Week 1 Lecture

Question 1

Evaluation

Answer 1

the process of gathering and interpreting information about clients to determine the need for occupational therapy.

Question 2

Name 6 purposes of evaluation.

Answer 2

1. establish goals.
2. prove intervention is working.
3. ADL/ independent living status
4. Document need for specific programs.
5. Facilitate educational or vocational goals.
6. Substantiates insurance and supports litigation.

Question 3

Name 5 components of the occupational profile.

Answer 3

1. occupational history, experiences
2. patterns of daily living
3. values
4. needs
5. interests

Question 4

Name 6 domains of concern of the biomechanical frame of reference.

Answer 4

1. structural stability
2. low-level endurance
3. edema control
4. passive ROM
5. strength
6. high-level endurance

Question 5

Bottom-Up Approach

Answer 5

Start at impairment level (UIAs) and work up to what patient can do

Question 6

Name 2 assumptions of the biomechanical approach.

Answer 6

1. Purposeful activity can treat loss of ROM, strength, endurance
2. Once regained, client will automatically regain function.

Question 7

Name the 4 steps of the treatment planning process.

Answer 7

1. problem identification
2. prioritize problems
3. establish treatment goals (in conjunction with patient/client)
4. establish intervention strategies (specific treatment plans/methods)

Question 8

When does observation begin?

Answer 8

As soon as patient enters area (or when you enter pts. room)

Question 9

Name the 2 dimensions of pain.

Answer 9

1. Sensory component

2. Affective component

Question 10

Describe 3 aspects of the sensory component of pain.

Answer 10

• Discomfort located to a particular part of body
• Graded by intensity
• Defined by “how much” it hurts

Question 11

Describe 2 aspects of the affective component of pain.

Answer 11

• complex behaviors that a person employs to minimize, escape, or terminate noxious stimuli
• may explain differences in the way people perceive pain and the variability of the pain experience

Question 12

edema

Answer 12

accumulation of an excessive amount of watery fluid in cells, tissues, or serous cavities.

Question 13

Name 2 tape measure methods of measuring edema.

Answer 13

1. circumferential

2. figure of 8

Question 14

When do you not need to use a goniometer?

Answer 14

Functional ROM tests

Question 15

Are functional ROM tests done actively or passively?

Answer 15

They’re only really done actively.

Question 16

Which tool is used to measure gross grasp?

Answer 16

Dynamometer (Gross grasp)

Question 17

What does a dynamometer measure?

Answer 17

Gross grasp (strength of grasp)

Question 18

Which tool measures pinch?

Answer 18

Pinch gauge

Question 19

Pinch for turning a key

Answer 19

lateral pinch

Question 20

pinch using thumb and pads of fingers 2&3

Answer 20

tripod, 3-jaw chuck

Question 21

pinch using pad to pad or tip to tip

Answer 21

2 point pinch

Question 22

What should the position of the pt. be when using a dynamometer?

Answer 22

humerus adducted, elbow flexed to 90 degrees

Question 23

T/F - you should measure both hands of the pt. with a dynamometer.

Answer 23

True - measure both sides to establish baseline. (Dominant hand is about 10% stronger).

Question 24

What should the position of the pt. be when using a pinch gauge?

Answer 24

humerus adducted, elbow flexed to 90 degrees, forearm neutral