OCTH 725 final
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
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analysis of own routine and occupational patterns; modifications to maximize health, productivity, and life satisfaction | show 🗑
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60+ participants; 3 groups-preventative OT group, social activity group led by non-OT professionals, no treatment | show 🗑
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results: OT group had more positive gains, OT groups experienced greater gains (and fewer declines) in physical health, physical functioning, social functioning, vitality, mental health, life satisfaction | show 🗑
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implications: OT can help elderly remain independence and healthy for a longer duration of time, cost-effective to use preventative OT, professional direction is required to produce therapeutic effect, enhances health and QOL of older adults | show 🗑
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defines our profession as meaningful, productive, and satisfying occupations; has challenges with seeking funding and time spent with patient | show 🗑
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4 core ideas: occupation is life itself, occupation can create new visions of possible selves & life changes, occupation has a curative effect on physical & mental health & on a sense of life order and routine, occupation has a place in preventative care | show 🗑
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cost-effective and promote OT as such for healthcare organizations | show 🗑
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themes of meaning: spirituality, family nurturing, need to feel useful | show 🗑
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theory: potential to reorder their patterns of occupation from states of disequilibrium to more complex, stable patterns; in practice looks like not offering a fixed set of occupational interventions and is unique to each client | show 🗑
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show | module 1: occupation, health, and aging
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module of lifestyle redesign: public or private transport; not driving can lead to occ. dysfunction; very valued and important occupation for older adults; considerations-physical changes, cognitive, physical environment of car, eliminate distractions | show 🗑
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module of lifestyle redesign: physical activity, mental activity, spiritual activity, social activity, productive activity | show 🗑
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module of lifestyle redesign: effects physical and mental well-being; healthy ways to decrease stress-coping strategies, flow, rest and sleep | show 🗑
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show | module 5: dining and nutrition
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show | module 6: time and occupation
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show | module 7: home and community safety
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show | module 8: relationships and occupations
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show | module 9: thriving
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show | module 10: navigating healthcare
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show | module 11: hormones, aging, and sexuality
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show | module 12: ending a group
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aging at organism, molecular, and cellular levels | show 🗑
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show | psychological
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focus on social participation | show 🗑
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show | environmental
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show | programmed theories
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programmed theory: expressions of genes as "on" or "off" | show 🗑
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programmed theory: hormonal regulation of aging | show 🗑
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programmed theory: gradual decline in function of immune responses; increased risk of illness, infections, etc. | show 🗑
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biological theory: aging is a result of "environmental insults", outcome is dysfunction of cells; somatic mutation theory, free radical theory | show 🗑
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show | somatic mutation theory
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show | free radical theory
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biological theory: aging is caused by inherited genetics and acquired genetic mutations; cell senescence theory, epigenetics | show 🗑
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show | cell senescence theory
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show | epigenetics
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what is missing with biological theories | show 🗑
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show | life span developmental theory
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show | selective optimization with compensation theory
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psychological theory: prioritize emotional closeness over large social groups; reduce interactions and increase emotional connections; increase time spent with loved ones and close friends | show 🗑
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show | personality and aging theories
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show | fluid intelligence
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psychological theory: cognition and aging theory-level of intelligence based on social and cultural influences, stable or increase across lifespan | show 🗑
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show | functional cognition
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environmental theory: foundational theory-aging = adaptation to external environment and internal capacities | show 🗑
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environmental theory: foundational theory-5 systems that affect functional performance at varying levels, social and cultural structures of environment | show 🗑
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show | aging in the right place
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environmental theory: contemporary theory-transactional process | show 🗑
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show | situational model of care
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show | life course perspective
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sociological theory: interactions of people at different ages due to shifting roles, skills, and resources that go along with advancing age; assumptions-all factors of exchange bring resources, reciprocity expected | show 🗑
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show | political economy of aging theory
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show | what is missing from current theory
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basis is that people need to have basic needs met before they can engage | show 🗑
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helps to problem-solve, individualized and creative intervention, strategies for increasing engagement | show 🗑
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show | behavioral theory
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show | conditioning
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show | stimulus
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show | response
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show | fading and shaping
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show | chaining
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part of behavioral theory: adverse stimulus that causes a behavior to decrease | show 🗑
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show | reinforcement
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part of behavioral theory: process to reduce frequency of behavior by withholding reinforcement | show 🗑
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approaches: classical conditioning, punishment, extinction, stimulus discrimination, positive and negative reinforcement; techniques: fading, chaining, shaping | show 🗑
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show | forward
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type of chaining: client does entire task with no help | show 🗑
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type of chaining: you do everything except last step, client does that | show 🗑
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show | who would benefit from behavioral theories
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show | social cognitive theory
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show | modeling
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belief that you can learn or complete a skill/behavior, influences persistence, influenced by past, others, and mental space | show 🗑
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major assumptions: learners must be active participants in learning, learners are capable of creating their own knowledge, learners dev ability to think critically to solve probs, activate participation in learning environment enhances cognitive skills | show 🗑
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show | constructivist theory
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theory that believes we change our behavior/response because we want to do so; stages of Transtheoretical Model; motivational interviewing | show 🗑
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stages: precontemplation, contemplation, preparation, action, maintenance, termination | show 🗑
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figuring out where client is in stages and motivation to change | show 🗑
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show | biological age
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show | psychological age
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show | social age
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stage of adulthood: ages 21-34, peak social and mental abilities, increased responsibilities, relationships | show 🗑
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show | middle adulthood
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stage of adulthood: ages 65+, youngest old = 65-74, middle old = 75-84, oldest old = 85+ | show 🗑
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lower income = more susceptibility to ____ ____ due to less access to care, less education, less able to buy healthy foods, and more stress | show 🗑
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which gender makes up majority of older adults in almost all countries and have a longer life expectancy | show 🗑
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show | positive attitude
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what type of attitude leads to an increased and earlier onset of cardiovascular events | show 🗑
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show | ageism
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influences expectations and goals for aging, roles within their community and family | show 🗑
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show | public policy
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show | social determinants of health
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Social Security, asset income, public and private pensions, and earnings | show 🗑
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show | health literacy
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influence on occupational development: observation -> learn from one another -> teaching and scaffolding; cultural aspects are taught from experienced participants | show 🗑
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show | engagement is transformational
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influence on occupational development: child rearing and adult work, physical activity, gender and age stereotypes | show 🗑
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show | societal influences
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show | values
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accepted, considered to be true, held as an opinion | show 🗑
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deep experience of meaning; values and beliefs, reflection, and intention; dynamic and evolving | show 🗑
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physiological function of body systems and anatomical parts | show 🗑
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performance skills: how effectively a person moves self or interacts with objects, body positioning, obtaining and holding objects, moving self and objects, sustaining performance | show 🗑
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show | process skills
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performance skills: use of verbal and nonverbal skills to communicate, initiating and terminating social interaction, producing interaction, shaping content and maintaining flow of convo/interaction, physically supporting interaction, verbal support | show 🗑
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context: physical, social, and attitudinal surroundings; facilitators and barriers; natural and human made elements; products and tech; support and relationships; attitudes; services, systems, policies | show 🗑
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context: customs, beliefs, activity patterns, behavioral patterns, expectations; mostly stable throughout time; not part of a health condition or state; demographic info | show 🗑
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show | habits
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performance pattern: establish sequences of occupations or activities; higher order habit; provide daily structure; can promote or damage health; OT's role-new ones in face of dysfunction or disability | show 🗑
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performance pattern: normative models of behavior; dynamic throughout life course; shaped by culture and context; can be associated with specific conditions; OT's role-construct or reconstruct, consider culture, meaning, and responsibilities | show 🗑
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performance pattern: have symbolism and meaning; include belonging and meaning; OT's role-recognize this from routine, create these to signify transitions, help to engage | show 🗑
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type of transition: predictable-normal age-related changes in function and performance OR unpredictable-age-related illness or disability | show 🗑
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show | contextual / environmental transitions
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type of transition: OT's role = QOL, physical health, mental health is unaddressed, occupational and social engagement, huge transitions seen as loss of independence, maintenance programs | show 🗑
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show | occupational transitions
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show | transitions
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state of complete physical, mental, and social well-being; not just absence of disease | show 🗑
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show | wellness
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being content with one's life including physical, mental, and social aspects | show 🗑
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education or health promotion efforts designed to id, reduce, or prevent onset and reduce incidence of health conditions, risk factors, diseases, or injuries | show 🗑
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show | quality of life
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show | health promotion
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show | OT - directed health promotion
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show | health promotion and prevention
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type of prevention: education or health promotion efforts to prevent onset of disease, illness, etc.; before client has diagnosis | show 🗑
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show | secondary prevention
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type of prevention: preventing progression of condition | show 🗑
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show | social determinants of health
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lack of access to engagement in meaningful occupation; results in poorer health outcomes and injustices; contributing factors-inequality, discrimination, limitations set on a group of people | show 🗑
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show | OT's role in health promotion and prevention
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show | Health Promotion Theory
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show | perceived susceptibility
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show | perceived severity
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part of Health Belief Model: effectiveness of taken action | show 🗑
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part of Health Belief Model: factors that activate readiness to change | show 🗑
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show | perceived barriers
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show | self - efficacy
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population health, AOTA documents and position papers, health literacy, development of programs and interventions, to implement health promotion interventions/programs, OT's role in health promotion is evidence-based | show 🗑
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part of occupational balance: rest matters, types of activity, where people live | show 🗑
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amount of occupational balance: socioeconomic factors, pandemic, unemployment | show 🗑
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amount of occupational balance: demanding/high stress jobs, education, roles at home | show 🗑
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show | disability
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measure to describe impact of health status on QOL, multidimensional, includes positive and negative aspects | show 🗑
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show | disability paradox
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promote healthy occupations and lifestyles for everyone, incorporate occupation as an essential element of health promotion strategies, provide occupation-based interventions with individuals, families, communities, and populations | show 🗑
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show | aging in place
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show | community - based services
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cognitive process: ability to focus on stimulation for purpose of processing info; requires effort and ability to "filter" | show 🗑
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show | selective
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show | sustained
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type of attention: direct or switch between 2 or more tasks or activities, associated with age-related decline | show 🗑
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show | divided
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show | executive functioning
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cognitive process: abstract reasoning, flexibility, initiation, and completion; declines with age | show 🗑
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show | crystallized intelligence
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show | wisdom
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show | implicit processing
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cognitive process: processing that requires awareness and effort, experiences change with age (decline) | show 🗑
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cognitive process: ability to perform ADLs and IADLs, should be assessed in natural environment, use experience to compensate for any age-related change, certain activities become more difficult with age | show 🗑
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show | sensory
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show | short - term
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type of memory: intentional use of strategies to manipulate, store, and maintain info | show 🗑
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show | procedural
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type of memory: future or schedule tasks without aid | show 🗑
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show | semantic
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show | speed of processing
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show | sensory deficit theory
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cognitive theory of aging: deficits in working memory due to slowed processing, sensory processing, and decreased inhibition; cognitive stimulation -> fewer white mater lesions | show 🗑
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show | dual - process theory
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cognitive theory of aging: brain weight and volume changes with age | show 🗑
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neuropathology: acute changes in attention, awareness, cognition; causes-frailty, infections, prolonged illness, lab values, med reactions, alcohol withdrawal, surgery; OT works to reduce days of this in older adults | show 🗑
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neuropathology: deficits-amnesia, attention, language, visuospatial, EF; transitional stage between healthy and dementia; intervention-exercise, client-centered activities, cognitive stim., socialization, client and family education | show 🗑
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show | dementia
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show | Alzheimer Disease
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show | dementia with Lewy bodies
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neuropathology: 2nd most common form of dementia, more preventable, daily fluctuations, worsens over the day, insufficient supply of oxygenated blood, may have localized or focal symptoms | show 🗑
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show | frontotemporal dementia
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show | sundowning
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neuropathology: cognition affects ADLs/IADLs participation; intervention-multidisciplinary approach, teach strategies, optimize environment, focus on ADLs/IADLs | show 🗑
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neuropathology: most prevalent mental illness among older adults; related to transitions; cognitive, emotional, physical manifestations and complications | show 🗑
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show | schizophrenia
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show | bipolar disorders
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neuropathology: risk factor for dementia; confusion, processing, EF | show 🗑
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neuropathology: cause is multifactorial; cognitive abilities-memory loss, concentration and attention, learning and EF; impact on function-decreased ADLs, decreased IADLs, social isolation, fatigue, memory loss, poor attention | show 🗑
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cog. stim.-reduce risk of dementia; physical activity-enhanced EF, processing, balance; socialization-decrease depression, increased sense of well-being, enable interaction; mental health-focus on ADLs and IADLs | show 🗑
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cardiopulmonary age-related change: decrease in elastic tissue and increase in fibrous tissue, few changes to large ones, increased stiffness of medium and small ones | show 🗑
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show | lung parenchyma
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cardiopulmonary age-related change: diffusion of gas between alveolar air and pulmonary circulation, progressively declines with age | show 🗑
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cardiopulmonary disease: dyspnea on exertion, cough, wheezing, fatigue, lower blood-oxygen levels, increased respiration at rest, OT helps with activity modification and fatigue | show 🗑
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cardiopulmonary disease: progressive scarring of lung tissue, breathing difficulties, insufficient oxygenation to bloodstream, dyspnea, non-productive cough, increased sputum | show 🗑
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show | lung cancer
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show | acute respiratory distress syndrome
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cardiopulmonary disease: infection of lungs, alveoli become inflamed and fill with fluid | show 🗑
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show | tuberculosis
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show | pulmonary edema
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cardiopulmonary disease: leading cause of death; accumulation of plaque in coronary aa.; symptoms-angina, exercise intolerance, dyspnea, depression and anxiety, irritability, decreased QOL | show 🗑
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show | congestive heart failure
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cardiopulmonary disease: myocardium enlargement and dysfunction of ventricle(s); acquired or hereditary; symptoms-dyspnea, lightheadedness, arrhythmias, chest pain, edema, fatigue | show 🗑
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cardiopulmonary disease: blockage of coronary aa. leads to damage or death of cardiac m.; non-ST elevation; ST-elevation; plaque rupture or clots; variable symptoms between men and women | show 🗑
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show | cardiac arrest
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cardiopulmonary disease: chronically elevated BP | show 🗑
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show | arrhythmias
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show | cardiopulmonary diseases
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can take anywhere between 1.5 to 2 hours and includes clinical eval and behind-the-wheel assessment | show 🗑
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possible diagnoses referred-Alzheimer's disease, dementia, mild cognitive impairment, CVA, MVA, Parkinson's disease, seizures | show 🗑
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part of driver eval: completed on Optec; tests for visual acuity, peripheral vision, depth perception, contrast sensitivity, color id, visual attention, and road sign recognition | show 🗑
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part of driver eval: examples are Short Blessed Test, Trail Making Part A, Trail Making Part B, Snellgove Maze Test, Clock Drawing Test | show 🗑
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show | outcomes
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(high/low tech): may include use of adaptive driving aids such as seat cushions or additional mirrors; AE for primary control is typically mechanical/electrical; services may include transport planning, cessation planning, and othe recommendations | show 🗑
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(high/low tech): provider can alter positioning of primary or secondary controls based on patient's need or ability level; includes devices that are capable of controlling driving controls or have a computerized system | show 🗑
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category of social relationship: network size, marital status, frequency, living arrangement | show 🗑
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category of social relationship: social support, isolation, loneliness, inclusiveness, quality | show 🗑
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show | diverse social networks
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type of social relationship: friends and neighbors, fewer interactions with family | show 🗑
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type of social relationship: social life arranged around family | show 🗑
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type of social relationship: limited engagement of any kind | show 🗑
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type of social support: advice, problem-solving | show 🗑
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show | isolation
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subjective experience of isolation | show 🗑
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loss of nonsexual, affectionate touch; increased loneliness | show 🗑
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show | gender
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show | gender id
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show | sex
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gender id and sex assigned at birth are same | show 🗑
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show | transgender
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show | nonbinary / gender nonconforming / gender diverse
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describes people with differences in reproductive anatomy | show 🗑
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show | assigned female / male at birth
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show | gender affirming care
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show | cultural humility
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show | atherosclerotic cardiovascular disease
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has benefits for sexual function and libido, long-term use may increase risk of illness and cognitive disorders | show 🗑
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show | women
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permission-affirm to clients that their sexual health concerns are appropriate; limited info-clients will be curious about how injury affects sexuality; specific suggestions-tailed to client; intensive therapy-need advanced training or refer to an expert | show 🗑
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age-related change to...: "dry eye", loss of subcutaneous fat and decreased tissue elasticity and tone, levator palpebrae superioris m. becomes weak | show 🗑
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show | eye
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show | visual pathway
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show | cataracts
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visual condition: progressive optic n. damage from increased pressure in eye; results in blindness; primary-slow onset, may cause permanent damage before person notices; angle-closure - pain, blurry vision, acute, medical emergency | show 🗑
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show | macular degeneration
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type of macular degeneration: yellow deposits of extracellular material in macula, most common type, retinal atrophy leads to vision loss | show 🗑
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type of macular degeneration: progresses more rapidly, proliferation of abnormal blood cells that leak blood and fluid into macula | show 🗑
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show | diabetic retinopathy
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show | low vision
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show | vision disorders
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show | under
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common pain diagnosis: no known cause or cure; increased risk for older adults; diffuse pain; OT's role-activity modification, energy conservation, AE, and techniques | show 🗑
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show | diabetic neuropathy
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auditory disorder: age-related progressive loss of hearing | show 🗑
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show | sensorineural hearing loss
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OT implications-social complications; speech perception and discrimination | show 🗑
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show | smell and taste
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OT implications-decreased balance and safety, increased fall risk, adaptations to LE dressing to accommodate for age-related balance changes | show 🗑
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show | physical fitness and aging
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show | osteoarthritis
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show | rheumatoid arthritis
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MSK change: compromised bone strength; low bone mass; increased fall risk and injury; OT's role-exercise, balance, fall prevention, body mechanics for ADLs | show 🗑
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MSK change: more common in older osteoporotic patients; causes pain; limit ADL participation; decreased QOL; OT's role-bracing, pain control, therapy | show 🗑
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leading cause of fatal and nonfatal injuries of those 65+; underreported; fear common; risk factors-gait, balance, strength, cognition, environmental hazards | show 🗑
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show | amputation
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MSK disorder: autoimmune disorder; demyelination of nn. in brain and spinal cord; types - relapsing-remitting, primary progressive, secondary progressive, clinically isolated syndrome; impact-affects QOL, decreased ADL/IADL function, mobility | show 🗑
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show | Parkinson's Disease
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stages: 1-unilat. symptoms, resting tremor; 2-midline or bilat. symptoms, tremor and rigidity; 3-loss of balance, mild to moderate disability; 4-use of AE, needs assist with ADLs; 5-limited mobility, dependent or max assist | show 🗑
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show | stroke
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OT implications-decreased ADL function, decreased motor function, cognitive impairment, visual impairment, speech and language deficits | show 🗑
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show | ethical issues with older adults
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participate in decision-making, dignity, privacy, respect, associate freely, visit privately, receive mail, freedom from abuse, manage finances, express grievances and make recommendations, voice complaints, participate in resident council associations | show 🗑
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actions causing physical, mental, emotional, or financial harm or neglect to an older adult; higher instances in institutions or LTC facilities; most often family members and close relatives | show 🗑
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types: abandonment, emotional, exploitation, financial, neglect, physical, sexual | show 🗑
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signs: depression, confusion, withdrawn, feeling isolated, unexplained bruises and burns, looks disheveled/unkempt, new bed sores, change in banking/spending | show 🗑
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show | elder abuse
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show | advanced directive
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show | end of life treatments
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type of artificial nutrition and hydration: placed in v. under patient's skin, provides fluid | show 🗑
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show | nasogastric tube
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end of life treatment: for people with long-term or chronic conditions that are "life-limiting", team approach, focus on QOL and comfort, environmental and personal factors, care team | show 🗑
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end of life treatment: subset of palliative care, compassionate and humane care for dying person, home vs. institutional setting, teams of professionals and volunteers | show 🗑
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application of scientific knowledge to the practical aims of human life or, as it is sometimes phrased, the change and manipulation of the human environment; multiple types | show 🗑
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show | assistive technology
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show | therapeutic technology
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type of technology: fixed environmental tech, put in place to make things accessible; ex. ramps, levered door handles, grab bars, door openers | show 🗑
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type of technology: objects used in our occupations; ex. computer, phone, toothbrush, comb | show 🗑
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show | virtual environments
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type of virtual environment: used in conjunction with standardized driving assessments; used in place of or prior to on-the-road assessments; used for assessment, rehab, or driver's education | show 🗑
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type of virtual environment: immersive and interactive environment; controlled setting for intervention; focus on skills such as occupations, motor, cognition, social, balance, coordination | show 🗑
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type of virtual environment: single record in medical history in 1 location | show 🗑
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type of virtual environment: comprehensive record of health that is shareable | show 🗑
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show | method of delivery
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show | telehealth
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show | telehealth
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benefits: increased access, cost effective, quality, patient demand, tech issues, user perception, evidence-based, reimbursement | show 🗑
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show | home management
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examples are medication management, appointments, physical activity, adequate nutrition, mental health maintenance, adequate sleep | show 🗑
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show | sleep
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conditions that disrupt ____: depression and anxiety, dementia/Alzheimer's disease, hypertension, respiratory conditions, physical disability, heart disease, diabetes, chronic pain | show 🗑
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OT's role: lifestyle redesign, self-management programs, med. management, education, physical activity and fall prevention, nutrition management, environmental modifications | show 🗑
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show | leisure
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show | work and retirement
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
emma.scarmon-coyotes
Popular Occupational Therapy sets