OT 333 LAB SKILLS CHECK OFF 2

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visual acuity near
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visual acuity near
-this is important because it helps us see up close which is important in tasks such as reading and driving
-can test both eyes at once or separately
1. Have client have both eyes open
2. Place near vision card at eye level 16 in away from the client
3. Have the client read from top to bottom and left to right until they can't read half the line
visual acuity far
-this is important because it helps us see at farther distances which can be important for reading street signs for driving
-assess one eye at a time
1. Have the client cover one eye
2. Place far vision card at eye level 10 ft away from the client
3. Have the client read from top to bottom and left to right until they can't read half the line
4. Repeat with the other eye
5. Repeat with both eyes open
pupillary size/light response
-this is important because it checks our muscle that controls the amount of light that enters our eye. This helps us adapt when it is dim or bright to make sure that there is the appropriate amount of light for us to see
1. Observe the client's pupils to make sure that they are equal and normal
2. Dim the lights
3. Have the client look at the bridge of your nose
4. Shine the light into 1 eye for 1-2 seconds 3-4 in away from the client
5. Look for rapid constriction of both pupils
6. Repeat on the other eye
ocular alignment
-this is important because it helps us fuse the images from each eye to make 1 image and makes sure that we aren't seeing double
1. Look for deviations in the client's eyes
2. Stand 2 ft in front of the client
3. Have the client look at your nose
4. Look for signs of strabismus
5. Dim the lights
6. Have the client look at the bridge of your nose
7. Shine a light at the client's nose
8. Make sure that the light reflection is equal in each eye
visual pursuits
-this is important for tracking objects like watching cars and being able to use both eyes to read
1. Hold a high contrast object 16 in away from the client
2. Ask the client to fixate on the object without moving their head or neck
3. Move the object in an H pattern
4. Move the object in an X pattern
5. Look for smooth coordinated movement of both eyes
extraocular ROM
-this is important because it ensures that your eyes can move fully so that you can have access to your entire visual field
1. Hold a high contrast object 16 in away from the client
2. Have the client fixate on the object without moving their head or neck
3. Move the object in an upper arch from shoulder to shoulder
4. Move the object in a lower arch from shoulder to shoulder
5. Move the object in an X pattern
6. Move the object from top to bottom
visual saccades
-this is important because it allows you to do quick eye movements which can be used for reading or scanning a room for a specific person
1. Hold 2 bright objects 6-8 in apart 12-16 in away from the client
2. Have the client shift their focus on each object without moving their head or neck when you say to do so
3. Move the stimuli vertically and horizontally
4. Move the stimuli apart
5. Repeat 5-7 times in each area
6. Look for smooth coordinated movement
visual fields
-this is important because it ensures that you are able to see objects in your peripheral vision like cars driving on the street
-assess one eye at a time
1. Have the client look straight ahead
2. Have the client tell you when they see the stimulus
3. Move the stimulus horizontally starting by their ear moving to midline and starting at the other side
4. Repeat this vertically starting at the top of their head moving to midline and starting at the bottom and going to the top
5. Repeat this diagonally starting at the side of the top of their head moving down to the other side
6. Repeat on the other eye
accommodation reflex
-this is important for shifting our focus from different objects such as from the board to your notebook to take notes
1. Place 1 object 2 feet away and another object 10 feet away
2. Ask the client to look back and forth between the 2 objects 5 times
3. Ask the client if they had blurry vision or difficulty focusing
vergence
-this is important for our eyes to come together to look at an item close up which can be important in tasks such as reading
1. Place a stimulus 30 inches away from the client
2. Move the stimulus towards the client's nose
3. Have the client tell you when the object appears blurry or when they see double
Romberg Sign
-this is important to ensure that you are able to balance which is important for safety in daily activities
1. Have the client stand with their feet together and their arms by their side for 30 seconds and observe their balance
2. Displace their balance anteriorly, posteriorly, and side to side and look for loss of balance
3. Have the client close their eyes and stand with their feet together and their arms by their side for 30 seconds and observe their balance
4. With their eyes closed, displace their balance anteriorly, posteriorly, and side to side and look for loss of balance
dynamic visual acuity
-this is important to ensure that you can clearly see while moving
1. Place far visual acuity card 10 feet away from the client
2. With both eyes open, have the client read the chart top to bottom and left to right
3. Passively turn the client's head left and right about 20-30 degrees at about 2 hz and have them read the chart
4. They should be able to read one less line
visual agnosia
-this is important to ensure that you can identify familiar objects which can help you with getting ready in the morning
1. Show the client 6 familiar objects 1 at a time and ask them to identify them
prosopagnosia
-this is important to ensure that you can identify familiar faces such as family and friends
1. Show the client 4 pictures of familiar people and ask them to identify them
simultanagnosia
-this is important for being able to put together a scene and understand what is going on as a whole
1. Show the patient 2 photos of detailed scenes and ask them to describe the scene to you in detail