Keep Me Moving!
Do You Hear what I Hear?
I Can't Hear You!
Boxers or Briefs
Guess Who's Coming to Dinner?
100
Anything that restricts a patient's freedom of movement and not used for intended purposes
What is a restraint
100
You are working with a patient 3 weeks post stroke and on bed rest. You notice his calf is swollen, warm and tender. What complication do you suspect?
What is DVT. CAREFULLY FOLLOW MOBILIZATION AND ACTIVITY GUIDELINES SET BY PHYSICIAN!!!
100
An older gentleman is experiencing ringing and buzzing in his ears. He may be experiencing this type of hearing loss?
What is tinnitus
100
Your patient Mrs. Davis has uncontrolled loss of urine when coughing, laughing, sneezing. What type of incontinence does she have? 1. functional 2. mixed 3. stress
What is stress incontinence
100
Difficulty with swallowing is referred to as this
What is dysphagia
200
An elderly woman appears confused and is wandering the halls in a skilled nursing facility. What are 3 types of environmental adaptations that can be used to promote safety and independence?
What are Properly fitted chairs for comfort Personal alarm chair (to alert staff) Negatives? Intercoms Directional signs (pictures) Cues (Personal furnishings, visual signs for frequently sought areas)
200
Hypertension, Congestive Heart Failure, cigarette Smoking, obesity, alcohol and other drug use are examples of what type of risk factors? Modifiable or modifiable?
What is modifiable?
200
A COTA is working with a gentleman living independently in his home and asks what environmental changes can be made to help him hear better. What are 2 environmental adaptations that you might suggest?
What is carpeting, wall hangings, drapes, go to restaurants at less crowded times, upholstered furniture, add closed captioning. See page 235!
200
Mrs. Peterson, a neurologically impaired patient has a fixed schedule to void every two hours. To make it easier, it's scheduled around his meal and activity schedule. Toileting will be adjusted after about 2 weeks of monitoring. 1. prompted 2. biofeedback 3. bladder training 4. timed voiding/habit training
What is timed voiding and habit/training
200
This phase of swallowing occurs once bolus is formed by the tongue and propelled over the base of the tongue.
What is Oral Phase
300
An elderly man living in a skilled living facility organizes his clothes in his closet and shines his shoes every morning before breakfast which results in a calmer behavior in the morning hours. What type of behavior is this called?
What is agenda behavior
300
You are with your patient to improve voluntary movement of her LUE. In which order should you implement intervention? Proximal > Distal or Distal > Proximal?
What is proximal > distal
300
This is the gradual loss of hearing as an individual grows older.
What is Presbycusis
300
Mr. Jones, a cognitively impaired resident is encouraged by his caregiver to ask if he has the need to void and then document "wet" or "dry" on a regular basis. This technique is referred to as 1. prompted 2. overflow 3. timed voiding 4. bladder training
What is prompted voiding
300
It is necessary for an elder to eat in his bed. The bed should be elevated to at least how many degrees?
What is 45 degrees
400
Drugs or medication when used to manage a patient's behavior or restrict freedom of movement when it is not a standard treatment or dosage for patient's condition
What is a chemical restraint
400
You are instructing your patient to don his LE clothing. Which leg should he dress first?
What is affected leg
400
The inability of the external ear to conduct sound waves to the inner ear; may be related to earwax build-up, fluid in the ear or upper respiratory condition.
What is Conductive hearing loss.
400
Due to Mr. Smith's decreased cognition he does not recognize the urge to go to the bathroom and decreased mobility makes it difficult to make it to the bathroom. What type of incontinence does he have?
What is functional incontinence
400
Increased temperature, lung congestion, poor intake may be sign of what? .
What is food aspiration and pneumonia may be developing
500
The criteria for restraint use according to OBRA Guidelines
What is What is 1) Documented Medical Need and physician's orders 2) Must be released at least every 2 hours 3) Can be used as temporary intervention only What else is required by OBRA in order for each person to reach his or her highest level of well-being and support for each elder in the least restrictive environment?
500
When performing therapeutic activities with someone with hemi-plegia, special attention should be given to what movement (s) of the shoulder?
What is shoulder flexion and abduction Remember! NEVER FLEX OR ABDUCT MORE THAN 90 unless you are sure scapula is gliding properly.
500
Recommendation of visual alarm systems, vibration apparatuses, flashing lights; educating family on approaching family member from the front; frequent hearing aid checks; and home modifications/adaptations are all examples of what type of adaptation/recommendation.
What is SAFETY!
500
Your client is experiencing involuntary leakage of urine accompanied by sudden urgency of have to go to the bathroom. She also experiences massive and sudden loss of urine without warning and often strains to have to go to empty bladder. What is this called?
What is urge incontinence
500
You are feeding an elder in a nursing home and she is experiencing food pocketing and coughing throughout the meal. What are you to do?
Discontinue food or drink and notify OTR immediately for further evaluation
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