Burns
Sally sustained a _______ thickness burn after falling tripping over a bonfire. The epidermis and much of the dermis was not viable.
deep partial thickness
The following activities equate to which MET level?
brushing hair and sewing
1-2
This ADL assessment is interdisciplinary and uses level of assistance. However, it does not include stand by assist/ CGA
FIM
What intervention has the strongest evidence of effectiveness for cancer fatigue that is non pharmalogical?
a. energy conservation
b. Cognitive behavioral strategies
c. Activity engagement
d. sleep hygiene/ assessing sleep cycles
C. Activity engagement
Gertrude is in the locked memory care unit for late stage alzheimers disease. She often becomes aggressive when she is unable to express that she needs to use the bathroom, is hungry, or is in pain. As the OT what is the best thing you can do to help with this agitation?
identify the antecedent
This type of burn may actually be less painful in some cases due to nerve endings being damaged.
full thickness
Roger is a UPS driver and is complaining of back and neck pain. You assess his body mechanics while he lifts a box. Roger moves the box close to his body, with his feet in a wide stance. He bends at the knees and flexes his neck forward so he is looking down at the box. What suggestions would you make for Roger?
Keep neck in line with back not flexed forward.
Shanda(lear) is a 65 year old female with CHF. When completing a transfer to the bedside commode the therapist had to do 60% of the work. What level of assist did Shanda require for this transfer?
MaxA - 51-75%
Lucile is demonstrating symptoms of cancer related cognitive impairment after receiving tx for breast cancer. Her symptoms include inability to attend at work, short term memory impairment, and delayed processing speed. The OT recommends that she incorporate visual schedules and modify the work environment to reduce noise to help maintain attention at work. What type of intervention is this?
a. Cog behavioral
b. compensatory training
c. remediation/restoration
d. activity engagement
b. compensatory
includes environment and task modifications and adjusting sensory cues
Which of the following is a way you can aid with apraxia associated with alzheimers?
a. put commonly used items away to reduce clutter
b. hand over hand tactile cues
c. give extensive and detailed directions
b. hand over hand tactile cues
L-A is seeing an OT for burn rehabilitation. In this point of her treatment her wounds have closed and she has begun gentle stretching exercises. L-A is experiencing low self esteem due to changes in her body from the scarring. The OT has been helping L-A with scar management by giving her customized pressure garments and educating her on scar massage techniques. What stage of burn Rehab is L-A in? What clues support your answer?
Rehab phase
False:
Always reach with TWO hands, knees slightly fexed and never lock legs, stand on secure step stool instead of tip toes
Ernésto is a 45 year old male. When completing LB dressing he required one verbal cue for safety but the OT felt comfortable remaining more than an arms length away for the entire duration of the tx. What level of assist is this?
supervision
You are working on upper body dressing with Ronald after he underwent chemotherapy for prostate cancer. You are teaching him how to use a button hook because he is struggling with fine motor coordination as a result of numbness and tingling and loss of tacile sensitivity in his bilateral UE. What cancer related symptom is Ronald experiencing?
Chemotherapy peripheral neuropathy
True or false: You should perform grooming with a client at the time that is most convenient for the hospital schedule, not when the client thinks they are supposed to
false: complete grooming at "normal time" for pt.
______ is a systemic issue that can arise from a burn that stems from an infection.
sepsis
Donald is a cleaning main and is coming to you to learn about proper ergonomics while at work. Donald shows you how he mops in a back and forth motion. What technique can you suggest to Donald that would be better on his back and wrists?
This ADL assessment is scored from 0-1 on 6 different ADL task: feeding, dressing, bathing, toileting, transfers, continence. A max score of 6 would indicate independent and a min score of 0 would indicate total dependence. Which ADL assessment is this describing?
Katz
Molly is experiencing acute lymphedema in her RUE secondary to breast cancer treatment. She also has bed sores due to poor mobility since she has been treated. You are treating molly today for her lymphedema and need to take measurements of her extremity. Which measuring tool would be the best option?
Tape measure or pitting edema -- can't use volumeter cus bed sores
True or false: When working on feeding for a pt with alzheimers your primary emphasis should be on clients independence with the task.
False: emphasis is on nutritional intakeNOT independence.
Portabella is in the surgical/post op phase of burn rehab after receiving a biosynthetic skin graft to her burns on her RUE. The OT should know that Portabella's RUE will likely be immobilized for ___dayS?
10-14
Non temporary graft
Alex has COPD and is in the hospital for an acute exaccerbation. Alex's wife Olga is sitting in on his OT session today and keeps asking you when her and Alex can get back to business in med. You explain to Olga that certain activities have a corresponding MET value and for sexual intercourse to resume you must be at a level 5 MEt value. She says she has heard of these MET values before and correctly states that _______ is also equivalent to a level 5-6 met value (fill in the blank with one)
walking stairs 30 ft/min, biking 10 mph on level ground
Bertha is a 95 year old woman who was admitted to the hospital post MI. The OT worked on transfering her from the bed to wheelchair today and wrote in the notes that she required _____ assist and that Bertha was only able to do 10% of the work during the transfer.
dependent (only does 0-24% alone)
Henry had cancer in the bone marrow. He is receiving long term chemotherapy to prevent the cancer from returning. What type of cancer is Henrys described as? And what stage of treatment is he in?
a. lymphoma and maintenance
b. lymphoma and active treatment
c. leukemia and post care/remission
d. leukemia and maintenance
d. leukemia and maintenance
When giving a pt with dementia directions you want to use short phrases. For example, instead of telling them each step of how to get up and go get their coffee (prop yourself up iwth box hands, swing legs around, sit at endge of bed, stand up, walk, grab coffee) you should just say "go grab your coffee" this is because this will trigger their _______ memory.
procedural