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OCTH 732 exam 2
| Question | Answer |
|---|---|
| a nonobligatory activity that is intrinsically motivated and engaged in during discretionary time, that is, time not committed to obligatory occupations such as work, self-care, or sleep | leisure |
| goals: maximum level of QOL, life satisfaction, community re-integration | rehab program |
| growing evidence of benefit of participating in ____: self-esteem, body image, self-perceived QOL, self-efficacy, community reintegration, employment, motivation | disability and physical activity / sports |
| risk factors: those with disabilities typically have more sedentary lifestyles putting them at higher risk for obesity, metabolic disorders, decreased overall health, increased social isolation, reduced QOL, reduced contribution to workforce | disability and physical activity / sports |
| barriers: lack of local facilities, limited physical access, appropriate equipment, attitudinal barriers by public and staff, lack of trained personnel or programs with adequate supervision, financial concerns | disability and physical activity / sports |
| facilitators: motivation to participate, awareness of opportunities, ease of access, self-efficacy/individuality, social support | disability and physical activity / sports |
| OT's role: leisure is a strong component, an avenue to promote health and well-being, environment modifications | disability and physical activity / sports |
| risks or challenges: musculoskeletal injury, pain, fatigue, diagnosis-specific risks, overuse and injury | disability and physical activity / sports |
| allows for mixed reality gaming, fitness, and entertainment, an immersive viewing experience, all within a headset | virtual reality |
| limitations: controllers, limited support for seated play, hand tracking may be too complex, real-time speech not available, interface and navigation overwhelming, lacks universal design across apps, limited integration with ext. adaptive devices | virtual reality |
| ADA: requires public and private services to follow accessibility guidelines that accommodate passengers with disabilities | transportation |
| ADA: fixed-route options like buses or subways must comply with regulations, accessible paths of travel to utilize services must also be available to individuals who intend to use these methods | transportation |
| ADA: complimentary paratransit services must be available anywhere fixed-rate options exist, must be accessible on same days and hours as fixed-route options for a similar cost | transportation |
| ADA: door-to-door bus services in which a driver offers assistance from customer's door to the vehicle and from the vehicle to the door at the destination | transportation |
| ADA: curb-to-curb bus services in which assistance is provided to customer to enter and exit vehicle at the curb | transportation |
| ADA: private entities that are offered to the public need to follow ADA regulations to follow accessibility guidelines; services like shuttles and taxis | transportation |
| general ADA requirements: adequate and accessible rider info, adequate time to board and exit, assistance features functional at all times, properly trained operators and personnel, service animals allowed, priority seating | transportation |
| type of transport for people w/ a disability that can't as a result of the disability ride or disembark from an accessible vehicle without assistance of another person and have a specific impairment-related condition that prevents you from using bus stops | paratransit |
| who pays for transportation to/from home/medical facility for paratransit services | Medicaid |
| type of transportation for those that do not qualify for paratransit due to good functional cognitive and mobility skills, those outside paratransit service area, suspended from paratransit | private transportation |
| skills needed: physical-boarding/deboarding bus, negotiating inclines and other surfaces, crossing street, balance and coord. and ROM; cognition-community safety skills, general orientation, bus travel skills | fixed route service |
| eligibility category: individual is unable to ever independently use fixed route bus, even with training | unconditional |
| eligibility category: individual is unable to use fixed route bus for a limited period of time; injury that limits distance of indep. ambulation | temporary |
| eligibility category: indiv. can use fixed route bus sometimes but may require paratransit in certain circumstances when interaction of person's disability and environment or other circumstance creates a barrier for safe use of fixed route | conditional |
| mat table or flat stable surface with height adjustment, rigid tape measure, large goniometer, calipers or a substitute | components of a comprehensive seating exam |
| thigh to trunk angle, thigh to calf angle, seat depth | critical seating measurements |
| w/c feature: weight distribution, increased sitting tolerance, decreased fatigue for high m. tone, improved head control, increased stability, gravity assists caregiver repositioning of user, improved feeding and swallowing | tilt |
| w/c feature: pressure relief and redistribution, PROM of hips, decreased fatigue, increased sitting tolerance, LE edema mngmt., m. tone mngmt., positioning for safe supine transfers, indep. performance of weight shifts | recline |
| w/c feature: indep. transfers, allows access to mult. surfaces, improves functional reach capabilities, indep. in a variety of activities, indep. community ADLs, facilitates social interactions, improves line of sight | seat elevation |
| risk factors: sensation, co-morbidities, weight, posture, skin moisture, age; nutrition, smoking, mobility level, skin monitoring; caregiver; equipment fit, equipment condition | pressure sores |
| protective factors: married, female, higher level of education, employment/going to school | pressure sores |
| utilize a cable and harness system controlled by body movements, offers durability and sensory feedback | body - powered prosthetic |
| employ electric motors and sensors to translate m. signals into movement providing more natural hand movements and grip patterns | myoelectric prosthetic |
| combine both body-powered and myoelectric components aiming to leverage strengths of each system for optimal functionality | hybrid prosthetic |
| stage of UE prosthetic training: form end of postsurgical period until pt. receives permanent prosthesis, prep ct. and his/her body to wear and use a prosthesis | preprosthetic therapy |
| stage of UE prosthetic training: goals-emotional support, limb hygiene/wound healing, max. limb shrinkage and shape it to a tapered end, desensitization of residual limb, physical conditioning, encourage indep. in ADLs, discuss choices, m. site testing | preprostetic therapy |
| stage of UE prosthetic training: eval prosthesis, intro pt. to program goals and sequence, review and id components, teach donning/doffing, discuss wear schedule, teach limb hygiene and care | initial stage |
| stage of UE prosthetic training: teach operation of each control and component, practice in control drills; goals-spont. skillful use, complete occs. in reasonable amount of time, teach prob.-solving approaches | intermediate stage |
| classification of UE amputations: named after the segment where there is no remaining skeletal structure or named by bones that are affected | congenital upper limb deficiency |
| classification of UE amputations: fully developed limb that sustained an insult; ex. amniotic band syndrome | deformation |
| classification of UE amputations: entire limb or axis involved; ex. syndactyl, radial longitudinal, hypoplasia | malformation |
| classification of UE amputations: abnormal limb growth is driven by a tumor gene; ex. macrodactyly | dysplasia |
| classification of UE amputations: inherited or genetic abnormality; ex. Poland syndrome | associated syndromes |
| surgical goals: preserve as much limb length as possible; retain healthy skin, soft tissue, blood supply, sensation, mm., bones, and jts.; a residual limb that is pain free and functional | amputations |
| stage of UE prosthetic training: functional use training developed further, vocational and recreational activities are initiated, driving adaptation, community and home visits if able, connect with support groups | final tx. stage |
| shower chairs, dressing sticks, weighted utensils | traditional AEs |
| motion-sensor soap dispenser, hands-free can opener, push-whisk, silicone food covers, shampoo caps | commercially available AEs |
| overhead trapeze, electric adjustable beds, leg lifters, bedrails or halos, transfer or draw sheets, hoyer lifts | modifications for bed mobility |
| human, activity, assistive tech, context in which activity takes place; ensure chosen AT is appropriate for other aspects of model | HAAT model |
Created by:
emma.scarmon-coyotes
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