physdis ( intro)
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| methods of how we treat people | therapeutic use of self (personality, exp, judgemnt, ex-sense of humor) | activities (therapeutic occupations and activities | education ( help person be an indipendant problem soilver) | consultation( process where you will make adaptation) | (blank) | (blank)
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| Ex of therapeutic occupation and activities | occupation based activity ( actually doing the activity) (ex-salad/shower) | purposeful activities-piece of occupation ( ex slicing veg/ in-out of tub) | prepatory methods ( exercize portion/ prepare - splint, modality, exc, sens input) | (blank) | (blank) | (blank)
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| things we adapt | environment ( grab bar) | method ( tie shows dif) | task ( snap instead of button) | tools ( built up utensile) | (blank) | (blank)
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| Biomechanical FOR | human movement helps with function | involves ROM , strength, endurance, physical muscle joints | use for wounds, fractures, amp, arthritis, burns, post surgery, PNI injuries( and some cns) | requires isolated movement | motor unit or othepedic disorder | (remidiated problem)
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| Sensory motor FOR | feed back/ feed forward ( whats going in and whats going out) | re learn senses | stroke, tbi, cb, parkinsons | good for CNS disorders- can not isolate movement | ( remediate problem) | (blank)
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| things to take into account | support system/ and roles like family caretaker | know routine | life stage | tension/ stuff/ sore | irritated/ or frustrated | (blank)
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| treatment process | Evaluation ( gather info/ obtain data) | assessment ( use specific tools for eval) | chart review | interview | (blank) | (blank)
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| Vital signs | Blood pressure ( systolic/dyastolic-avg 120/ 70 - hypertension more than 140/90--hypotension less than 90/60-- orthostatic hypotension- drop in blood from change in position) | Temp( 37C or 98.6 F)( above 100 fever indicates infection)( Hypothermia less than 94--hyperthermia more than 106) | Heart rate (bradychardia- less than 60/ tachycardia more than 100/ if person is less than 40 or more than 130 can't treat them) | resperation ( less than 10 or more than 20 breaths per minute is abnormal( do not treat s1 with resting rate more than 35-45 | (blank) | (blank)
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| BP | stop treating if sys drop more than 10 or dias incr more than 20 | dont treat if sys more than 200 or dyas more than 110 | get clearance for sys more than 180 or dyas more than 100 | do not take bp on arm with mastectomy/ flaccid/ dialisis or iv/ or acute fracture of humerous | (blank) | (blank)
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| Top Down approach | adaptive | assume ppl want to learn new way to do s/t | direct ability towards person performing occupation | (blank) | (blank) | (blank)
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| bottom up approach | remedial | assume if fix broken bit it will make person better | fix the deficit | (blank) | (blank) | (blank)
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| standardized testing | comparison available/ norm table | rigid/ takes out possibility of therapist assistance ( easy or hard) | (blank) | (blank) | (blank) | (blank)
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| non standardized testing | room to adapt and make individualized | subjective ( needs moreclinical judgemnt and observation) | (blank) | (blank) | (blank) | (blank)
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| how do we choose an asessment | who/what designed for | age | clients attn span | space/ cost/ time | theretical approach of test designer/ validity/ reliability | does the teats give outcome measure or clinical intervention(quality of performance)
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| COPM | measures person's satisfaction with w/ client performance | 45 min | requires good interview skills | can help pus set goals | good intial and follow up tool | pt is active participant to say what is importaint to them ( to ot)
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| Barthel | outcome- determines how much help is needed | can be administerd verbally | scoring is vague/ not so reliable | valid/ where ppl should be amnt of independance | (blank) | (blank)
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| LORS | outcome based | administerd in way that recieve input from patient ( observation) its very subjective | reliable ad valid | scoring is vague | (blank) | (blank)
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| PULSES | both outcome and clinical | more detailed / describes quality of performance | 5-10 min | task performance test | (blank) | (blank)
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| RIVERMEAD | outcome measure | pen paper/ pt do activities and therapist scores | reliable and valid | not very client centered | (blank) | (blank)
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| FIM | outcome measure | scoring is very specifically explained | anyone trained can do it | can also be used for program evaluation | (blank) | (blank)
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Created by:
natkat
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