name 9 common precautions.
- IV, PICC lines
- AV graft
- foley/indwelling catheter
- weight bearing restrictions
- immobilization
- CAM boot
- dietary, food, and liquid consistency
- cardiac, respiratory
- contact
name 8 challenges for OT service delivery to older adults.
- multiple diagnoses
- typical changes associated with aging combined with acute and/or chronic illness, chronological vs. biological age
- affects of age stereotypes on occupational performance
- undiagnosed depressive symptoms
- cognitive changes (typical age related changes or pathological changes)
- frailty
- caregiver concerns
- reimbursement
increases risk of disability and death from physical and psychological stressors
frailty
any planned combination of educational, political, regulatory, environment and organizational supports for actions and conditions of living conducive to the health of persons, groups, or communities.
health promotion
name 4 methods of funding for OT programs for older adults.
- Older Americans Act
- Grants
- Private donations
- Prevention and public health fund
which part of the Older American Act is involved in disease prevention and health promotion?
Title III - part D
describe the role of the case manager.
coordinates care and facilitates communication between providers - esp. important for patients with complex needs
describe precautions with a PICC line.
- have to be sure not to do excessive and erratic arm movements on that side
- avoid lifting anything heavy on that side
which patients have AV grafts?
dialysis patients
a port where patients receive their dialysis treatment
AV graft
describe precautions with an AV graft.
- they shouldn’t sleep or have blood pressure done on that arm
- shouldn’t carry a bag across that site
- shouldn’t have tight clothes over that spot
- should keep the area dry - cover when bathing
- first couple of weeks after inserted - should avoid lifting heavy items
describe precautions with a foley/indwelling catheter.
- careful about not pulling it out
- notice where it is
describe weight bearing precautions.
orthopedic injuries - partial, non, or toe touch weight bearing
-controlled ankle motion boot
CAM boot
describe cardiac precautions.
- monitor vital signs carefully
- avoid lifting heavy - max 5 lbs in each arm or 10 lbs total
describe respiratory precautions.
- COPD - avoid temperature extremes
- wait a half hour after they’ve eaten to do any physical activity
- avoid any heavy lifting or pushing
- always look at vital signs - blood pressure, HR, oxygen, respiratory rate - before, during, and after treatment
describe typical age-related cognitive changes.
they may take a little bit longer to process or have a little bit of trouble with working memory
reimbursement is heavily dependent on what?
improvement in function
people need to feel like they are successful in making changes
competence
provides accountability from other people, motivation
relatedness
should be by your own will - you want to make a change
autonomy
___ ___ can be very powerful
peer mentoring
describe the 3 components of the Health Belief Model that have to happen for the individual to want to make a change.
- have to believe they’re susceptible and that there are serious consequences
- have to be exposed to factors that prompt action - knowledge, safe techniques,
- have to be confident in your ability to perform an action
- helps us understand behavior change
- goes from precontemplation to contemplation to preparation to action to maintenance
transtheoretical model
