Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
599-Week 4
Trauma, Interventions, & Oncology
| Term | Definition |
|---|---|
| recovery (stage 1) interventions | Stabilization Healthy lifestyle promotion Psycho ed Self management skills Activation Managing stigma Psychotherapy & integration- CBT & DBT Behavioral activation Exposure therapy |
| re-integration (stage 2) interventions | Skills teaching Work simulation Job analysis (getting them ready for the workplace) |
| RTW & sustainability (stage 3) interventions | Resilience training Cognitive work hardening Work social integration Job coaching Accommodations RTW planning |
| client interview | Work performance challenge Mental status Response to stress Work env Occupational fx PMHx Current tx & healthcare providers Client personal support |
| standardized ax for trauma | PHQ-9 GAD PTSD symptom checklist Resilience outcome measures COPM |
| cog ax for trauma | BRIEF BADS Matheson RBANS Memory functioning questionnaire |
| work related ax for trauma | Transferable skills analysis Vocational ax JDA Functional/ behav/ cog ax Job site analysis Readiness to work ax |
| trauma informed care | Safety Collaboration Empowerment/ choice Recognition of family Peer support & mutual self-help Trustworthiness & transparency Cultural/hx/gender issues |
| 3MDR | On a treadmill in front of 3 screens Images presented related to the trauma, brief exposures to the trauma Pushing people to the edges of tolerance to make them be able to tolerate more |
| preparation stage of 3MDR | Rapport building Select pictures & music Familiarize with equipment Determine potential themes |
| platform- working through stage 3MDR | Present pictures for 3-5 min 3 questions: What do you see? What does it tell you? What do you feel? Read labels Oscillating ball |
| reconsolidation stage 3MDR | Post-tx reconsolidation session What was it like for them? What did they learn? Safety planning/ coping, how will they take this into life? |
| effectiveness of 3MDR | PTSD scores go down over sessions Reconsolidation stage shows further drop in scores Scores continue to go down and stay down Low drop out rate Dramatic increase in ability to engage |
| benefits vs. limits of 3MDR | Non-pharmacological Personalized Sustained vs. Space/ equip Need training Only in AB More research needed |
| psychoeducation focuses on | Understanding diagnosis Healthy lifestyle promotion Symptom manage Sleep hygiene Substance manage Manage emotions Reinforcing structure & routine |
| activation & self management | Validate client concerns Supportive listening Practice skills w/ client Goal setting Manage symptoms |
| ACT | Allows individual to accept the trauma Includes being present, values, commitment, self as context, defusion, acceptance |
| defusion vs. self as context | Observe thoughts without being ruled by them vs. See yourself as unchanged by time & experience |
| DBT | Mindfulness Emotional regulation- how to change emotions Interpersonal effectiveness- how to ask what you want, relationships w/ people Distress tolerance- tolerate pain in difficult situations |
| CBT vs. CPT | Targeting unhelpful thinking styles. Changing thinking skills vs. Will target trauma thoughts instead of general thoughts of CBT. Trauma will lead us to thinking the world is dangerous and identify where thoughts are coming from |
| behavioral activation decrease in activity cycle vs. increase in activity cycle | 1. Depression/anxiety, 2. Low energy, 3. Decreased participation, 4. Increased feelings of failure vs. 1. Increase activity participation, 2. Increased achievement, 3. Decreased depression, 4. Increased energy level/motivation |
| vicious cycle of anxiety | 1. Anxiety 2. Increased scanning for danger 3. Escape or avoidance 4. Short term- relief 5. Long term- Increase anxiety, loss of confidence in coping, increased use of safety behaviors |
| exposure therapy steps | 1. Gradual exposure 2. Emotional processing 3. Preventing avoidance 4. Sustained exposure |
| gradual exposure vs. emotional processing | Gradually confronting feared objects or situations in controlled, gradual manner vs. Processing & re-evaluating fears through questioning |
| preventing avoidance vs. sustained exposure | Resisting avoidance behaviors so that individual can learn that their fears are unfounded vs. Attempting gradual exposure for enough time to learn that feared consequences are not occurring |
| EMDR steps | 1. Hx & tx planning 2. Prep for process 3. Ax 4. Desensitization 5. Installation 6. Body scan 7. Closure 8. Re-evaluate |
| skill teaching & training in reintegration stage | Didactic education Role playing Homework Activity based learning In vivo practice |
| work simulations vs. OT meso level considerations | Aims to mimic movement, env, interactions, & demands of work environment Aims to be holistic & tailored to needs of client vs. Work shift dynamics, supervisor expectations, culture, policies |
| work hardening steps | 1. Routine 2. Stamina 3. Concentration 4. Confidence 5. Accommodations |
| OT role in job coaching | Support health management Balance of work and life Support maintenance of routine Provide advice and support as needed |
| oncology stats 1. 200 2. ~44% 3. 65% 4. 40% 5. 50% | 1. Different types of diseases that fall under cancer umbrella 2. Prevalence of those who are impacted by cancer throughout life 3. Survival rate of those beyond 5 years 4. Those are diagnosed who are working age 5. People that fail on first RTW |
| oncology stats 1. 1.5x 2. 80-100% 3. 63% 4. 75% | 1. Those who have cancer are 1.5x more likely to be unemployed 2. How many people will report CRF within 10 years of diagnosis 3. Number of people w/ cancer who will successfully RTW 4. May have different returning to work |
| SES & oncology | Breast & prostate are more often in higher SES. May be due to higher health literacy & getting caught earlier Colorectal & lung cancer are more often in lower SES. May be due to lower health literacy and less access to healthcare. SES may impact RTW |
| cancer related fatigue | Distressing, persistent, subjective sense of phys/emotion/cog tiredness related to cancer & tx that's not proportional to recent activity & interferes w/ functioning Can creep up years after tx is over |
| fatigue cycle vs. energy cultivation approach | Fatigue; Deconditioning; Muscle atrophy; Fatigue vs. Balance energy cultivating & energy depleting activities. Participating in meaningful activities gives people more energy. Find out what energy is on likert scale |
| cancer related cognitive impairment | Inc memory-related & attention deficits. Includes diff conc, learning, recalling information, completing organizational tasks, and slower time for processing info. Addressing it not yet standard care of cancer |
| balance & functional mobility vs. muscular function | Mobility related concerns, inc static/dynamic balance, fine & gross motor vs. Reduction in physical/ muscular function correlates w/ reduced activity engagement & decreased QoL |
| chemo induced peripheral neuropathy | Some form of tingling, numbness, burning in hands &/or feet Level of sensory changes can affect mobility, dexterity, and continence |
| mental wellness | Reduced physical ability leads to emotional distress Higher incidence of mental health issues Depression & anxiety are concurrent symptoms |
| cancer related lymphedema | Trauma to lymphatic system from cancer & anti-cancer treatments resulting in swelling caused by accumulation of protein-rich fluid Chronic, flaring condition |
| routine function vs. OT services for oncology | Daily structure, including disrupted sleep cycles. vs. Described as hit or miss across Canada, not standardized, variety of services |
| oncology stats 1. 26-53% 2. 17 -> 27 | 1.Range of people who lose or quit their job within 72 months of cancer diagnosis 2. Amount of EI weeks people get in Canada for cancer diagnosis |
| 1. productivity 2. work 3. workability | 1. State or quality of making or doing 2. Purposeful effort; often related to paid employment 3. Capacity or capability for working |
| Dietz classification of cancer rehab | Prehab- early intervention, education Restorative- return to premorbid fx status Supportive- maximize functional independence Palliative- minimize burden of care, provide comfort |
| where is OT situated in cancer rehab vs. when could we start discussing work | Acute phase & specific RTW capacity vs. In prehab. Helps link idea that if you decondition, you need to condition even more |
| barriers to workability | Change to values systems Institutional barriers Functional implications QoL & well being Issues of comorbid Limited rehab options Challenges in coding & diagnosis, and access to services Poor expected outcomes in ax & supports |
| RTW for oncology needs vs. OT unique focus | Multidisciplinary approaches Timeline Location for interventions Ax vs. Function & QoL & well being |
| cancer and return to work | Early, accessible options A tailored approach Assessment Early & tailored intervention Research Knowledge mobilization |
| RTW timelines | Early identification in prehabilitation Connect w/ workplace, consider work needs, engagement in rehabilitation |
Created by:
craftycats_
Popular Occupational Therapy sets