Draw a chart of the differ areas OTs working include settings, trends and issues in the field and changing patterns of care
|
see chart
|
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|
describe OTs in mental health include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
describe OTs in mental health include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
|
|
describe OTs in mental health include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
|
|
describe OTs in public schol system include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
describe OTs in public schol system include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
describe OTs in public schol system include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
describe OTs in acute care hospitals include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
describe OTs in acute care hospitals include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
describe OTs in acute care hospitals include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
Draw a chart of what OTs working w people w lifelong disabilties include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
Draw a chart of what OTs working w w people w lifelong disabilties include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
Draw a chart of what OTs working w lifelong disabilties include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
Draw a chart of what OTs working w the eldelry include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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Draw a chart of what OTs working w the eldelry include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
Draw a chart of what OTs working w the eldelry include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
Draw a chart of what OTs working w the adults physical dysfunctions include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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Draw a chart of what OTs working w the adults physical dysfunctions include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
Draw a chart of what OTs working w the adults physical dysfunctions include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
Draw a chart of what OTs working w the public school sytsems include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
Draw a chart of what OTs working w the public school sytsems include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
Draw a chart of what OTs working w the public school sytsems include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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|
Draw a chart of what OTs working w the home health cares include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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Draw a chart of what OTs working w the home health cares include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
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Draw a chart of what OTs working w the home health cares include settings, trends and issues, and changing patterns of care ? (3)
|
see chart
|
