Areas of Occupation and Suggested Treatment Strategies Table 23.3 (CVA)

Question 1

Treatment considerations and Activities for Work Includes

Accepted Answer

Work hardening programs as appropriate, Assist w/ identifying potential comm. volunteer exp. (might be appropriate), explore retirement options and plan for retirement activities, Perform simulated work tasks and work samples

Question 2

Treatment considerations for Home Establishment and Management - Practice Simple Household responsibilities Including;

Accepted Answer

Progress as possible (determine capability for certain jobs & As. options), watering plants, changing a lightbulb, replacing batteries, cleaning refrigerator

Question 3

The IADL Community Mobility Includes

Accepted Answer

using public and private transportation, moving in the community

Question 4

The ADL Feeding Includes

Accepted Answer

Follow directions of dysphagia therapist, Setting up food, Using utensils and cups

Question 5

Adaptive/Compensatory Strategies and Activities Bowel and Bladder Management Includes;

Accepted Answer

Self catheterization training, panty liners/ incontinence pads, digital stimulator, Leg bag straps, Supository inserter, Catheter Clams

Question 6

Adaptive/Compensatory Strategies for Social Participation Includes;

Accepted Answer

Assist client in exploring/identifying community resources, Identify & offer strategies 2 address environmental barriers 2 comm. groups, Make referrals to community support groups

Question 7

Treatment considerations and Activities for Care Includes

Accepted Answer

Direct care of other adult (may not)possible depending on lvl of impairment, Train in assertive techniques to direct/supervise........, home health aides, attendants, & housekeepers (might As. in care for other), Improve safe ability to care for children and pets

Question 8

Adaptive/Compensatory Strategies for Dressing Includes

Accepted Answer

Shoe horn, Adaptive Straps on splints (improve ability to don/doff), Teach Adaptive one-handed dressing techniques, Velcro Fastenings, Elastic waistbands/shoelaces

Question 9

(continued) Treatment Considerations and Activities for Health Management and Maintenance includes

Accepted Answer

use skills 2 learn 2 ask ?s about meds, report side effects, & get refills, improve & apply knowledge of nutrition & of prescribed diet, Intro activity maintain cog. fitness & flexibility (word puzzles/searches)

Question 10

Treatment considerations and Activities for Community Mobility Includes

Accepted Answer

sequencing & planning activities for taxi rides, getting info on bus/train/para transit schedules -use public transportation, Outdoor w/c or functional ambulation training including....., going in/out all door types, using the elevator, performing car transfers, obtain wheelchair sticker for car/license plate (if approved by doctor)

Question 11

The ADL Dressing Includes

Accepted Answer

Applying and removing personal devices, prosthesis, orthosis, dressing/undressing including fastening and adjusting, obtaining clothing, Selecting appropriate clothing and accessories

Question 12

Adaptive/compensatory Strategies for Care Includes

Accepted Answer

One-hand release crib and high chair, adapted pet care products (single pk food, larger handle brushes & leashes), Adapted games and stories to use with children, Modified baby doll w/ added weight cuffs

Question 13

Treatment considerations and activities for Communication Management includes

Accepted Answer

Dominancy retraining, If indicated, establish pen/marker grip patterns, Looking up and dial phone numbers., Graded writing exercises, One handed typing, Practice emergency training/call light use

Question 14

Treatment considerations for Dressing Includes

Accepted Answer

use clothing in contrasting colors, Use full length mirror while sitting supported in a chair ....., select clothing and lay out in advance, Then Progress to sitting unsupported (EOB)

Question 15

Treatment Considerations and Activities for Leisure includes;

Accepted Answer

Assist client in developing and exploring alternative leisure tasks, Identify and practice previous leisure tasks, Adapt technique/equipment for previous tasks

Question 16

The ADL Bathing and showering includes;

Accepted Answer

soaping, rinsing, and drying body parts, maintaining safe position and balance while bathing, obtaining and using supplies

Question 17

Treatment Considerations and Activities Bowel and Bladder Management Includes;

Accepted Answer

Manage and empty leg bag, bladder/bowel retraining program, Self catheterization training

Question 18

Leisure includes;

Accepted Answer

Leisure exploration, Leisure Participation

Question 19

The IADL Health management and Maintenance includes

Accepted Answer

Including Medication routines, Developing, Managing, & maintaining routine for health & wellness promotion

Question 20

Treatment Considerations for Functional Mobility includes

Accepted Answer

Teach bed mobility including; rolling, bridging, moving from supine to sit, reinforcing use of ambulatory devices/ how to transport objects during, Provide progressive mobility training on a variety of surfaces, Train on safe indoor functional ambulation, Transfer training to a variety of surfaces (bed, chair, toilet, tub, floor), Teach indoor wheelchair mobility over even/uneven/inclined surfaces

Question 21

Treatment considerations and Activities for financial Management Includes

Accepted Answer

Paying bills online, Practice writing checks, Balancing accounts, Perform commercially available budgeting exercise

Question 22

Adaptive/Compensatory Strategies for Toilet Hygiene includes

Accepted Answer

Raised Toilet Seat/ bedside commode, Toilet tissue aid, Use of Grab bars, Bidet (assist with hygiene), Loose fitting clothing with elastic fastenings

Question 23

Treatment Considerations and Activities for Personal Hygiene and Grooming Includes;

Accepted Answer

open/close mouthwash and toothpaste & perform remove/reinsert/clean denture, Comb or brush hair, and practice putting on/taking off hair accessories, Promote proper positioning during hygiene and grooming activities, Scrub, cut, and/or paint nails with stationary brush/clippers/polish brush, Use mirror during grooming activities/ Sequencing and organizing activities, open/close deodorant, adjust level and apply.

Question 24

Adaptive/Compensatory Strategies for Financial Management Includes

Accepted Answer

Direct deposit w/ online and automatic bill pay system, Smart phone with budgeting applications, Calculator w/ large # keyboard, Flow chart of monthly bills, computer software for financial management

Question 25

Treatment Considerations and Activities for Health Management and Maintenance includes

Accepted Answer

Develop HEP for SROM, & general conditioning as indicated, how to adhere to sched & open/close containers & practice simulated admin., Understand medication use and precautions, Identify client's risk factors 4 CVA & strategies 2 reduce modifiable ones, Smoking cessation, stress reduction groups, walking (weight reduction)

Question 26

Treatment considerations for Bathing and showering includes;

Accepted Answer

Transfer training into tub and shower, maintaining balance while reaching to wash body parts, Sequencing activities, Practice turning water on and off and adjusting temperature

Question 27

The ADL Functional Mobility includes

Accepted Answer

Functional Mobility, Bed Mobility, Transfers, Wheel chair Mobility

Question 28

The ADL Personal Care Devices Includes

Accepted Answer

Hearing aids, glasses, orthotics, adaptive equipment, Using, Cleaning, and maintaining personal care items

Question 29

Work Includes

Accepted Answer

Seeking and acquisition of employment, Volunteerism, Employment interests and pursuits, Job performance, Retirement preparation, and adjustment

Question 30

The IADL financial Management Includes

Accepted Answer

Making financial transactions, budgeting and paying bills, Using fiscal resources

Question 31

Adaptive/Compensatory Strategies for Community Mobility Includes

Accepted Answer

refer for driving eval/ (assessment for adaptive controls for driving), Assist w/ completion of paratransit app. process (if appropriate), W/c carrier for car, ramp for van, Treated w/c tires, appropriate footwear for outdoor terrain, Transfer board, Reachers, notebook/smartphone or tape recorder (for info)

Question 32

Social Participation Includes; Engaging in characteristic activities w/ community, family, peers, and friends

Accepted Answer

True

Question 33

(continued) Adaptive/Compensatory Strategies for Personal Hygiene and Grooming Includes;

Accepted Answer

Pump-style tooth paste dispenser, angled wall &/or Small, Adjustable double-sided (magnifying &normal) Mirror, Glycerin swabs (clean mouth), Stick or cream deodorant, Suction denture brush, Denture tablets (reduce need for brushing)

Question 34

Adaptive/Compensatory Strategies for Health Management and Maintenance includes

Accepted Answer

Pill sorters, adaptive insulin syringes, single-dose med regimes, easy open, Individualized HEP (theraband, Light weights, relaxation tapes, etc), Cookbooks/Online resources (low salt/fat/sugar recipes), Smartphones w/ medication schedule apps, Telemonitoring 4 medication mgmt.

Question 35

The IADL Shopping Includes

Accepted Answer

Preparing shopping lists, Selecting/purchasing items, Selecting method of payment, completing transaction

Question 36

Treatment considerations for Shopping Includes

Accepted Answer

money management skills (counting money, making change), Perform simulated shopping activities including online/phone ordering

Question 37

The IADL Care Includes

Accepted Answer

Care of Others, Care of pets, Child rearing

Question 38

Adaptive/Compensatory Strategies for Work Includes

Accepted Answer

Make recommendations for reasonable accommodation -specific need/job duties, Adapt work enviornment for wheelchair/ambulatory device user, Adaptive keyboard and/or phone headset

Question 39

The IADL Home Establishment and Management Includes

Accepted Answer

Knowing how to seek help or whom to contact, maintaining/repairing personal possessions (clothing/household items), Developing managing, maint. personal/household possessions and environments

Question 40

The ADL Personal Hygiene and Grooming Includes;

Accepted Answer

Shaving, cosmetic application, Deodorant Application, cleaning mouth, Hair, Nail, and Skin Care, brushing & flossing teeth /cleaning & reinserting dental orthoticProsthetic

Question 41

The ADL Toilet Hygiene Includes;

Accepted Answer

caring for menstrual and continence needs, cleaning body, obtaining and using toilet supplies, maintaining toileting position, maintaining clothing, toilet transfer

Question 42

Adaptive/Compensatory Strategies for Feeding Includes

Accepted Answer

clients w hemianopsia - place food tray intact visual field, cup and straw holders, adapted utensils, rocker knife, anti skid place-mat, strategies for one-handed techniques to open food containers and packages, proper positioning at the table, Plate guards or scoop dish, adapted cup with lids or easy grip handles

Question 43

Adaptive/Compensatory Strategies for Personal Care Devices Includes

Accepted Answer

Wash mitt, Address book with phone numbers and contacts persons for service repair, Magnifying lens, Notebook w/ written directions

Question 44

The ADL Bowel and Bladder Management Includes;

Accepted Answer

Use of equipment for bladder control, Complete intentional control of bowel movements and urinary bladder

Question 45

The IADL Communication Management includes the use of;

Accepted Answer

Telecommunication devices and Augmentative communication devices, Communication boards and braille writers, Call lights and emergency systems, Writing equipment, Computers and telephones

Question 46

Treatment considerations for Home Establishment and Management - Doing Home management activities Including;

Accepted Answer

using washer and dryer, Vacuuming and moping, Emptying trash cans, and sorting recyclables, making bed, Practice sorting and measuring laundry detergent, Folding clothing, towels, sheets and putting clothing in closet

Question 47

Treatment Considerations for Feeding Includes

Accepted Answer

Monitor client for swallowing problems, Follow dietary and dysphagia guidelines and restrictions when indicated, Oral motor intervention

Question 48

Treatment Considerations and Activities for Personal Care Devices Includes

Accepted Answer

of eyeglasses, splints, braces, slings, edema gloves, communication devices, Practice cleaning, care, and learning sources for repair/replacement......, and durable medical equipment (wheel chairs, bath seats)

Question 49

Adaptive/Compensatory Strategies for Bathing and showering includes;

Accepted Answer

wash-mitt, Soap on a rope, Long-handled sponge, Handheld shower, Pump-style soap dispenser, Bath Bench, Grab bars

Question 50

Treatment Considerations and Activities for Toilet Hygiene includes

Accepted Answer

Transfer training onto/off toilet, Reaching body parts to clean self, Mobility Activities such as rolling side to side, Bridging and lifting hips to use bedpan, Raise/Lower and adjust clothing

Question 51

Treatment Considerations and Activities for Social Participation Includes;

Accepted Answer

Social skill training, role playing, videotaping, online social networking, blogging, etc. (maintain social interactions), Identify and make appropriate community referrals

Question 52

Adaptive/Compensatory Strategies for Personal Hygiene and Grooming Includes;

Accepted Answer

electric safety razor/ Manual Razor holder with strap (higher lvl clients), Electric hair trimmers/ air dry hair (limit need to manipulate hair drier), Large/extended and/or velcro strap handle comb/brush, Suction nail (file,brush), Aerosol can dispenser, handles for can (shaving cream)

Areas of Occupation and Suggested Treatment Strategies Table 23.3 (CVA)

Questions 52

Areas of Occupation and Suggested Treatment Strategies Table 23.3 (CVA)

Questions 52