Week 1

Question 1

name 5 aspects of geriatric syndromes.

Answer 1

1. falls
2. frailty
3. incontinence
4. functional decline
5. delirium

Question 2

Describe Medicare guidelines for OTRs and COTAs.

Answer 2

• OTR is responsible for evaluation and reevaluation.
• COTA must be supervised
• general supervision required except for private practice which requires direct supervision
• in clinics, rehab agencies, COTA must have on site supervision at least every 30 days

Question 3

which 3 guidelines should an OT consider for OTR and COTA responsibilities/guidelines?

Answer 3

-AOTA guidelines
-state guidelines
-Medicare guidelines
(follow most stringent guidelines)

Question 4

• purpose is to understand what is important and meaningful to the client.
• determines occupational history, experiences, patterns of daily living, interests
• uncover what client needs or wants to do in the present and future
• client’s select their own goals and priorities
• promotes client-centered practice
• guides evaluation, intervention planning and intervention implementation

Answer 4

occupational profile

Question 5

name the 2 methods of developing the occupational profile.

Answer 5

• formal interview

- informal conversation

Question 6

• multi-dimensional, interdisciplinary assessment

- considers mental health, physical health, functioning and social situation

Answer 6

comprehensive geriatric assessment (CGA)

Question 7

• establishes a baseline

- assesses effects of depression, substance abuse and adverse effects of medications should be considered.

Answer 7

mental status testing

Question 8

• assesses ADL and IADL status including community mobility and driving
• a signal of illness and a focus for prevention efforts

Answer 8

functional assessments

Question 9

• assesses an individual’s social support system
• assesses caregiver’s health and functional status
• considers adult mistreatment

Answer 9

social assessments

Question 10

-helps identify people at risk for social isolation

Answer 10

Lubben Social Network Scale

Question 11

screenings for depression and anxiety

Answer 11

psychological assessments

Question 12

based on history, may include:

• vital signs
• vision and hearing
• ROM and strength
• response time
• sensation, fine and gross motor coordination
• skin
• gait and balance

Answer 12

physical assessments

Question 13

knowledge of patient wishes regarding care

Answer 13

advanced directives

Question 14

what is the most reliable indicator of geriatric pain?

Answer 14

self-report of pain

Question 15

self-report scales and observation-based assessments

Answer 15

pain assessments

Question 16

-assesses pain in older adults with cognitive impairment who cannot be assessed using standardized pain instruments

Answer 16

PAINAD

Question 17

-measures quality and patterns of sleep in the older adults

Answer 17

Pittsburgh Sleep Quality Index (PSQI)

Question 18

• includes physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions.
• useful outcome measure for health promotion programs

Answer 18

Rand-36 item health survey (SF-36)

Question 19

name 3 preparatory methods for older adults.

Answer 19

• practicing standing balance
• stretching
• strengthening

Question 20

with each decade of life, we have an increased risk of which 2 conditions?

Answer 20

• dementia

- chronic disease

Question 21

what is a symptom of a UTI in older adults?

Answer 21

confusion (temporary dementia)

Question 22

what is the most common chronic health condition among older adults?

Answer 22

osteoarthritis

Question 23

things common in older adults and can reduce function but aren’t as clear cut - more layered

Answer 23

geriatric syndromes

Question 24

name 5 signs of frailty.

Answer 24

• weight loss
• self-reported exhaustion
• weakness
• low physical activity level
• slow gait speed

Question 25

temporary state of confusion

Answer 25

delirium

Question 26

1 out of every 3 older adults who goes to the hospital develops what?

Answer 26

delirium

Question 27

delirium is easier to ___ than ___.

Answer 27

prevent, reverse

Question 28

name 4 risk factors for delirium.

Answer 28

1. malnutrition 2. dehydration 3. infections 4. sensory deprivation

Question 29

name 4 ways to prevent delirium.

Answer 29

- maintaining regular physical activity - focus on lighting - open blinds - make sure they have access to their glasses and hearing aids - orient them to time - phone, clock, cognitive stimulation

Question 30

name 4 ADL assessments.

Answer 30

1. Barthel index 2. FIM (functional independence measure) 3. KATZ index 4. PASS (performance assessment of self-care skills)

Question 31

looks at both independence and safety as separate measures

Answer 31

PASS (Performance Assessment of Self-Care Skills)

Question 32

name 4 ways skin can change in older adults.

Answer 32

- becomes thinner - becomes less elastic - decreased sensitivity to light touch - drier skin

Question 33

name 2 common sources of pain in older adults.

Answer 33

- joint pain | - neuralgia

Question 34

which pain assessment has been found to be helpful for people with low literacy levels?

Answer 34

FACES pain scale

Question 35

supplement pain assessments with ____.

Answer 35

observation

Question 36

also think about people's ___ ___ when choosing pain assessments.

Answer 36

sensory deficits

Question 37

t/f - cognitive loss is not part of typical aging.

Answer 37

true

Question 38

keeping healthy people healthy

Answer 38

primary prevention

Question 39

name an example of primary prevention.

Answer 39

health promotion and prevention - sleep

Question 40

someone has symptoms and we want to prevent condition from exacerbating

Answer 40

secondary prevention

Question 41

name 2 examples of secondary prevention.

Answer 41

- medication management - falls prevention - if someone has fallen before or has a fear of falling - we want to use secondary prevention to make sure they don't fall again

Question 42

Name a strength of the PAINAD assessment.

Answer 42

can be used to train caregivers

Question 43

name 2 limitations of the PAINAD assessment.

Answer 43

- it doesn't tell us where the pain is located | - it doesn't tell us what is causing the pain

Question 44

measure of health-related quality of life

Answer 44

Rand 36-item health survey

Question 45

what does a higher score on the Rand 36-item health survey indicate?

Answer 45

better health-related quality of life

Question 46

describe the scoring results and meaning of the Lubben Social Network Scale.

Answer 46

less than 12 on complete measure or less than 6 on the subscale test indicates that the person is at risk for social isolation

Question 47

describe the scoring results of the Pittsburgh Sleep Quality Index (PSQI).

Answer 47

score of 5 or higher = poor sleeper