| Term | Definition |
|---|
| approaches used in cognitive therapy | Adaptive and remedial |
| adaptive approach | very much MOHO- top down - compensation to improve function- tx activities are real life and functional |
| remedial approach | bottom up- focus on impairment that is causing disability- repeated drills/ exercises- paper pen activities that will address deficits- start here than move to generalized real life |
| when using remedial approach | pt. must have the capacity to learn (not for alzheimers)- clinician must id ways the clients learns best- clinician must know what skills pt has not lost |
| types of activities that can be used for cognitive retraining | paper/ pencil, functional, games |
| when using adaptive approach | change environment or provide assistance from an outsode source (ie: calander, pill box)- change the way the person does the task- pt. must have some awareness of the deficits. |
| multi context approach | tx that is specific to cognition- utilizes generalization and selfawareness- skills are practiced in different environments and with different tasks |
| 5 components of multi context approach | processing strategies- task analysis (established criteria for transfer) use of multiple environments- relation of new knowledge to previously learned knowledge or skills- metacognition training |
| 2 types of processing strategies | situational strategies- non situtational strategies |
| situational strategies | specific skills used in a situation ie: left/right scanning in reading- rehearsal of speech - visual imaginery |
| non situational strategies | covers a wide range of tasks/ environment ie: planning ahead, self monitoring, prioritizing |
| task analysis | breaks down a series of tasks that decrease in similar concepts from original tasks- moving towards generalization and spontaneous application- ie: donning clothing ( different series of tasks yet working towards the same goal) |
| use of multiple environments | practice in different environments and situations (ie: scanning) |
| relation of new knowledge | patient can take what is learned and apply to previous learned skills- connecting new concepts- best by incorporating what is meaningful to client |
| metcognitive training | develop goals and self monitor- self control and self inititaion- predict consequences to actions (pt asks self "how am I doing?" they evaluate themselves and others) |
| general cognitive strategies | activity analysis(looking at specific skills needed for variety of tasks in everyday life)task analysis ( grading or adapting tasks according to pt's specific deficits) cueing- repetition and practice- knowing your clients specific deficits and learning abilities- RBD vs LBD- personality also influences activity/learning |
| purposeful activity | goal orientated activities that factor in occupations- meaningful to clients- individualistic- performed in client's context |
| enabling activity | non purposeful in theory- non goal directed- stimulates the practice of a skill |
| therapeutic activity | word used for documentation purpose- summarizing an activity for insurance purposes |
| therapeutic exercise | term for body movement to correct physical problem |
| approaches used in phys dys tx | remedial, adaptive biomechanical, neuro |
| tests used for performance skills- motor | goniometry, MMT, 9 hole peg, endurance testing, pinch and grip, etc. |
| tests used for performance skills- process | mini mental, memory, sequencing |
| tests used for client factors- body function/structures | pain test (dull, sharp, hot, cold) visual testing, blood pressure |
| SOAP notes content | Subjective, Objective, Assessment and Plan |
| parts of a short term goal | person, action, measurement, time frame |
| various OT documents used throughout the OT process | initial eval, tx plan, progress notes, d/c note, reeval |
| equipment used in acute care | differnet beds (air mattress with pump, moving bed, playpen bed) ventilators, monitors (ECG/ EKG) feeding tubes, urinary catherer |
| brain surgery common precaution | head of bed precautions |
| ventriculostomy | drain for CSF (hob precautions are vital) |
| OT tx in acute care | challenging d/t medical needs- must be creative and see pt's future rehab needs- what needs to be addressed so further injury does not occur |
| Pt's occupation in acute care | survival and functioning |
| challenges and limitations in acute care | short length of stay, pt have more knowledge, stands of care are changing- more pt on case load with varying problems, safety concerns |
Combine with other sets
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