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OTA 130 Final Exam 3

Name all the basic types of prehension and grasp fingertip prehension, palmar prehension, lateral prehension, cylindrical grasp, spherical grasp, hook grasp
Be able to identify functional purpose of each type of prehension or grasp Fingertip – fasten snaps and buttons, hold needle for sewing Palmar – (3 jaw chuck) – holding pen, utensil, small object Lateral – turning key Cylindrical – holding a glass, hammer, pot handle Spherical – holding apple, ball Hook – carrying shopping
What are the names of the creases in the hand? wrist, palmar, thenar, and proximal, middle and distal finger creases
Which metacarpals are fixed and which ones are flexible? The metacarpal in the thumb in moveable and the ones in the hand are fixed
What are three important factors you must educate clients about regarding splints? Wearing schedule, care instructions, precautions
What are the causes of carpel tunnel syndrome (CTS)? Compression of median nerve from trauma, swelling, inflammatory diseases, overuse
What is the nerve involved in carpel tunnel syndrome? Median nerve
What does OT do to try to prevent surgery for CTS? Splint to immobilize wrist to allow for healing
What is OSHA? Occupational Safety and Health Association
How has OSHA positively affected the American workplace? Unveiled a comprehensive approach to ergonomics to reduce musculoskeletal disorders in the workplace
What is a functional capacity evaluation? An Objective assessment of an individual’s ability to perform work-related activity
What part can an OTA help with in a FCE? OTAs can participate in portions of the FCE that do not require interpretation
formal, multidisciplinary programs for rehabilitating the injured worker. Goal is to rehabilitate injured workers, maximize their function, and return them to work as quickly and safely as possible Work hardening
physical conditioning alone involves a single discipline and includes strength, aerobic fitness, flexibility, coordination, and endurance Work conditioning
At what point in the hiring process can an employer do pre-employment screening? Pre-employment testing can occur at several points in the hiring process. Health care providers and legal experts recommend testing after an offer has been extended
What is a reasonable accommodation in the workplace? “Reasonable” means that the accommodation does not place the employer under undue financial strain
What is a reasonable accommodation in housing? Federal and state fair housing laws require the property owner to make reasonable modifications to the housing unit at their expense. Examples of these modifications would be: an access ramp, grab bars, or widening a doorway
What community mobility environmental changes did you experience on the outing? What are they for? Ramps, automatic doors, large disabled bathroom stalls. They are for disabled people that may use w/c, walkers or other adaptive equipment
What obligation does a landlord have regarding the ADA (for a single family dwelling)? Have to make reasonable accomodation
What obligation does a landlord have when they own an apartment complex of 10 apartments? Have at least 1 ADA compliant apartment
OT’s use to assist clients to engage fully in work by addressing human performance and well-being in relation to occupational tasks, equipment, tools, and environment and seeks to improve the health safety and efficiency of the worker and the workplace Ergonomics
What is the goal of ergonomic intervention? Ergonomic interventions goal is to prevent problems before they occur or reactivity by addressing worker-job "fit" problems after and injury or other problem is identified
What is the proper position for a keyboard? Negative tilt
Why is using a laptop not ergonomically correct? Wrists not straight in neutral position
What is the BEST distance between eyes and a computer screen? Individulal should view screen with a downward gaze of 17-18 degrees
Name 5 risk factors for MSD's Working in awkward positions, using faulty body mechanics, using forceful exertions (to lift, push, pull, or grip), performing repetitive work, and experiencing stressful work conditions
What is the role of OT in driving? addressing predriving skills, children in w/c assistance with transfers and transportation, hand therapy, work hardening with client with chronic back pain, safety in driving w/elderly,driving rehab with SCI, TBI or stroke, driving mods with MD, MS,and P
Name 5 driving adaptations Visor extender, Convex side view mirror, Convex rear view mirror, Wedge cushion, pedal extendors, support handle where door to car latches, slippery surface on seat of car to get in and out, seat belt extender, ribbon for safety belt, safety belt adjuster
subcomponent of functional mobility and is the purposeful application of the mobility training taught to the client to enable movement from on position or place to another Functional ambulation
List the types of ambulation aides in order of level least support to greatest support single point cane, quad cane, rolling walker, walker, supported walker
Who is responsible for changing the type of ambulation aid? OT and PT
How does an OTA have input into ambulation aids a client uses? The OTA carries out functional activities training as directed by the OT
Know the 7 facts of safe functional ambulation Know the client (status, orthotics and aids and precautions), use appropriate footwear, clear potential hazards, monitor physiological responses, use a gait belt to guide the client, plan for unexpected, do not leave client unattended
Who could benefit from a bedside commode? Quadriplegia, stroke, LE amputations, THA, TBI, CP, MS, MD, anyone who maneuvers in the bathroom with a w/c or walker
Who needs a raised toilet seat? Why? THA client, to prevent from breaking hip precautions
Contraindications may include skin cracking, burns and blisters, known sensitivites to drugs, pacemakers, moles, pregnant women, use caution with sensory or vasculary damage, fair skinned require lower setting secondary to erythremia or skin redness Iontophoresis
Contraindications are circulatory conditions (arterial, venous, or lymphatic disorders), systemic infection diseases (may increase core body temperature and contribute to fever), cancer or malignancy, open wounds, severly impaired skin sensation Fluidotherapy
Contraindications: superficial heat when applied during first 24-36 hours following acute injury if hemorrhage and edema are noted, and consider position of extremity during application of heat agents Thermotherapy (heat)
Contraindications are cold urticaria local and systemic as in raised areas after cold applied, facial flushing, and drop in BP, and increased heart rate or syncope, Raynaud's Disease Cryotherapy
What is the general rule of using PAMs during OT? PAMS are a preparatory method used during therapeutic intervention and is not used alone
What is the appropriate temperature for paraffin? 120-125 degrees
What is the temperature of the hydrocollator? How long does it take a hot pack to reheat after use? 175 degrees. I have that it has to go in hydroc for 30 minutes to reheat properly
Why and how do you use hot packs? When do you have to check client? Hot packs are used for superficial therapy and is used clinically to increase extensibility of collagen tissure, decrease muscle spasm, decrease pain, increase metabolic reate, and for patient comfort, penetrates skin 1-2 cm. Treatment time is 20 minutes
Created by: NCBuckeye11
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