Term
| Definition for evidenced based practice |
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Definition
| Use the most up to date research of a diagnosed to educate all parties involved and to plan future interventions |
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Term
| Goals of evidenced based practice |
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Definition
1) make sure researched evidence is properly used
2) client receives the appropriate treatment nor the cheapest
3) use the best available evidence, not simply information from random clinical trials |
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Term
| Building EBP into my practice |
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Definition
Four stages to incorporate are:
1) ask clinical questions about a specific clients problem
2) search for information it evidence about the problem
3) critically appraise the evidence to make sure its useful
4) apply findings to practice |
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Term
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Definition
| Includes postural tone, muscle tone, integration I'd primitive reflexes, righting reactions, equilibrium reactions, selective and intentional movement |
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Term
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Definition
| Muscle tension in the neck, trunk, and limbs. High enough to resist gravity and non voluntary |
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Term
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Definition
| Flaccid, muscle feels soft |
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Term
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Definition
| Also known as spasticity, increase muscle tone |
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Term
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Definition
| Increased muscle tone in the antagonist and agonist "velocity independent" |
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Term
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Definition
| Innate mirror response elected by specific sensory stimuli |
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Term
| Protective extension reaction |
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Definition
| Protect head and face when off balance |
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Term
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Definition
| Automatic reaction, maintaining and restoring the normal position if the head in space. (Eyes parrell to the horizon) |
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Term
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Definition
| Maintain and restore a person's balance in all activities |
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Term
| List and describe the stages or steps in the OT process. |
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Definition
• Referral: A client is sent by a health care professional to get OT services.
• Screening: Occupational therapist obtains data to determine the need for evaluation. And intervention. A brief general assessment is done.
• Evaluation: the occupational performance and occupational profile are done.
• Treatment planning or intervention planning: The client helps create a plan of care.
• Treatment implementation or intervention: therapeutic activities are started to support client occupational performance.
• Reevaluation: evaluationg the clients progress and modifying the plan of care as needed.
• Discharge planning: develop a plan for the client to follow after discharge. |
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Term
| 2. Describe and contrast the roles of the occupational therapist and the OTA with regard to each stage of the OT process. |
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Definition
| The OT Designs, develops, and documents the treatment plan. The OTA can perform standardized test “that they have training in”, they can assist the OT with planning, screening, and implement the intervention plan under the supervision of the OT. |
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Term
| 4. Summarize what the OTA must do to achieve greater responsibility for the OT process |
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Definition
| 1. The OTA must study, learn,, and practice service tasks until they gain competency in the specific health care setting in which they are employed. |
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Term
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Definition
| The systematic gathering of information about a client’s strengths and weaknesses. The information must be able to be communicated to other team members for the planning of care |
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Term
| 6. Discuss the purpose of OT evaluation |
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Definition
| To gather the clients physical tolerances and to determine the level of performance skills and clinet factors that can strengthened with therapy. |
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Term
| 7. Describe the role of the occupational therapist and the OTA in evaluation |
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Definition
| The OTA can perform every step of the evaluation other then the final portion of the comprehensive evaluation. The OT must do that part. |
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Term
| 8. What skills must the OT practitioner possess to be an effective evaluator? |
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Definition
| To be a skilled evaluator the OTA must have a solid knowledge base and use of active listening. |
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Term
| 9. Define and discuss clinical reasoning. |
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Definition
| The many types of inquiry that an occupational therapist uses to understand clients and their difficulties. “the OT uses past experiences in similar circumstances to determine a good path of inquiry.” |
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Term
| 10. List and differentiate three types of clinical reasoning. |
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Definition
• Procedural reasoning: used to consider physical problems
• Interactive reasoning: is used to obtain information
• Conditional reasoning: consider the client within personal and social context. |
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Term
| 11. Which specific areas of occupation and performance skills does the occupational therapist generally evaluate while setting up a treatment plan for patients with physical dysfunction? |
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Definition
| The OT loost at the clients stated goals, performance deficits, the unique circumstances of the individual , and the treatment setting. |
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Term
| 13. Describe the daily schedule interview including the information to be covered and the recommended ways of obtaining this information. |
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Definition
| The OT or OTA will gather information about the clients typical day. From wake up and meal times to work and leisure activities. How their typical ADL’s are completed. |
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Term
| 14. Discuss how the international classification of function, disability and health (ICF Model) is used to develop client-centered OT treatment. |
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Definition
| The ICF Model is a client centered model that helps therapist describe changes in the client and their body. It looks at the clients level of capacity. It has a list of body functions and structures. |
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Term
| 15. Define treatment plan. |
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Definition
| The treatment plan should be objective and have measurable goals in a specific period, based on theory and current evidence, and a statement for describing the mechanisms for service delivery. |
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Term
| 16. Describe the roles of the occupational therapist and the OTA in treatment planning. |
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Definition
| The OT is responsible with designing the treatment plan. The OTA can give input into the treatment plan. Some of the common areas a OTA would help is with rest and sleep, education, work, play, leisure, and social participation. |
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Term
| 17. Why should a treatment plan be written down? |
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Definition
| Gives a clear structure and sequence for treatment intervention. |
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Term
| 18. Why should a treatment plan be based on a specific frame of reference or treatment approach |
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Definition
| 18. Why should a treatment plan be based on a specific frame of reference or treatment approach |
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Term
| 19. List the steps in developing a treatment plan. |
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Definition
| Referral-> Data collection-> occupational profile/analysis->Data Analysis->select treatment-> implement treatment plan-> Reevaluation of treatment plan/client->(possibly revise plan)->Discharge planning |
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Term
| 20. List , define, and give examples of the three elements of a comprehensive treatment objective or goal |
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Definition
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Term
| 21. *List six factors to consider while selecting treatment methods |
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Definition
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Term
| 23. Is it ever necessary to change the initial treatment plan? Why? |
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Definition
| Yes it is, the client may advance in treatment faster then or slower then expected. |
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Term
| 24. What criterion is used to evaluate the effectiveness of a treatment plan |
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Definition
| The progress towards the stated objectives is the criterion for determining the effectiveness of the treatment plan. |
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Term
| 26. What are some of the concerns and preparations involved in termination of treatment? |
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Definition
| Discussing the client’s goals for discharge, medical considerations, needs for assistive devices and mobility equipment, and considering caregiver and community support systems. |
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Term
| 2. What are the components of the normal postural reflex mechanism? |
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Definition
| Righting reactions, muscle tone, equilibrium reactions, protective extension, and selective voluntary or intentional movement. |
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Term
| 3. Define normal muscle tone. |
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Definition
| continuous state of mild contraction or a readiness in a specific muscle. |
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Term
| 4. Describe the characteristics of normal muscle tone. Give an example of how normal muscle tone varies depending on the type of occupations performance tasks. |
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Definition
Normal muscle tone can be broken up into the following characteristics.
• Effective coactivation “stabilization” at axial and proximal shoulder and pelvic girdle
• Ability of a limb to move against gravity and resistance
• Ability to maintain the limbs position if it is place passively by the therapist and then released.
• Equal amount of resistance to passive stretch between the agonist and the antagonist muscles
• Ease of ability to shift from stability to mobility and vice versa as needed
• Ability to use muscle in groups or selectively, if necessary
• Slight resistance to passive movement. |
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