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599- Week 3
Chronic Injury & Trauma
| Term | Definition |
|---|---|
| work disability | When person is unable to do work-related tasks due to a condition that causes them to be off work at least 1 day |
| coverage for OT through extended health benefits | OT falls under paraprofessional services Unable to be billed directly to insurer- client pays out of pocket |
| acute disability | Sick days- STD Ax w/ healthcare professional Tx follows medical model No 3rd party involved typically |
| subacute disability | Tx following medical model If no resolution and time, then apply for LTD Case manager assigned 0-3 months |
| chronic disability | Medical & rehab coordination First 2 years of service & tx focus on returning to occupation After 2 years, try to meet any occupation Case manager Medical coordinator/ consultant 3-6 months |
| case manager/ claims manager vs. medical coordinator | Manages files from start of claim Makes decision if person meets definition of disability vs. Brought into file when medical intervention helps shorten the claim duration. Works w/ doctor. Goal of medical stability |
| rehab consultant/ specialist/ coordinator | Brought into file when rehab services may shorten the claim duration. Identify strengths/ barriers to rehab Facilitate RTW & rehab needed Rehab services moves forward only if timely RTW is realistic & cost effective |
| role of tx | Employability Tx only if it helps w/ timely RTW Need to know individual definition of disability Upfront on prognosis of tx, tx needs to be approved |
| abilities coordinators vs. private contractors | Site specific. Laison btwn insurance and employer, oversee coordination of GRTW plan vs. Consult on complex or challenging files prior to, during, and post RTW |
| 1. Section A: 3rd party liability 2. Section B: accident benefits 3. Section C: loss or damage to your automobile | 1. Used when you are in accident which is your fault & you injure someone else/ damage their car 2. Used if injured, regardless who is at fault. Referred to as "no fault accident benefits"- OT is here 3. Applies if car is damaged/ stolen |
| section B applies if vs. 3 categories of section B | Driver, passenger, pedestrian vs. Medical benefits Death & disability benefits Benefits for accidents occurring outside AB in no fault jurisdiction |
| exclusions to section B medical benefits | Suicide or attempt threat Entitled to benefits under WCB Engaged in race or speed test Caused directly by sickness or disease Using car for illicit or prohibited purpose |
| OT in MVA | Dentists, OT, and psych are now combined $1000 approval Direct billed to insurance company We are not part of the 21 visits |
| 1. WAD 1 2. WAD 2 3. WAD 3 4. WAD 4 | 1. Spinal stiffness, pain, tenderness 2. Spinal pain, stiff, tender. Decreased ROM of spine 3. Abnormal reflex, muscle weakness 4. Fracture/ dislocation of spine |
| OT role in MVA | Pain focused Mood issues Driving anxiety/ PTSD Functional ax & tx Cognitive issues & concussion Work place Home equipment prescription |
| OT pain tx | Address & reduce psychosocial barriers to rehab Re-establish routines Help w/ social & community reintegration Chronic pain education Develop insight into abilities/ limitations |
| long covid | Presence of physical or psychosocial symptoms more than 12 weeks Can have long-term effects on the ANS Shares features of chronic disease |
| setting the stage in long covid | Create a safe space Validation & active listening Strength based |
| post covid clinical trajectories | Reduced resp capacity Impaired cardiac function Muscle weak/ impaired mobility Neuro, balance, sensory Cog impair Psychosocial impacts Speech & swallow Nutrition & GI |
| OT helps with | Reduced resp capacity Muscle weakness & mobility Neuro, balance, sensory changes Cog deficits Psychosocial impacts Speech & swallow |
| cog-neuro vs. psych symptoms | Brain fog, impaired attention, memory, EF, slower processing speed, headache, dizziness, sleep disturbance, delirium vs. Depression, anxiety, irritability, PTSD, mania |
| obstructive sleep apnea | Greater risk of developing post-covid and vice versa If there are concerns, suggest a sleep study Leads to fatigue |
| fatigue management | Give activity log or document for fatigue symptoms Identify what activities are essential Teach 4Ps Review if they had enough energy to do the essential tasks Teach them to use 3Ds of non-essential tasks- delegate, delete, defer |
| education about fatigue management | Teach relationships between cog, sleep, energy & stress Normalize mental fatigue Sleep hygiene Stress reduction Energy conservation |
| cognitive rehab key | Build confidence Make it functional Build plans and set expectations Simulate work/ school Always start with attention as the basis, then move forward |
| POTS | Due to change in ANS Impacts function of heart & blood vessels and causes reduced volume of blood to heart after standing up Rapid increase of >30bpm or 120+bpm within 10 min Encourage testing Limited tx |
| other physical issues associated w/ post-covid | Dizziness Vestibular issues Oculomotor issues |
| factors influencing mental health | Life experience Lifestyle Self care Seeking help Profession Access to leisure Workplace accessibility |
| mental health | Encompass emotional, psychological, social well-being beyond absence of mental illness Influence how people think, feel, and behave Can cope with life stresses, potential, learn and work effectively. |
| emotional well-being | Be able to name & understand your own emotions Managing emotions Feeling connected to others |
| social well-being vs. psychological well-being | Sense of belonging- workplace & community vs. Thinking and feeling, being able to make decisions |
| upsides vs. downsides of productivity | Value, meaning, purpose, contribution, social connection, advancement, thrive vs. Potential exposures, personal & professional impacts |
| basic human needs & mental health at work | Physical/ psychological safety Self-worth, esteem, social justice Self-efficacy, accomplishment, autonomy Belonging |
| 13 factors pf psych safety in workplace | Engagement Psych & social support Protection of physical safety Recognition & reward Clear leadership & expectations Growth & development Psych protection Civility & respect Balance Psych demands Organizational culture Workload management |
| VUCA environment | Volatile, uncertain, complex, ambiguous The longer someone is in this environment, the greater the risk In work & home environment |
| systemic barriers in workplace vs. workplace risk | Interpersonal violence, workplace violence, institutional betrayal vs. Safety to family, safety to self, safety to coworkers |
| societal expectations | Stigma of occupation Expected to put others first Making decisions that impact others |
| types of workplace mental health disorders | Direct incidents Traumatic events PTSD Moral injury Vicarious traumatization Burnout Compassion fatigue |
| trauma memory- specific incident | Specific emotional structure that includes representations of: Stimuli present during/ after trauma Physiological & behavioral responses that occurred during trauma Meanings associated w/ stimuli and responses |
| characteristics of early trauma structure | Large number of stimuli Excessive responses Erroneous associations between stimuli & danger, responses and weak Fragmented & poorly organized relationships btwn representations |
| neural pathways of trauma | If incident is not processed from STM & WM to LTM, then people are going to recall events as if they are experiencing it in the present When processed, they are in control of the response and react to it as something from their past |
| PTSD symptoms | Intrusion (at least 1) Avoidance of internal and external reminders (at least 1) Cognition/mood (at least 3) Arousal/ reactivity (at least 3) |
| moral injury | Psych distress resulting from belief that they have violated their moral code Results in emotional and psychological harm In police, military, and paramedics |
| moral injury cycle | Shame, blame, powerlessness Rumination and future worry Fused thoughts Attempt to escape, avoid suffering Behaviors that violate values Loss of contact with what matters |
| compassion fatigue | Due to dealing w/ victims of trauma Symptoms include headaches, GI, mood swings, depression, anger, irritable, hopelessness, less empathy, being violent or neglecting |
| burnout | Due to stress and overworking Symptoms include withdrawal, depression, irritable, angry, appetite change, diff sleeping, exhaustion |
| trauma impact on meso vs. macro factors | Family relationships Employment connections Friends vs. Workplace absenteeism Service impacts Resource allocation |
| trauma impact on micro factors | Finances Energy Sense of self Being able to do ADLs |
| resistance vs. recovery | Dysfunction is minimal as coping resources have been blocked vs. Dysfunction lasting several months+, followed by gradual return to pre-event functioning |
| resilience vs. post-traumatic growth | Transient perturbations followed by a reasonably rapid return to pre-event levels of functioning vs. Transient perturbations, lasting several weeks, followed by enhanced levels of functioning |
| 1. relapse/remitting 2. delayed dysfunction 3. chronic dysfunction | 1. Symptoms display a cyclical course 2. PTSD or other disorder emerges after time has passed 3. Initial stress reaction persists |
Created by:
craftycats_
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