Therapeutic Media Final Study Guide

The use of creative media in OT is most healing when it is a bridge to, or a component of, the day-to-day living experience.

True

Therapists interviewed as part of a qualitative study stated they had the sense that they could learn much more about clients by observing them engage in a craft for a short period of time than they could learn in weeks using other methods.

True

When a client has cognitive declines, it is recommended to break the activity into smaller steps that will simplify the process and allow for more immediate indicators of success.

True

When using activity analysis in practice, the OT practitioner should consider expected delays and wait times.

True

Current research is demonstrating that meaningful activities in their natural form are more ___________________ for learning than rote exercises or contrived tasks.

beneficial

(B) is an abbreviation for:

bilateral

What is the abbreviation for complains of:

c/o

The symbol of a triangle is an abbreviation for:

change

Clients in OT should be involved in "__________" activities that comprise or lead to desired occupational engagement.

doing

Crafts embody the _____________ approach of OT, being both utilitarian and beautiful, of both manual and spiritual origins.

holistic

OT practitioners should make an effort to utilize client-centered, cognitively challenging activities routinely, regardless of client age. Cognitive components can and should be built in to frequently used therapy tasks. The goal is to encourage _______________ thinking patterns and exercise the brain as well as the muscles.

novel

The most meaningful activities are those in which the person has previously participated, but the person may also find purpose in a _________ activity when its usefulness is for achieving a goal.

novel

Provide one type of cognitive benefit a client may receive from participation in crafts/creative media

- Problem-solving - Concentration - Decision making - Judgement

The breakdown of a task or occupation into disparate parts to determine the skills and other factors needed for, and the barriers to its performance is known as _________.

Activity Analysis

The textbook defines __________ as compensation: crafts as an end.

Adaptation

Medicare Part C: Original Medicare plan contracted with private insurance company such as an HMO or PPO.

Advantage

A review of studies on the impact of creative activities with elders concluded that they are beneficial in:

All of the above - Anxiety reduction - Coping with loss - Internal locus of control

When planning a craft intervention project, be sure to allow time for:

All of the above - Clean up - Preparations before treatment session - Completion of project

Your professional documentation provides:

All of the above - Important information and feedback to the OTR and other healthcare professionals. - An accurate recordkeeping. - Communication to insurance companies and accrediting agencies. - Information about skilled services for reimbursement.

Human function is seen as a result of biological processes dependent on appropriate:

All of the above - Integrity of connections within the CNS - Integration of sensory input - Reception and perception

Child's poor attention span and inability to tolerate auditory stimuli limit her ability to control her classroom behavior. This is an example of a ____________ statement.

Assessment

Client has improved stand tolerance levels from 5 to 10 mins. with CGA; STG # 3 upgraded to: stand at sink to groom x 10 mins. with SBA. This is an example of a ____________ statement.

Assessment

Patient has shown progress since the beginning of the week by demonstrating the ability to follow 1-step commands 80% of the time during ADLs. This is an example of a _____________ statement.

Assessment

This section of the SOAP note consists of the OT practitioner's skilled appraisal for the client's progress, functional limitations, pertinent issues, and expected gains from rehabilitation.

Assessment

When using activity analysis in practice, the OT practitioner should consider if the project chosen for therapy has resale value.

False

The brain is constructed to respond to stimuli as either rewarding or aversive, and the primary neurotransmitter associated with reward is dopamine. ____________ is the state in which a person is highly absorbed and gratified during a favored activity. People in a state of _____________ are immersed in the moment, lose track of time, let go of anxiety, and feel deeply satisfied with the activity.

Flow

_______________ generally refers to structuring an activity such that the challenge or demand will gradually increase and thereby facilitate improvement in a client's function.

Grading

Active-Assist Range of Motion is abbreviated: AAROM. Another way to state this is HOH (A): write out this abbreviation

Hand over hand assist

When a client is engaged in the therapy process, use professional judgment about when to ____________ and how much or how little assistance to give.

Intervene

For documentation purposes and as a component of client/family education, it is important to be able to relate the use of craft projects in the client's intervention process to _______________.

Long-term goals

A joint federal and state government program for eligible low-income people is:

Medicaid

Intact neurons and neurological wiring, chemical transport, and storage of information in the neurological systems is needed for:

Motor output

Clinical Reasoning: the reasoning behind the activity choices that make up treatment plans: the ______________ component is improvisational and intuitive, based on client's interests, values, beliefs, and subjective experience.

Narrative

In this section of the SOAP note, you determine and set forth the specific interventions that will be used to achieve the OT goals.

Plan

In this section of the SOAP note, you record what follow-up is required, such as what you plan to do in the next OT session or what must be addressed in the near future.

Plan

POC is an abbreviation for:

Plan of Care

What are the 3 P's needed in the assessment section of the SOAP note?

Progress, Problems, Potential

The textbook describes this approach as discrete skills, such as attention or sequencing, that can be improved through repetitious tasks or specific training strategies, then ideally transferred to more functional activities.

Remedial

This person wrote an early textbook about crafts for patient care: Studies in Invalid Occupations.

S.E. Tracy

When providing a craft project for the client to engage in, have a _____________ of the project for the client to refer to as she/he works on it.

Sample

An OT evaluation can only be billed as one fixed rate, regardless if it is of low, moderate, or high complexity.

True

Crafts makes perceptual and cognitive associations to activate multiple pathways.

True

It is important to discuss with the client how the short-term goals of a craft project can be related to achieving his/her long-term OT goals.

True

OT should be a profession full of action words: List 3 action words.

- Making - Doing - Participating - Engaging

Give one example of performance skills:

- Motor - Process - Social

Give one example of context:

- Other participants - Social norms - Interaction required

Motor behavior models attempts to make an impact on the neurological systems to achieve normal neural reactions. Provide 3 methods that can be used for intervention to achieve this:

- Positioning - Normal movement patterns - Diagonal movement patterns - Weight bearing - Repetition of specific movement patterns - Tactile and proprioceptive cues - Controlled external sensory stimulation

The OT practitioner can only be the leader of a group activity. Do not expect a client to lead groups.

False

The client should never be expected to set up or clean up an intervention session, because they do not get paid for it.

False

The right brain is analytical and detail-oriented.

False

Provide one psychosocial benefit a client may receive from participation in crafts/creative media.

- Life enrichment - Relaxation - Altruism - Bonding - Personal development - Self improvement - Confidence - Creativity - Emotional expression - Motivation

The sensorimotor approach states human function is seen as a result of biological processes dependent on appropriate:

- Integrity of connections within the CNS - Integration of sensory input

Foundation in kinematics and kinesiology and is concerned with the body's musculoskeletal ability to move and maintain postures. Provide 3 biomechanical areas which evaluation and treatment generally focus on:

- Joint range of motion (ROM) - Muscle strength - Endurance - Physiological, anatomical, and mechanical properties

A broad spectrum of benefits come from crafting: provide one benefit below:

- Promotion of manual, cognitive, and perceptual skills - Establishment of valuable social roles and a sense of belonging - Development of prevocational skills - Cultivation of feelings of control and confidence - Gratification through giving back to others or to community.

Documentation must: Choose all that apply:

- Reflect intervention appropriate to the person's condition and rehabilitation potential. - Have proper wording to justify continuation of skilled OT services. - Provide type of involvement of family or caregiver in daily maintenance program. - Have proper wording to justify continuation of skilled OT services. - Demonstrates how the patient receives help to do occupations. - Must reflect cooperation among other health care professionals involved in the patient's care. - Demonstrates the level of complexity or sophistication of the OT services.

List 3 ways to meet the client's individual needs when planning activities for intervention:

- Role performance - "Just Right" challenge: grading and/or adapting. - Stimulate interest - Age appropriate - Address STGs & LTGs

Give one example of an environmental characteristic:

- Room or work area - Lighting - Furniture

What are the 3 qualification criteria that intervention must meet:

- Skilled - Reasonable - Medically necessary

Give one example of process:

- Steps - Sequence - Timing

Provide one type of physical benefit a client may receive from participation in crafts/creative media

- Strength - ROM - Coordination - Flexibility - Pain - Distraction - Normalized sensation - Increased endurance

Give one example of an inherent property:

- Tools - Supplies - Equipment

When should an OT practitioner NOT use crafts? Give 2 reasons:

- When the client shows a disinterest in it - When the client s not motivated to participate - When the client demonstrates inappropriate and/or dangerous behaviors.

Timed procedures are billed in ________ minute intervals.

15

Your OTA course objectives must meet __________ standards.

ACOTE

Complete this statement seen at the end of the assessment section: Client would _____________ from continued OT services for further instructions in total hip precautions in order to manage ADLs and IADLs safely.

Benefit

To give clients a greater sense of control in the therapy session and allow them to express personal interest and individuality, offer a _________ of craft projects if possible.

Choice

_________________ practice demands that our intervention choices be the result of collaboration between the client and therapist so that they are motivating and hold meaning for the participant.

Client-Centered

____________ approaches rely on modification of the task or environment or use of external aids to improve function.

Compensatory

When choosing craft intervention activities, an OTA can consider recycled or scrap material alternatives to minimize ______.

Costs

Humans are assumed to progress in an orderly way through various growth stages and learn specific skills along the way. This describes which application to theory approach?

Developmental/Acquisition

ICD-10: International Classification of Diseases: 10th Version is also known as _________________.

Diagnostic codes

This person is known as the father of American psychiatry, used work therapy and crafts with his clients at Pennsylvania Hospital 1751.

Dr. Benjamin Rush, M.D.

Current Procedural Terminology codes have 3 levels for billing of medical services and products.

False

Discharge (D/C) or Discontinuation Report: directed and documented by OTA, but OTR may contribute to the process.

False

More experienced OT practitioners always complete a full activity analysis in written form.

False

Participation in creative activities reduces serotonin levels and increases cortisol levels.

False

Skilled services are those that are routine or maintenance type of therapy.

False

Client performed horizontal adduction (R) hand to (L) shoulder x 30 reps. This is an example of a ___________ statement.

Objective

Fine motor skills were WFL to manage buttons, but mod (A) was needed to line up and fasten buttons properly due to inattention to detail.

Objective

In this section of the SOAP note, it is recommended you organize the information gleaned from your observations chronologically or categorically.

Objective

In this section of the SOAP note, you record all measurable, quantifiable, and observable data obtained during your client's OT session.

Objective

In this section of the SOAP note, your note presents a mental picture of synopsis of the entire encounter.

Objective

The Model of Human Occupation (MOHO) is one of the models that grew out of and share several views on human activity and adaptation including humans are occupational in nature and the environment has effect on performance and vice versa. Which category of approaches listed below does the MOHO belong to?

Occupation-based and ecological

If a craft project requires the client to design or create, be prepared to

Offer suggestions and ideas

It is important to show the need for your skill as an OTA in the very first sentence of the objective section. Complete the basic sentence that is used in O section: The client ____________ in 60-minute OT session in (what is the __________ for the session) for (what is the ___________ of the intervention).

Participated, Setting, Purpose

What the person actually does, which may be accomplished through an adapted procedure and /or environment is known as _______.

Performance

This person persuaded tradesmen in Paris to give craftwork to his asylum patients.

Phillipe Pinel

Continue OT services 2x/wkX6wks for skilled instructions in safe transfers during toileting. This is an example of a ___________ statement.

Plan

This model proposes that graded sensory input leads to more normal integration of this input and thus facilitation of adaptive responses which forms new and more appropriate neural connections.

Sensory integration

_____________ model conceptualizes that, for a given individual, sensory input of various types is perceived at particular thresholds, and that input is then managed according to the ability to self-regulate.

Sensory processing

Client reports "pins and needles" in (R) hand when driving > 15 minutes. This is an example of a ____________ statement.

Subjective

In this section of the SOAP note, it can include statements regarding significant complaints of pain, fatigue; or expressions of feelings, attitudes, concerns, goals, and plans.

Subjective

In this section of the SOAP note, the OT practitioner records the client's report of limitations, concerns, and problems as well as what the client communicated that was relevant to treatment.

Subjective

Patient expressed doubts about ever getting better and then began to cry. This is an example of a _______________ statement.

Subjective

_____________ data is information that cannot necessarily be verified or measured during the intervention session.

Subjective

What does the abbreviation SOAP stand for?

Subjective, Objective, Assessment, Plan

_____________ refers to the OTR not the OTA.

Therapist

A c with a line over it means:

with