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MH II review

QuestionAnswer
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