OTA 140 Final Exam 2
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| show | Physical Deficits, Cognitive, & Emotional/Behavioral
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| Could someone have physical changes after TBI and not cognitive changes? | show 🗑
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| show | Touching a hot stove
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| show | Not being able to decipher what to do after given a shirt
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| What is dysarthria? | show 🗑
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| show | lacks proper social awareness of the environmental requirements and
consequently acts inappropriately, urinating in public, removing clothing, taking
food off others trays, shouting obscenities, and making indiscriminate sexual advances to staff members
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| Through which method does OT accomplish cognitive retraining for TBI clients? | show 🗑
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| show | planning, organizing,
money mgmt., and problem solving
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| show | By environmental and interactive. taking the client to a quiet , isolated room, turn tv & radio off
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| How do we use backward chaining to teach a client how to prepare a meal? | show 🗑
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| How do we grade social interaction for clients with TBI? List examples | show 🗑
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| Why is group treatment helpful for client with TBI? | show 🗑
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| What is community integration and why is it important for a client with a TBI? | show 🗑
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| What is topographical orientation? List a treatment idea to use with a TBI client who is in outpatient rehab | show 🗑
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| Degenerative diseases of the CNS – why are they called this? How are they different from other diseases? | show 🗑
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| show | Assist in managing symptoms, maintaining function, and optimizing quality of life
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| What are appropriate OT goals for these clients? Give examples | show 🗑
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| show | Prevent contractures, splinting, ROM, ulcer prevention. WHen a client can no longer manage advancing symptoms
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| What do you do to prevent decubitus ulcers? | show 🗑
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| show | To enable the client to adapt and to maintain the maximal level of functioning throughout the course of
the disease as well as to assist care providers with the necessary skills to safety and effectively assist with daily care issues
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| What muscles are affected by ALS? | show 🗑
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| show | UMN- brain Primary Lateral Sclerosis, ALS, Pseudobulbar Palsy. Increase reflexes, muscle hyper aware and hyper sensitive
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| What is lower motor neuron? What are symptoms of disease affecting these? | show 🗑
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| show | Speech deficits, swallowing difficulties, and respiratory involvement They are a problem because these symptoms
just get progressively weaker and cause complications. Ventilator support, palliative care & AT
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| show | eye muscles,external sphincter controlling bowel and bladder management, the five senses, the heart liver and kidneys
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| show | Loss of fine motor coordination, and hand weakness, assistive devices such as built up utensils, writing devices.
OT should: ambulation devices or braces to prevent falls, ambulation devices in functional situations, Energy conservation tech, adl issues
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| show | UE weakness continues to progress. Functional splints , communication devices, sliding boards, mechanical lifts
and/or home modifications
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| show | enable the clients to adapt and thp maintain the maximal level of functioning throughout the course of the
diesase as well as assist care givers wtih the necessary skills to safely and effectively assist with daily care issues.
AE and assistive technolo
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| Parkinsons & Parkinsonism – what are classic signs? | show 🗑
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| show | NS, basal ganglia, major neurotransmitter=dopamine
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| What is a resting tremor? | show 🗑
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| show | Rigidity increased resistance to passive motion. Typically affects shoulder and nexk first and becomes more severe
decreasing ability to move easily
Cogwheel-jerky, rachetlike
Leadpipe- more sustained resistance w/no function
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| show | Bradykinesia
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| Impaired body movement; without movement (or without much movement). Freezing | show 🗑
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| show | Hypokinesia
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| show | Dyskinesia
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| Why do most clients with Parkinson’s use a mobility device? | show 🗑
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| show | Focus on ADLS, IADLS, Work, and Leisure. Flexibility strength, quality of movement, rigidity, standing and sitting
balance, cognitive skills, and coordination
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| show | autoimmune disease that affects the CNS, brain spinal cord and optic nerve, Myelin surrounding and
protecting the nerve is lost in areas leaving scar tissue or sclerosis (lesions) which impede the transmission of
nerve impulses to the brain
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| show | Relapsing-remitting
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| What are the classic signs and symptoms of MS? | show 🗑
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| show | Due to heat intolerance
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| What type of exercise do you need to recommend for a client with MS? Why? What is an example? | show 🗑
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| What are suggestions for OT treatment for clients with MS? | show 🗑
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| show | MVA, Gunshots or stab wounds, Falls, driving accidents,sports injuries. SCI is Spinal cord injury SCI designates
the last fully functioning neurological segment of the spinal cord that is damaged
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| show | C1-8- Cervical
T1-12- Thoracic
L1-5- Lumbar
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| show | Complete SCI
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| show | Incomplete SCI
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| show | No, rehab only muscles above or at lesion
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| show | The action of the hand in a C-6 -Wrist is extended when fingers are passively flexed. Wrist is flexed when fingers
are passively extended. Used for self-care activities, keyboard use, work with universal cuff
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| Why are weight shifts important? When do we teach them? | show 🗑
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| show | C1-C5 all total assistance with grooming C-6 can do it some A with adaptive equipment (universal cuff, adaptive
handles)
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| What are common aids and treatment ideas for grooming? | show 🗑
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| Which levels need assistance with feeding? How much? | show 🗑
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| What are common aids and treatment ideas for feeding? | show 🗑
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| Which levels need assistance with bathing? How much? | show 🗑
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| show | Handheld showerhead, tub bench, shampoo tray, padded reclining shower/commode chair
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| show | C1 – 4 total assist, C5 total assist LE/some assist UE, C6 independent UE/some to total assist LE, C7 independent
UE/independent to some assist LE, T1 and lower are independent
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| show | lower clothes rods in closet, use reachers, dressing sticks, button hooks, long handled shoe horns, loose fitting clothing, slip on
shoes
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| Which levels need assistance with toileting? How much? | show 🗑
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| show | Catheters, scheduled voiding, raised toilet seat
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