A client is struggling to don a shirt you decide to conduct a ______?
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occupational therapy screen/ functional movement screen
uses current capabilities to maximize function and often focuses on compensatory strategies and techniques
rehabilitative model
1. profile and history
2. analysis of occupational performance
3. level of assessment (clinical reasoning)
Spinal precautions
What are the approaches to intervention?
1. create/promote
2. establish/restore (remediation and restoration)
3. maintain
4. modify (compensation and adaptation)
5. prevent (disability prevention)
What approach is designed to change client variables to establish a skill or ability that has not yet developed or to restore a skill or ability that has been impaired
Establish/restore
suggests the use of interventions designed to alter specific patterns of movement.
Biomechanical model
how many units are billed for 53 minutes
4 units (1 unit per 15 minutes then round up after 8 mins)
What side should you stand on when helping a client with a RTHA and contact guard assist transfer?
Right side
What is the difference between PROM and AROM?
Passive (PROM): therapist provides movement
Active (AROM): client moves independently
What approach finds ways to revise the current context of activity demands to support performance in the natural setting?
Modify (compensation, adaptation)
emphasizes re-learning specific patterns of movement
Sensorimotor model
How many units can you bill for an evaluation?
1
Toe-touch weight bearing:
partial weight bearing:
percentages?
TTWB: 10-15% foot may rest on floor
PWB: 30-50% of weight through operated leg
Repetitions, sets, and minutes of rest for strength and power?
*
reps: 2-6
Sets: 3-5
Rest: 2-4 mins
Demonstrate a quick functional movement screen
:)
CHART question: What is occupational performance?
Act of doing and accomplishing a selected action (performance skill), activity, or occupation that results from the dynamic transaction among the client, the context, and the activity
What part of a SOAP note does this sentence belong:
The client used the reacher to grasp the pants before scrunching the legs.
Objective
Total hip arthroplasty precautions
No hip adduction, internal rotation, no bending over 90 degrees, or driving (posterior). No hip extension, external rotation, adduction, no driving (anterior).
Is using a scale an effective way to determine if a client is adhering to their weight-bearing precautions? T/F
*
True
What are the 5 occupational therapy domains?
*This will be useful for your chart
1. client factors
2. occupations
3. contexts
4. performance patterns
5. performance skills
CHART question: What are performance skills?
Observable, goal-directed actions that result in a client's quality of performing desired occupations. Skills are supported by contexts in which the performance occurs including environmental and client factors.
A client participates in repetitively folding laundry that weighs less than 2lbs and placing them in the closet on hangers or in her small dresser. What code would you use to bill this intervention?
*
Therapeutic activities
Orthotic precautions include?
impaired skin integrity, pain, swelling, stiffness, sensory deficits, increased stress on other joints, functional limitations.
What is an example of a pendulum exercise?
*
PROM or AROM of the UE