Middle Adulthood
Middle Adulthood/Burns
Cardiac
COPD
Tone
100
Which developmental theorist describes aesthetic needs (search for symmetry and beauty) and self-actualization needs (drive to self-fulfillment) as fulfillment needs for middle adulthood?
Maslow
100
What are the main focuses in surgical/post operative phase of burns?
Graft adherence and INFECTION CONTROL
100
A patient has had a pacemaker inserted related to his diagnosis of bradycardia. He has come to OT to address his precautions. As part of his patient education, what will you address?
Don't lift anything over 5 lbs, Don't reach overhead - No flexion/abduction of the shoulder above 90 degrees and Do not perform any strenuous activities or excercise
100
Name at least 2 causes of COPD
Smoking, exposure to dust and fumes, air pollution, genetic predisposition, aging
100
George has recently suffered a TBI and is experiencing stage 1 of Brunnstrom levels when it comes to his left extremity. How will you address his current limitation?
Use his left arm as a stabilizer, and can use it for SROM, PROM, Bring to midline, involve in task
200
Crisis 7 - Generativity vs Stagnation refers to contribution the mature adult can offer the next generation in terms of hope, virtue, and wisdom. Which theorist contributed this middle adulthood milestone?
Erik Erikson
200
A patient who has suffered burns to most of the Left upper extremity is keeping that arm in a flexion protection pattern. What splints will benefit this patient?
Airplane splint, resting hand splint and 3 point extension elbow splint
200
A CABG procedure has been performed on an 62year old male who suffered his second heart attack. He is unaware of his limitations and has been referred to OT for patient education regarding precaution. What precautions should be addressed?
Avoid crossing legs, No prolonged bending over, avoid holding breath during activities, Avoid isometric exercises, no lifting over 5 lbs, no driving, no stairs, no sexual activity
200
Name at least 2 diseases associated with COPD
Asthma, chronic bronchitis, emphysema, and small airway obstruction/bronchilitis
200
Sue has come to rehab to address stage 3 of Brunnstrom of her right UE. What are some ways to work out of synergy? Name at least2
Away from midline, effective positioning, trunk elongation, weight bear, involve the positive factors for tone
300
Kohlberg's moral development "morality of autonomous moral principles bases control of conduct on what?
Internalized sets of standards and reasoning
300
Name the main areas that should be addressed in acute care
Basic ADLs, ROM and positioning, pt. education and possibly edema management (usually addressed during ROM and positioning)
300
A 48 year old male has recently been diagnosed with having a heart attack and has been having difficulty coping and adjusting to his diagnosis and current limitations. As an OTA, how will you address these psychosocial issues?
Early resumption of ADLs, patient education, allow for choices and opportunities for control, provide supportive and educational communication
300
A patient has come to OT for the first time, and she has recently suffered her 2nd exacerbation of COPD in 9 months. As an OTA, what are some main OT interventions that you will focus on in order to assist her?
Patient education of disease process, EC/WS (3 ps, rest, and balance) techniques, MET levels, body mechanics, proper breathing techniques (diaphragmatic and pursed breathing), relaxation and stress management, ADL/mobility, HR and BP monitoring with equipment/knowing values etc
300
What is/are the purpose/s of evaluation of muscle tone?
Engage the stretch reflex, and to note any degree of resistance or unusually large ROM experienced during the assessment
400
Independence is valued, vocational pursuits are defined and a strong influence, peaks of physical process begin to decline are examples of what stage of development and what part of that stage?
Middle adulthood and well established "full maturity"
400
Name 2 Positive aspects of middle adulthood
Creativity enhanced, cognitive development maintained, productivity evidenced, independent functioning valued and pursued, etc
400
Name 4 main signs and symptoms that are commonly seen in females who are experiencing a MI (myocardial infarction)
Dyspnea, weakness, Unusual/excessive Fatigue, Nausea/Vomiting, Palpitations, Indigestion, Pain in the shoulder blade, jaw, or upper back
400
Name all the trigger related to a dyspneic attack
bowel movement, getting dressed, meal time, bathing, surprised situations
400
Name 4 Negative factors influencing tone
reflexes, nearing the edge of the surface, contractures, temperature extremes, pain, emotions, posture, anxiety/fear, other medical conditions such as UTI, fever
500
Havighurst describes others as "active doers" whose behavior is mediated by societal demands and individual needs. Name 2 main examples that are represented for middle adulthood that Havighurst describes
Achieving adult social and civic responsibilities, reaching and maintaining a satisfactory career performance, developing adult leisure activities, committing oneself to an intimate relationship, accepting and adjusting to physiological changes, adjusting to aging parents
500
Name at least 5 precautions associated with burns
signs of infection, signs of skin breakdown, heterotrophic ossification, peripheral nerve injury due to compression, hypertrophic scarring, signs of contracture formation, circulatory collapse, pneumonia, edema control, problems related to sensory loss, and prevent hypothermia and hyperthermia
500
Name at least 5 Cardiac 2 precautions
No isometrics, no weights lifted above 5 lbs, No showers, No heavy meals, No extreme temperatures, No excessive bending forward, HR not to exceed 100 to 120 depending on drs order, observe for signs of cardiac distress/fatigue, observe for worry/anxiety, monitor HR and BP throughout changes in position and activity
500
Name at least 4 strategies that you will address with your patient to prevent a dyspneic attack and what to do if one is occurring?
Prevent attacks: Identify potential situations that cause attacks, prepare to prevent by using relaxation tech., pursed and diaphragmatic breathing (5-10 mins) before event, teach pt. how to direct other when attack occurs, have important phone numbers and information by phone, teach pt. signs of attack, to focus on breathing and ignore background, etc.
500
You have a patient who is experiencing flexor synergy of the Left upper extremity. What is the number ONE precaution that must be followed in order to prevent further complications from occurring?
NO muscle strength testing or offering of resistance such as grippers, balls, and theraputty
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