Enabling across liifespan OA
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| show | Productivity, Home downsizing, Health, Financial, Social
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| show | Explain the assessment,
Explain the length and what is expected
Ask consent
Make sure they have the glasses, hearing aids, ect..
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| show | connect results to functional implications and daily impact on performance. Convey the message to the key person.
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| show | Education, coaching, emotional support
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| What is Capacity? | show 🗑
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| show | Global, Domain Specific, Decision Specific
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| What is global capacity? Domain specific capacity? | show 🗑
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| What are the 7 Domains in domain specific capacity? | show 🗑
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| show | Simple decisions within a domain
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| show | Assumed capacity until proven otherwise
A risky decision is not necessarily incompetent
it is the process of lack of process that calls into question capacity
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| What are the 4 most common mistake of capacity testing? | show 🗑
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| Reasons for Capacity assessment? | show 🗑
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| What is the role of OT in assessing capacity? | show 🗑
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| What are 7 possible Cognitive assessment we might use? | show 🗑
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| What cognitive testing limitations should be kept in mind? | show 🗑
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| What is a personal derective? | show 🗑
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| What are affective issues? | show 🗑
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| show | •Major depressive disorder
•Bipolar disorder
•Dysthymia
•Anxiety disorders including
•Panic disorder
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| What makes Lewy Body disorders distinct? | show 🗑
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| show | Fluctuating, Varied symptoms
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| What is the hallmark of Kosocoff's dementia? | show 🗑
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| What is the hallmark of Frontal temporal (Pics) dementia? | show 🗑
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| show | 6 month to live progression
Rapid dementia
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| show | An acute medical emergency syndrome,
A cluster of symptoms
Inattention
Confusion
Fluctuates over 24hrs
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| What is the difference between dementia and delerium? | show 🗑
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| show | Hypoactive-drowsy, blunted, depression
Hyperactive-aggitation, hypermotor, excitable
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| show | up to 1 month for each week
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| What tool is used to assess delerium? | show 🗑
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| show | Hypoactive delerium goes unrecognized and the person dies
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| In acute setting what do you want to do before a cognitive assement? | show 🗑
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| What are common treatments for depression? | show 🗑
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| show | they don't have the resources to deal with issue
They can't understand/have insight
Delerium
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| show | 80%
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| What is level 1 and 2 for literacy? | show 🗑
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| show | Minimum level that they can function
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| show | Higher order reading
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| show | True, it deteriates with age unless practice.
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| What is the effect of health literacy? | show 🗑
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| What needs to be done to improve the literacy of an individual? | show 🗑
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| show | A literacy audit
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| show | The model or frame of reference, age related changes, strategies, universal design
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| show | the external CONTEXT that individual interacts with
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| What is a social groups? | show 🗑
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| What is the single greatest determinate of if a person will die in long term care? | show 🗑
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| show | Ethnic (racial, ceremonial roines)
Proxemics (doors, sleep arrangements
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| show | The comfort zones around a person.
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| show | Socail instututions and practices
Political, economic, legal
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| show | The physical structures and spaces
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| show | The Function of the person in the enviroment
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| show | Sense of competence
Enviromental stress
Addaptive Behavior occurs with the right amount of competence and stress
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| What percent of seniors have vision problems? | show 🗑
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| What vision problems are common? | show 🗑
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| What is the most important idea for lighting? | show 🗑
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| show | High contrast
Dark patterns or lines look like a hole
Lines on steps, Floor colors that merge with the wall
Large Font,
Multiple cues pictures
High or amount signage
Homelike features
Allow safe pacing
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| What are the three current features of visitability? | show 🗑
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| show | The supportive approach-acceptance, adjustment, comfort, prevention and quality of life
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| show | Team, collaborative, comfort of family and client adressing issues of dying
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| What percent of canadians will need pallative care? | show 🗑
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| show | 15-30%
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| what is end of life care? | show 🗑
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| show | Relief of physical, emotional, spiritual, and social symptoms
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| What can make pallative care easier? | show 🗑
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| show | The entire family
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| show | Simplification of tasks
Maintenence of skin integrity
Supportive counselling
Provide resources
Relaxation managment
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| show | Equipement
Environment modification
Energy conservation
Caregiver training
Prioritization
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| show | Pressure relief/Possitioning
Mobilization
Treatment/Accomiodation for edema
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| What kind of resources can help client with end of life care? | show 🗑
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| show | More emotional
Unable to give informed consent
Remember to involve ENTIRE family even kids
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| What precautions need to be maintained in OT pallative care? | show 🗑
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| show | Homecare loan
AADL
Organizations such as ALS
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| show | Home care
Self organized (eg. family)
Facility
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| show | Home accessibility
Family Support
Finances
Symptom control
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| What are the three key ethical views of the treatmetment for clients | show 🗑
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| show | Upholding dignity/context,
Provide unbiased service,
Callaboration in setting goals
Accepting client's choice,
Provide information for decision making,
Respecting confidentiality,
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| show | Reviewing practice and engaging in professional developement,
Improve knowledge,
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| show | Descrimination, aquisition, understanding, retention and appropriate application of information
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| show | Memory, Attention, Orientation, Language, Perception, Praxis (planning), Mental Processing, Emotional awareness, Executive function
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| show | Complex, goal directed behaviors
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| show | Planning, Sequencing, Working memory, Inhibition, Initiation, Attention
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| show | Decrease in mood (attention fine)
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| show | Inability to attend to reality
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| (L8) What is the key symptom of Dementia? | show 🗑
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| (L8) What is a Neurocognitive disorder? | show 🗑
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| (L8) What are the 6 most common types of dementia? | show 🗑
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| (L8) Why is it important to recognize minor cognitive decline early? | show 🗑
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| show | abilities to infer function,
funtion to infer abilities,
Informally
Infer function from abilities
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| show | Examines the person, enviroment and occupations
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| show | Word recall
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| (L9) How is the domain of attention usually assessed? | show 🗑
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| show | Location and date
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| (L9) How is the domain of language usually assessed? | show 🗑
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| show | Copying
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| (L9) How is domain of praxis usually assessed? | show 🗑
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| show | Calculation, proplem solving
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| show | Hypothetical situations
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| (L9) How is the domain of abstraction usually assessed? | show 🗑
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| (L9)What five factors influence cognitive assessment tool selection? | show 🗑
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| (L9) name 3 tools to assess cognitive abilities that allow function interpreted? | show 🗑
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| (L9) Name 3 tests of function that can allow an interpretation of cognitive ability? | show 🗑
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| show | Practice tasks, Simplify tasks, Memory aids, Caregiver support, Environmental adaptation
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| (L9) What score on the MMSE is a sign of cognitive decline? | show 🗑
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| show | <26
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| show | decreases in musculoskeletal health, cardio pulmonary function, neuronal function, sensory abilities, bladder control
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| (L5) What are 6 functional implications for age related decline in the major systems? | show 🗑
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| show | An eventual inability to perform ADLs
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| (L5) What are the 2 common effects of a broken hip? | show 🗑
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| show | Change in physical, cognitive or affect
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| (L5) What is the danger with diabetes? | show 🗑
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| (L5) What are 4 warning signs of unregulated diabetic blood sugar? | show 🗑
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| show | Activity as tolerated (fatigue), no lifting above the shoulder, no lifting weight
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| show | Behavioral (when voiding and taking liquids)
Training (pelvic exercises)
Functional (clothing, mobility)
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| (L5) What are the 4 common problem areas with nutrition? | show 🗑
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| show | Bending the hip past 90 degrees, bending forward, crossing the legs, twisting the leg
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| (L5) What is the major movement precaution for a knee replacement? | show 🗑
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| What is Dysphagia? | show 🗑
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| What is apraxia? | show 🗑
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| What is Agnosia? | show 🗑
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| What is hemianopsia? | show 🗑
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| show | The ability to Drive
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| show | DriveAble
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| (L5) What is the best assessment of driving? | show 🗑
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| show | 60%
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| (L5) What are 5 common barriers to seniors enjoying leisure? | show 🗑
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| show | Falls
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| show | Emotions, ADLs, IADLs, Fear/Mobility
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| (L6) What are the 4 risk factors of falls? | show 🗑
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| (L6) What is Best Practice for fall intervention? | show 🗑
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| (L6) What interventions are part of the BEEEACH model of fall prevention? | show 🗑
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| show | Changing behavior
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| show | Client/family buy in,
You consider the socail enviroment,
They believe it will increase ADL function
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| show | Inactive lifestyle and bladder control.
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| (L9) What is capacity? | show 🗑
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| show | Global, Domain specific, and Decision specific.
OT is concerned with decision specific
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| show | they are capable until proven contrary,
Risky decisions can still be competent,
It's the process of decision making not the decision that determines competence
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| (L9) What should be considered before judgement of incapacity? | show 🗑
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| show | Cognitive assessments
ADL Functional assessments
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| (L9)What are the 6 major compontents of executive function? | show 🗑
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| show | Attention,
Orientation,
Memory,
Concentration
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| (L9) What is a personal directive? | show 🗑
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| (L9) What are the 3 parts of the Adult Guardianship act? | show 🗑
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| (L9) What is the Trusteeship act? | show 🗑
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| show | Done with their functional enviromental needs,
Cognition does not necessarily reflect abilities,
Cognitive assessment includes functional assessement
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| (L9) What are the 7 test limitations? | show 🗑
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| (L9) 4 Reasons to do formal capacity assessment? | show 🗑
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| (L9) To declare incapacity an assessor must report an opinion on what 5 things? | show 🗑
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| show |
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Created by:
swcherry
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