History
We might call her Mama OT
Eleanor Clarke Slagle
The therapist graded this area in the following scenario:
Mr. B is working on counting coins for a money management activity. The OT assessed he is unable to total amounts when give more than 4 coins at a time, so she modifies the activity and presents just 3 coins at a time.
Cognition
Identify the type of intervention modality:
During the session, the COTA prepares an art activity involving finger paints for Mr. O, a former art teacher, to complete to work on his activity tolerance.
Purposeful
What is the relationship between an OT and OTA?
OT directs all aspects of OT process, supervises OTA.
The following statement can be found in this part of a SOAP note:
“My right arm felt tingly when I was doing the exercises you taught me yesterday.”
"S" - Subjective
Give one “base” [root] of OT practice
Occupation as means and end
Humans are active beings
Engagement in occupation
Holism
Purposeful activities
Potential for change
Learning entails experience, thinking, feeling, doing
The COTA is working with Mr. A to improve his coordination in his right arm. The therapeutic exercise should focus on which of the following:
-Increasing his range of motion
-Ensuring his arm movement is controlled
-Increasing how much resistance he can tolerance
-Ensuring flexibility throughout his arm
Controlled movement
Mr. P is medically stable, however has a chronic condition (COPD) for which he requires care to manage. He will likely be at this level of care.
Long term care
What’s the difference in education for an OT versus an OTA?
OT focuses on theory, evaluation, research, leadership.
OTA focuses on technical skills.
We should use evidence-based practice for this reason(s)
Competence
Professional development
Best available research
This law established right of all children to free and appropriate education, regardless of condition.
Education for All Handicapped Children Act of 1975
During this part of the OT process, we gather information about our client
Evaluation
Identify the level of supervision:
Tina is an OTA working with the DOE. Once a month she meets on-site with the OTR to review case load and students’ progress. In between, she request for meetings via Zoom to discuss concerns/issues that pop up during the week.
General
Continue, terminate, or transition?
Mrs. I, a 89 yo, suffered a hip fracture after falling while attempting to walk without her walker. She was previously independent. She now requires moderate assistance for self-cares and balance when walking. Her 1-week review is coming up.
Her children work full-time and will only be able to assist on the weekends.
Continue
Give one example of a service management function
Maintaining safe, efficient workplace
Infection control
Scheduling
Documentation and billing
Professional development
Marketing and PR
This organization develops standards for OT and OTA educational programs and ensures each program’s compliance through accreditation.
ACOTE
Jim recently suffered an SCI after diving into waters and hitting his head on a rock. As a result, he has lost strength in his legs. The OT teaches Jim a new technique to don his pants, from a seated position and leaning toward each direction to pull them up.
Identify the OT approach used here.
Modify
Identify a diagnosis each of the following populations may encounter:
Infancy
Childhood
Adolescence
Infancy – genetic conditions, birth trauma, CP, Down syndrome, ASD, spina bifida ….
Childhood – CP, ASD, Down syndrome, ID, developmental delay, CA, asthma ….
Adolescence – Mental health issues, psychological disorders, eating disorders….
What would be found in an OT aide’s job description?
-Adjust goals if not working out
-Teach patient about exercises for home program
-Work unsupervised with patients after demonstrating competency
-Perform non-client-related tasks
Perform non-client-related tasks
Identify a step an OTA program undergoes to maintain accreditation.
Institution inform of intent to begin new program
On-site evaluation
Report of Self-Study
In determining which assessments to use, OTs look for assessments with high ______ and _________.
Validity and reliability
Identify the occupations that these 2 activities fall under:
On the weekends, Mrs. B will go to Church, where she gets to see friends she’s been attending with for 10 years. She will also go to the bank to deposit her pension.
Social participation
IADL
The following is an example of this type of context that may impact occupational performance:
Cheri is a 26-year-old unemployed female who did not finish high school.
Personal
What frame of reference is the OT implementing?
Matt, a 6 yo child with Autism, is receiving OT at school due to difficulties tolerating textures, which impacts his ability to participate in many art activities. The OT works on having him engage in an activity where he pulls toys out from slime using his fingers.
Sensory integration
This ethical principle may apply:
Erin, an OTA, is completing her evaluation of her fieldwork student. The student has struggled with safety issues and treatment planning. Erin is aware if the student fails fieldwork, the student will fail the class and ultimately be held back in the program. She decides to score the student higher than deserved to meet the minimum required score to pass.
Veracity