Visual Conditions
It's Intervention Time!
Randomness
Adapt that Car!
Ageism
100
Loss of the left or right visual fields in BOTH eyes
What is homonymous hemianopsia
100
How could you help someone with tunnel vision take their 5 different medications correctly throughout the day?
Color code tops of medication bottles, color-code medication box, ordering system, ect.
100
T/F: every single diabetic eye disease has the potential to cause blindness or significant vision loss
True!
100
What does CDRS stand for?
Certified Driver Rehabilitation Specialist
100
What is ageism in your own words?
segregation, stereotypes, ect.
200
Loss of vision in outer parts of visual fields
What is tunnel vision
200
John has a central scotoma. He has spotty, blurred vision and significantly struggles navigating throughout his daily environment due to his condition. In your opinion, he is borderline being unsafe. From this information, do you think he would benefit most from A) a surgical procedure, B) glasses, or C) adaptive strategies?
C- This condition actually cannot be corrected with glasses or surgery.
200
What is an occlusion?
an eye stroke!
200
What are 4 things that would be included in an adapted driving specialist's clinical evaluation? (What needs to be assessed?)
medical & driving hx, vision, cognition, sensory motor, visual processing, ROM, reaction time, mobility
200
What is the socioemotional selectivity theory?
as people age, the skill of emotional regulation becomes a greater priority
300
Could an eye infection lead to impaired acuity?
What is yes indeed! (so can genetics and injury to the eye)
300
What advice would you give to a patient recently diagnosed with diabetes who is looking to prevent vision loss?
Take medication correctly, promote physical activity, healthy diet, frequent eye exams
300
What does it mean for someone to have 20/90 vision?
What is Someone with 20/90 vision would be able to read a chart from 20 feet away as well as someone with 20/20 vision would be able to read that same chart if they were standing 90 feet away.
300
What is the Fitness-to-Drive screening measure?
Measures someone's ability to drive on the road safely given normal age-related changes that could impact driving
300
What is the paradox of emotional well-being in aging?
even though older adults are experiencing things like the death of friends, loss of cognitive acuity, and decreased memory, they respond to troubling situations with a lot more positivity than their younger counterparts
400
Name four causes of central scotoma
What is CVA, tumor, TBI, glaucoma, MS, optic nerve disease, chemical exposure, problems with retina
400
What is a psychological factor(s) that you may have to address in a patient with homonymous hemianopsia?
Panic attacks in a new, high-stimuli environment where they can easily feel lost Anxiety related to increased fear of falls and running into objects
400
Bonus 400 points just cause!
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400
Scenario question: As a therapist, you've been treating a client who is elderly for a distal radius fracture for about a month. She lives alone with her cat, and proudly states that she is "independent compared to other people her age". She drives herself to therapy and appears to have complete cognitive functioning. As the therapist, you notice a new dent in her car almost every time that she's come to therapy. When asked, the she states that "other people must have hit her in the parking lot". She appeared offended that you brought it up. One session, her daughter came along, pulls you aside and tells you she's concerned about her mother driving. How do you proceed?
provide thoughtful response + rationale = get the points:D
400
Daily Double!! Thinking back to the Ted talk with Mr. Eastman, he talked about some of the myths that encourage ageism. He stated that the elderly are often viewed "through the prison of ____, _____, and _____".
".....Deficit, dependency, and sickness"
500
How does diabetic retinopathy specifically impact vision (hint: not sx)
What is high blood sugar levels cause damage to retinal blood vessels, causing them to leak and therefore disrupt vision
500
Are there any form of glasses or lenses that can benefit someone who has tunnel vision? If yes, which one(s)? If no, explain why not?
Yup- Prism lens added to glasses can expand visual field
500
Five causes of tunnel vision?
What are occlusions, CVA, TBI, optic nerve damage d/t glaucoma, retinis pigmentosa, detached retina, optic neuritis, concussion
500
JK, going to talk about the eyes again. How does glaucoma impact vision?
intraocular pressure damages the optic nerve and can lead to vision loss.
500
What are the specific neurological changes potentially related to emotional regulation in older adults? (hint: think PFC)
The ventromedial regions maintain their thickness as we age, the lateral and superior regions of the prefrontal cortex get significantly thinner as we age.