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

Question 1

Treatment Considerations and Activities Bowel and Bladder Management Includes;

Accepted Answer

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

Question 2

Adaptive/Compensatory Strategies for Toilet Hygiene includes

Accepted Answer

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

Question 3

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

Accepted Answer

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

Question 4

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

Accepted Answer

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

Question 5

The IADL Home Establishment and Management Includes

Accepted Answer

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

Question 6

Treatment considerations and Activities for Work Includes

Accepted Answer

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

Question 7

The IADL Community Mobility Includes

Accepted Answer

using public and private transportation, moving in the community

Question 8

The ADL Functional Mobility includes

Accepted Answer

Functional Mobility, Bed Mobility, Transfers, Wheel chair Mobility

Question 9

The ADL Personal Hygiene and Grooming Includes;

Accepted Answer

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

Question 10

Treatment considerations and Activities for Community Mobility Includes

Accepted Answer

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

Question 11

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 12

Treatment Considerations for Functional Mobility includes

Accepted Answer

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

Question 13

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

Accepted Answer

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

Question 14

Treatment Considerations and Activities for Toilet Hygiene includes

Accepted Answer

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

Question 15

The IADL financial Management Includes

Accepted Answer

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

Question 16

The IADL Health management and Maintenance includes

Accepted Answer

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

Question 17

Adaptive/Compensatory Strategies for Personal Care Devices Includes

Accepted Answer

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

Question 18

The ADL Bathing and showering includes;

Accepted Answer

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

Question 19

The IADL Care Includes

Accepted Answer

Child rearing, Care of Others, Care of pets

Question 20

The IADL Communication Management includes the use of;

Accepted Answer

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

Question 21

Adaptive/Compensatory Strategies for Health Management and Maintenance includes

Accepted Answer

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

Question 22

Treatment Considerations and Activities for Personal Care Devices Includes

Accepted Answer

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

Question 23

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 24

The ADL Personal Care Devices Includes

Accepted Answer

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

Question 25

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

Accepted Answer

True

Question 26

Adaptive/Compensatory Strategies for Work Includes

Accepted Answer

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

Question 27

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

Accepted Answer

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

Question 28

Adaptive/Compensatory Strategies for Personal Hygiene and Grooming Includes;

Accepted Answer

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

Question 29

Treatment considerations for Bathing and showering includes;

Accepted Answer

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

Question 30

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

Accepted Answer

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

Question 31

Treatment Considerations and Activities for Leisure includes;

Accepted Answer

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

Question 32

Adaptive/Compensatory Strategies for Dressing Includes

Accepted Answer

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

Question 33

Adaptive/Compensatory Strategies for Feeding Includes

Accepted Answer

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

Question 34

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 35

Treatment Considerations and Activities for Health Management and Maintenance includes

Accepted Answer

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

Question 36

Adaptive/Compensatory Strategies for Financial Management Includes

Accepted Answer

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

Question 37

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 38

Treatment considerations for Shopping Includes

Accepted Answer

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

Question 39

Leisure includes;

Accepted Answer

Leisure Participation, Leisure exploration

Question 40

Treatment considerations and Activities for financial Management Includes

Accepted Answer

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

Question 41

The ADL Toilet Hygiene Includes;

Accepted Answer

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

Question 42

Treatment Considerations for Feeding Includes

Accepted Answer

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

Question 43

The ADL Dressing Includes

Accepted Answer

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

Question 44

The IADL Shopping Includes

Accepted Answer

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

Question 45

Adaptive/compensatory Strategies for Care Includes

Accepted Answer

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

Question 46

Adaptive/Compensatory Strategies for Community Mobility Includes

Accepted Answer

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

Question 47

Treatment considerations for Dressing Includes

Accepted Answer

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

Question 48

Treatment considerations and activities for Communication Management includes

Accepted Answer

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

Question 49

Work Includes

Accepted Answer

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

Question 50

Treatment Considerations and Activities for Personal Hygiene and Grooming Includes;

Accepted Answer

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

Question 51

Adaptive/Compensatory Strategies for Bathing and showering includes;

Accepted Answer

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

Question 52

The ADL Feeding Includes

Accepted Answer

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

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