Term
|
Definition
| CULTURE PHYSICAL SOCIAL PERSONAL SPIRITUAL TEMPORAL VIRTUAL |
|
|
Term
|
Definition
| A HELPFUL TOOL THAT PROMPTS THE MEMORY OF FAMILIAR TASKS AND ENCOURAGES SHARING OF CURRENT ABILITY |
|
|
Term
|
Definition
| THEORETICAL BASE FUNCTIONAL/DYSFUNCTIONAL CONTINUA INDICATORS OF FUNCTION/DYSFUNCION POSTULATES REGARDING CHANGE |
|
|
Term
|
Definition
| THEORY THAT SUPPORTS A "FOR" |
|
|
Term
| FUNCTIONAL/DYSFUNCTIONAL CONTINUA |
|
Definition
| DEFICITS ADDRESSED BY "FOR" |
|
|
Term
| INDICATORS OF FUNCTIONAL/DYSFUNCTIONAL |
|
Definition
| IDENTIFICATION OF DEFICIT/BEHAVIOR THROUGH EVALUATION |
|
|
Term
| POSTULATES REGARDING CHANGE |
|
Definition
| GUIDELINES FOR INTERVENTION |
|
|
Term
| OT INTERVENTION IS BASED ON THE PHILOSOPHY OF OT PRACTICE |
|
Definition
VALUES
BELIEFS
TRUTHS
PRINCIPLES |
|
|
Term
BIO-MECHANICAL "FOR"
FUNCITONAL/DYSFUNCTION CONTINUA |
|
Definition
ROM
STRENGTH
ENDURANCE
EDEMA
STUCTURAL STABILITY OF BONES |
|
|
Term
BIO-MECHANICAL "FOR"
THEORETICAL BASE |
|
Definition
*HUMANS ARE LIVING "MACHINES"
*INTACT AND FULLY MATURE CAN THAT CAN PRODUCE INSOLATED, COORDINATED MOVEMENTS
*REDUCTIONISTIC
*A&P KINESIOLOGY
*ALTERNATE BETWEEN REST AND STRESSING BODY
*IF ROM,STRENGTH,ENDURANCE ARE REGAINED, THEN PERSON WILL THEN REGAIN FUNCTIONAL SKILLS |
|
|
Term
BIO-MECHANICAL "FOR"
INDICATORS OF FUNCTION/DYSFUNCTION |
|
Definition
ROM:PROM,AROM
STRENGTH: MMT,GRIP STRENGTH,PINCH METER
ENDURANCE: DURATION AND/OR INTENSITY OF ACTIVITIES,METS
EDEMA: VOLUMETRY,DIRCUMFERENTIAL
STRUCTUAL STABILITY:OBSERVATION OF POSITIONING AND CONTROL |
|
|
Term
|
Definition
| NO BODY WEIGHT IS BORNE ON THE INVOLVED SIDE |
|
|
Term
| TOE-TOUCH WEIGHT BEARING (TTWB) |
|
Definition
| NO WEIGHT IS BORNE ON THE HEEL; WEIGHT IS BORNE ONLY ON THE TOES |
|
|
Term
| PARTIAL WIEGHT BEARING (PWB) |
|
Definition
| A PARTIAL AMOUNT OF BODY WEIGHT CAN BE BORNE ON THE INVOLVED SIDE |
|
|
Term
| WEIGHT BERARING AT TOLERANCE (WBAT) |
|
Definition
| WEIGHT BEARING IS ALLOWED TO THE EXTENT THAT IT DOES NOT CAUSE PAIN |
|
|
Term
| FULL WEIGHT BEARING (FWB) |
|
Definition
| FULL BODY WEIGHT IS BORNE ON THE INVOLVED SIDE |
|
|
Term
| ROLE OF THE COTA AND OTR TEAM |
|
Definition
*MAXIMIZE THE OCCUPATIONAL PERFORMANCE OF ELDERS WHO HAVE ORTHOPEDIC PROBLEMS
*WORK IN HOMES,NURSING HOMES & REHAB FACILITES.
*LEARN AS MUCH AS POSSIBLE ABOUT ORTHOPEDIC PROBLEMS IN THIS AGE POPULAITON |
|
|
Term
| TOTAL HIP REPLACEMENT (THR) |
|
Definition
*REDUCE PAIN AND RESTORE MOTION FOR ELDERS WITH SEVERE OA,RA, OR ANKYLOSING SPONDYLOSIS
*PRIMARILY ELECTIVE SURGERIES
*FULL HIP ARTHROPLASTY:HIP BALL &SOCKET ARE REPLACED WITH METAL OR OTHER IMPLANTS. |
|
|
Term
| PARTIAL JOINT REPLACEMENT |
|
Definition
| THE FEMORAL NECK AND HEAD ARE REPLACED WITH A PROSTHESIS. WHICH LAST 10-15 YEARS IN 90% OF ELDERS |
|
|
Term
|
Definition
AVOID ADDUCITON
AVOID EXTERNAL ROTATION
AVOID EXTENSION OF THE OPERATED HIP |
|
|
Term
|
Definition
AVOID FLEXION BEYOND 60-90 DEGREES
AVOID ADDUCTION
AVOID INTERNAL ROTATION OF THE OPERATED HIP |
|
|
Term
|
Definition
*THIGH-HIGH SUPPORT HOSE THAT PREVENT BLOOD CLOTS IN THE LEGS AND CALVES
*WORN 24 HRS. A DAY AND REMOVED ONLY FOR BATHING
*LEARNING HOW TO PUT THESE ON AND TAKE THEM OFF FOR BATHING REQUIRES PRACTICE
*CAREGIVER TRAINING FOR APPLYING AND REMOVING THESE IS NEEDED |
|
|
Term
AFTER HIP SURGERY
MILESONES |
|
Definition
*ADHERE TO HIP PRECAUTIONS
*AMBULATING 100 FT WITH A MOBILITY AID
*(I) WITH HEP
*REQUIRE ONLY (S) FOR TOILETING,TRANSFERS, ADLs |
|
|
Term
| AREAS OF CONCERN FOR ELDERS |
|
Definition
*SEXUAL ACTIVITY IS RESUMED WITHING 2MONS. WITH PRECAUTIONS
*DRIVING IS RESUMED WITHIN 3-8WKS IF THE ELDER HAS GOOD LEG CONTROL.
*RETURN TO WORK WITHIN 3-6WKS OFF FROM WORK
*SPORTS: MUST AVOID HIGH-TORQUE OR STTRESS ON THE HIP JOINT (E.G. JOGGING) GOLF,WALKING,CYCLING, AND BOWLING ARE OKAY |
|
|
Term
| OT INTERVENTION PRIMARY GOAL |
|
Definition
| IMPROVE THE QUALITY OF LIFE OF ELDERS WITH ARTHRITIS |
|
|
Term
|
Definition
*MAINTAIN JOINT MOVILITY OR STABILITY
*PREVENT JOINT DEFORMITY
*MAINTAIN STRENGTH
*MAINTAIN OR IMPROVE FUNCTINAL ABILITY
*MAINTAIN HEALTH BALANCE OF REST AND ACTIVITY
*MODIFY PERFORMANCE OF ACTIVITIES
*IMPROVE PSYCHOSOCIAL ACCEPTANCE AND COPING MECHANISMS. |
|
|
Term
| MAINTENANCE OF JOINT MOBILITY AND STABILTY |
|
Definition
*EXERCISE PROGRAM TO KEEP ARTHRITIC JOINTS MOVING
*MINIMIZE STRESS TO ALL INVOLVED JOINTS
*TAKING WARM BATHS AFTER WAKING UP HELPS
*PARAFIN (WAX)BEFORE EXERCISE
*APPLY ORTHOTIC SPLINTS FOR JOINTS |
|
|
Term
|
Definition
MOST COMMON TYPES
*OA
*RHEUMATOID
*GOUT |
|
|
Term
| TREATMENT (Tx) FOR ARTHRITIS |
|
Definition
*THERAPY,MEDICATIONS
**SURGERY (LAST RESORT) |
|
|
Term
| GOALS FOR STRENGHTH AND ABILITIY |
|
Definition
| ACHIEVE A BALANCE BETWEEN REST AND ACTIVITIES. AVOIDING FATIGUE HELPS AVOID EXACERBATION OF THE CONDITION |
|
|
Term
| GOALS FOR AN ARTHRITIC PATIENT |
|
Definition
| MANAGE SYMPTONS MORE EFFECTIVELY AND MODIFY OCCUPATIONAL TASKS. |
|
|
Term
COMMON PROBLEMS ASSOCIATED WITH ARTHRITIS
KNEE OA |
|
Definition
| DIFFICULY USING STAIRS, SQUATTING,AND HIGH-IMPACT ACTIVITIES |
|
|
Term
| UPPER EXTREMITY DEFORMITY |
|
Definition
*OSTEOPHYTES
*BOUCHARD'S NODES
SUBLUXATION OF THUMB'S CARPAL METACARPAL (CMC) JOINT |
|
|
Term
|
Definition
*PIP JOINTS W/FUSIFORM SWELLING OR SPINDLE-LIKE SHAPES
*BOUTONNIERE AND SWAN-NECK DEFORMITIES
*HALEFUFF DEFORMITIES ARE COMMON IN THE THUMB
*ULNAR DRIFT
*WRIST MAY SUBLUATE |
|
|
Term
|
Definition
*PALPATE @ WRIST
*IRREGULAR PULSES COUNT FOR FULL MIN.
*NORMAL:60-100 bpm
*BRADYCARDIA <60bpm
*TACHYCARDIA >100bpm |
|
|
Term
|
Definition
CALCULATED TO BE 220 MINUS THE ELDER'S AGE THEN MULTIPLY THIS RATE x 0.6 TO PREDICT hr WITH NORMAL ACTIVITY
*220-80(AGE)=140bpm |
|
|
Term
|
Definition
NORMAL: 120/80MM HG
HYPERTENSION >140/90MM Hg
HYPOTENSION <90MM Hg SYSTOLIC |
|
|
Term
| PHASES OF CARDIAC REHABILITATION |
|
Definition
PHASE I
ACUTE PHASE OF HOSPITALIZATION
PHASE II
OCCURS DURING SUBACUTE PERIOD AFTER THE EVENT
PHASE III
ELDER ENTERS A PROGRAM DESIGNED TO REGAIN FORMER FUNCTINAL AND PERFORMANCE LEVEL
PHASE IV
ELDER ENTERS A MAINTENANCE PHASE OF CARDIAC REHABILATATION; LASTS AN INDEFINITE LENGTH OF TIME |
|
|
Term
|
Definition
EVAL.
REVIEW OF MEDICAL Hx
DEVELOP DISCHARGE PLAN
EDUCATE THE PT. ABOUT REHAB PROCESS |
|
|
Term
|
Definition
RECOVERY PHASE
METS 1.5-3.5
REHAB DELIVERED @ HOME OR OUTPATIENT CLINIC
FUNCTIONAL PERFORMANCE DURING SELF-CARE ACTIVITIES
HR,BP,ECG RESP. ARE MEASURED BEFORE,DURING AND AFTER ACTIVITIES
EDUCATE AND TRAIN FOR MODIFICATIONS OF RISKS FACTORS. |
|
|
Term
|
Definition
TOLERATING PHYSICAL ACTIVITY
*WHEN THE ELDER CAN TOLERATE 3.5 METS W/SAFE AND APPROPRIATE HR,BP AND ECG
*2-3 MONS INTO REHAB PROGRAM
*GOALS:INCREASING ACTIVITY DURATION AND INTENSITY
*BECOMING RESPONSIBLE FOR SELF-MONITORING SIGNS AND SYMPTOMS
*REINFORCEMENT OF LIFESTYLE CHANGES |
|
|
Term
|
Definition
PRIMARY SIGNS AND SYMPTOMS
-CHEST PAINS
-SOB
-WEAKNESS, CONFUSION, CYANOSIS
*DOCUMENT AND NOTIFY THE OTR,NURSE OR PHYSICIAN |
|
|
Term
| TREATMENT (Tx) OF CARDIAC CONDITIONS |
|
Definition
*PRIMARY RECONNENDATION IS TO MONITOR RESPONSE TO ACTIVITY BY HR,BP AND RR(@REST,DURING&AFTER)
*POST OP HEART PTs HAVE LIFTING
RESTRICTIONS |
|
|
Term
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) |
|
Definition
| *AFFECTS THE UPPER AND LOWER RESPIRATORY TRACTS *GENERAL DISEASES:EMPHYSEMA AND BRONCHITIS CHARACTERIZED BY -COUGH -MUCUS -WHEEZING -DYSPNEA *PROGRESSIVE DISEASE *THERE IS AIRFLOW OBSTRUCTION,AND THE SYMPTOMS VARY WITH THE SEVERITY AND DURATION OF THE DISEASES. |
|
|
Term
| ASSESSING PERFORMANCE (COPD) |
|
Definition
-SENSORY AWARENESS
-PERCEPTUAL SKILLS
-NEUOMUSCULAR COMPONENTS
-COGNITION
-JUDGMENT
-AWARENESS OF SAFETY HAZARDS
-PSYCHOSOCIAL ABILITY
-SELF-MANAGEMENT |
|
|
Term
| PRECAUTIONS DURING INTERVENTIONS (COPD) |
|
Definition
|
|
Term
| AVOID ENVIRONMENTAL IRRITANTS (COPD) |
|
Definition
-CIGARETTE SMOKING
-DUST
-FUMES
-TALCUM POWDER
-PERFUMES
PPOOR AIR QUALITY |
|
|
