MOHO/IADL
Anton is a 25 year old college student who sustained a TBI after a recent car accident. He has been in the inpatient rehabilitation unit for a week and has met all ADL goals. He is also doing well with simulated IADL tasks. His goal is to go back to school next semester. You wanted to assess his behavior in social situations, which assessment tool can you use?
What is the SIS on the BAFPE?
Joint inflammation
Pain medication, muscle relaxants
Osteoporosis, osteoarthritis, rheumatoid arthritis, hypermobility, joint subluxation
Just sustained injury to soft tissue
Newly united fracture
Prolonged immobilization
Suspected bony ankylosis
Carcinoma of the bone or any fragile bone condition
What are precautions for ROM?
Upper motor neuron disorders
Dislocation/unhealed fracture
Recent surgery, particularly of musculoskeletal structures
Myositis ossificans, bone carcinoma or any fragile bone condition
Chest, heart, lung surgeries
Weight bearing precautions
What are contraindications for MMT?
Identify in two occupations that have client factors could be assessed by the Box and Blocks and 9-Hole Peg Test.
What are...
You work in early intervention. What FoR is most appropriate for a client with Stage 2 Rett Syndrome, the rapid deterioration phase?
Compensatory.
This concept includes:
1) How a client views themselves based upon how they do important activities
AND
2) their ability to do those occupations that inform how they view themselves over time.
What is occupational adaptation?
When tension at another joint causes limited mobility at another joint connected by the same tendon.
What is passive insufficiency?
Ms. Jackson is recovering from surgery. While assessing her wrist flexion, she achieves 0-20° of range. Her hand is placed on the _______ side of the hand, perpendicular to the table. In this position, she only achieves 65° of motion. She achieved a score of _____
What is the ulnar side and a score of 2-?
True/False: The DASH is a top-down assessment
True.
True/False: An OTA can independently select the most appropriate assessment to use with a client.
False
You are about to implement a 10-week independent living intervention group for clients with intellectual disabilities currently living in a group home. The course will include various in-class learning activities, fieldtrips to community settings, and half-day independent living practice in an actual apartment. What assessment would you use to determine whether the group has prepared the clients for independent living?
What is the ILS?
Kadesha’s client, Dalia, is recovering from a stroke. Kadesha notices Dalia was able to put on her socks today. This morning, Dalia’s elbow extension was 90.° For this activity, Kadesha records Dalia’s ROM to be _______ & ________.
What is WFL but not WNL? Expected range is 0-135.
List the steps needed to grade a client in against gravity position.
What is observe AROM, place in gravity eliminated position, check PROM, check AAROM, apply pressure as needed.
The CMDT is most appropriate for this part of an evaluation.
What is the occupational performance analysis?
What facet of OT’s domain are you assessing when you are evaluating a client’s sensation?
Client factor.
This specific assessment is useful for intervention planning for clients in high school with deficits in social and leisure participation.
What is the ALIP?
Your client was hospitalized after severe COVID-19. They have tested negative and have been transferred to the acute rehab unit to begin intensive rehabilitation. When performing a full ROM assessment, the client reports moderate pain during shoulder all shoulder exercises that quickly dissipates once the arm is resting. What is an appropriate course of action to take in response to the pain?
What is observe shoulder ROM during functional activities?
MMT is not fully standardized due to this psychometric property.
What is inter-rater reliability?
Your client’s scores were above the Minimum Detectable Change (MDC), but below the minimally important clinical difference (MCID). This means ______ occurred, but without ________.
Change occurred, but without a clinically relevant or functional change to the patient or clinician.
The FIM’s levels of assistance are examples of this type of score.
What is criterion-referenced?
The OSA is best utilized during this stage of an evaluation.
What is an occupational profile?
Time of Day
Muscle Mass
Temperature
Age
Hand Dominance
Body Structure
What are factors that can impact accurate measurement of ROM?
The clinical implication if PROM is more than AROM.
What is weakness, decreased strength?
Your client lives by herself at home. You are evaluating her at your outpatient clinic with the BMAT. You notice multiple areas of deficit related to your client’s motor function and are concerned about whether she may need assistance at home for everyday activities. What normative sample would you compare your client’s performance to? What does it mean if her total composite standard score is 380 for the chosen normative sample?
Gender-combined norms. 6 standard deviations from the mean, means she likely needs some level of assistance based on her motor skills.
Name the 3 parts of an occupational profile.
Occupational history, context, goals.