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MH II review
| Question | Answer |
|---|---|
| Reality Orientation is important for whom? | ALL patients |
| For what population does reality orientation create hostility or withdrawal? | in the severely disabled |
| Definition of reminiscing | the process or practice of thinking or telling about past experiences; reunion with past objects or events |
| what is the use of reminiscing to the elderly? | to review and validate their lives |
| Who might benefit from reminiscing? | a patient who is depressed or disinterested |
| What is important when preparing for directing a reminiscing group? | a profile of group members and "memory makers" |
| Definition of validation | Letting each person BE as strong as they can to feel wanted & human in last stage of life |
| what replaces intellectual thinking among the demented old-old? | early learned emotional memories |
| should you explore feelings when dealing with a confused dementia patient? | no, just let them talk |
| what is polarity | ask person to think of best and worst examples |
| what is a "therapeutic relationship?" | a planned interaction to alleviate fear & anxiety, provide reassurance, get necessary info, provide info, assist patient to improve or maintain function |
| what is the OT's role in a therapeutic relationship? | help patients identify their problems, set reasonable goals and work toward those goals |
| Phase I in a therapeutic relationship? | the testing out period: patient sizes therapist up - can they trust you, are you competent/able to help them, will you accept them? |
| Phase II in a therapeutic relationship | The working period: a comfortable phase in which what is expected is understood, patient starts work and shows changes |
| Phase III in a therapeutic relationship | Termination: emotional issues dealing with ending of relationship must be anticipated and dealt with |
| What is transference in a therapeutic relationship | when a person unconsciously related to another as if he/she were someone else (typically an important person in their life) |
| Counter transference | when a therapist unconsciously falls into the role that the patient has transferred onto them |
| what are the 3 types of dependency? | 1) detrimental - excessive in which pt relies too much on therapist to do what they can do for themselves 2) constructive - when patient relies on others to provide somethem they cannot get 3) self-dependence - patient depends on self to identify problem |
| what are ways to deal with end of a therapeutic relationship? | ask patient to think about what they've gained from tx, talk about it; reinforce what gains patient has made |
| According to Allen Cognitive Disabilities Theory why are MH patients with impaired task performance at risk to themselves and others? | they do not understand cause and effect. they do not anticipate ordinary dangers |
| What is the central concept of Allen's Cognitive Disabilities Theory? | People with neurologic and psychiatric disorders suffer from a disturbance in mental functions that guide motor action |
| Why are crafts used to asses task performance in the Cog Db theory? | they are unfamiliar and show how a person solves problems and processes new information |
| How is the cognitive level assessed ? | by observing the motor actions of the person performing a task |
| What is the OTR role in evaluations? | the OTR has the final responsibility to obtain & interpret info, organize, analyze, summarize strengths & limitations, develops Tx plan |
| What is the COTA's role in evaluations? | use service competency skills to perform parts of structured evals, organize info, report to OTR, record in chart |
Created by:
sherryama
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