Enabling across liifespan OA
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What are 5 major life transitions for Older Adults? | show 🗑
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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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When reporting the results of a cognitive assessment what should you do? | show 🗑
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Cargivers need what kind of support? | show 🗑
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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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What are the Guiding Legal Principles of Capacity? | show 🗑
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show | Assuming the result is global
Failing to provide the client with the relevant info
Lack of problem solving before capacity testing
Lack of investigate temporary cause of impaired decision making
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show | Discharge,
Hazards/Vulnerability,
Specific Insight into doing AIDLs
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show | Deterimine ADLS
Determine IADLS
Home management/Safety
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What are 7 possible Cognitive assessment we might use? | show 🗑
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show | Level of conciousness, Education, Cultural background, language, vision, hearing, comorbidities
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show | A plan for when a person can no longer make decisions for themselves
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show | mental illnesses which predominantly affect mood and also have an effect on thoughts, behaviors and emotions
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show | •Major depressive disorder
•Bipolar disorder
•Dysthymia
•Anxiety disorders including
•Panic disorder
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show | They have hallucinations they know are not real
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show | Fluctuating, Varied symptoms
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show | Loss of executive function
Substance abuse history
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What is the hallmark of Frontal temporal (Pics) dementia? | show 🗑
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What is the hallmark of Crutzfeldt Jacob's disease? | show 🗑
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What is Delerium? | show 🗑
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What is the difference between dementia and delerium? | show 🗑
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What are the two types of Delerium and signs? | show 🗑
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How long can recovery from a delerium take? | show 🗑
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show | CAM. Confusion Assment Meathod
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What is the most common problem of delerium? | show 🗑
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show | Perform a delerium assessment
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show |
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What is a danger of psycho therapy? | show 🗑
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What percentage of the senior population have low literacy? | show 🗑
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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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What is level 4/5 for literacy? | show 🗑
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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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show | Improve the literacy of the family
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show | A literacy audit
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What kinds of things must an ot consider in an enviromental assessment? | show 🗑
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What is the enviroment? | show 🗑
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What is a social groups? | show 🗑
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show | Family context (values, ect)
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What is culture? | show 🗑
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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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what is the physical enviroment? | show 🗑
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show | The Function of the person in the enviroment
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What is in the PEF model? | show 🗑
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show | 80%
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What vision problems are common? | show 🗑
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show | Provide curtains, lighting options, dimmers and defussers
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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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What approache is used for end of life care? | show 🗑
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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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What percentage have access to end of life services? | show 🗑
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show | Prevention of suffering
Palliation-ease without curing
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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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Who is the client in pallative care? | show 🗑
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What role might OT have in prevention and physical relief? | show 🗑
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How might roles be simplified? | show 🗑
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show | Pressure relief/Possitioning
Mobilization
Treatment/Accomiodation for edema
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show | Support groups
Respite care
Transportation
Funding and equipment
Referrals
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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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What are repite options? | show 🗑
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What are determinates for transfer to Hospice? | show 🗑
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show | Respect, Integrity, Competence
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What are the 5 factors of Respect? | show 🗑
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show | Reviewing practice and engaging in professional developement,
Improve knowledge,
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(L8) What are the 4 properties of cognition? | show 🗑
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(L8) What are the 9 Spheres of cognition? | show 🗑
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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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(L8) What is the key symptom of depression? | show 🗑
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show | Inability to attend to reality
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show | Memory impairment, with change in exectutive function (attention fine)
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show | A decrease in cognition & IADL >2SD
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show |
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show | The earlier the intervention the greater the outcome
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(L8) How can congnition be assessed (3)? Which is better when time is critical? | show 🗑
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(L8) How does a therapist select a good cognitive assessment tool? | show 🗑
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(L9) How is the domain of memory usually assessed? | show 🗑
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show | Digit order
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(L9) How is the domain of orientation usually assessed? | show 🗑
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(L9) How is the domain of language usually assessed? | show 🗑
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(L9) How is the domain of perception usually assessed? | show 🗑
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show | Multi-step commands
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(L9) How is the domain of mental processing usually assessed? | show 🗑
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show | Hypothetical situations
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show | Simularities/Opposites
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show | Cognitive sphere to assess, Cost, Utility, Location, Pt. factors
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(L9) name 3 tools to assess cognitive abilities that allow function interpreted? | show 🗑
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show | SAFER, ILS, KELS, KitchenTA, SAS, ACLS
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show | Practice tasks, Simplify tasks, Memory aids, Caregiver support, Environmental adaptation
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show | <26
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(L9) What score on the MoCA is a sign of cognitive decline? | show 🗑
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(L5) What are 5 common age related declines? | show 🗑
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show | decreased balance, coordination, sensory abilities, strength and ROM, ability to do ADLs and IADLs
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(L5) What is the number one effect of arthritis? | show 🗑
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(L5) What are the 2 common effects of a broken hip? | show 🗑
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(L5) What are the 3 common effects of a stroke? | show 🗑
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show | Hyperglycemia-high blood pressure, Hypoglycemia-low blood sugar
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show | Changes in attention, changes in speech, frequent thirst or voiding, change in sensation, impaired healing
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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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show | Twisting
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What is Dysphagia? | show 🗑
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What is apraxia? | show 🗑
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show | Inability to know/name objects
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What is hemianopsia? | show 🗑
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(L5) What one single factor in seniors effects participation, IADLs and leisure more than any other? | show 🗑
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show | DriveAble
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(L5) What is the best assessment of driving? | show 🗑
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(L5)Leisure is a neglected domain for what percentage of seniors? | show 🗑
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show | Task demands, Behavioral issues, Accessibility, Finance, Cargivers
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(L6)What is the most common injury for seniors? | show 🗑
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show | Emotions, ADLs, IADLs, Fear/Mobility
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show | It's multifactorial: Biological, Behavioral, Socail/Economic, Enviormental
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show | A multifactorial, individual, interdisciplinary approach
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(L6) What interventions are part of the BEEEACH model of fall prevention? | show 🗑
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(L6) What is the primary focus of the BEEEACH model of fall prevention? | show 🗑
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(L6) What motivates fall safety? | show 🗑
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(L6)What are the two biggest risk factors associated with falls? | show 🗑
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show | the ability to understand the info. relevant to making a decision and the consequences
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show | Global, Domain specific, and Decision specific.
OT is concerned with decision specific
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(L9) What are the 3 caveats to assessing cognition? | show 🗑
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show | Reversible causes (delerium)
Client informed,
Client sensory limitations
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show | Cognitive assessments
ADL Functional assessments
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show | Behavior,
Reasoning,
Selective attention,
Inhibition,
Problem solving,
Ability to adapt to the enviroment
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(L9) What are the basic cognitive abilities OTs can measure ? | show 🗑
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(L9) What is a personal directive? | show 🗑
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show | Falls on a continuum,
Immediate danger,
Reviewed after 90 days
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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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show | Level conciousness,
Education can skew
Cultural background
Language
Vision
Hearing
Co-morbid conditions
Enviroment assistance
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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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(L7) | show 🗑
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Created by:
swcherry
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