OCTA 227 LAB Final

Question 1

What are three symptoms of a Right CVA?

Answer 1

1. Paralysis/weakness of left side of body
2. Poor balance
3. Poor coordination

Question 2

What are 3 symptoms of a Left CVA?

Answer 2

1. Paralysis/weakness of the right side of the body
2. Blurred vision
3. Sensitivity to touch

Question 3

An example of fine chopped food is

Answer 3

Scrambled eggs

Question 4

An example of mechanical soft food is

Answer 4

Ham

Question 5

An example of regular food is

Answer 5

Chicken

Question 6

An example of thin food is

Answer 6

Water

Question 7

An example of nectar thick food is

Answer 7

Juice with thickening packet

Question 8

Community accessibility issues:

Answer 8

• Ramps

* Double lines for parking

Question 9

What are 2 energy conservation techniques?

Answer 9

• Pursed lip breathing

* Diaphragmatic Breathing

Question 10

A breathing technique that helps strengthen your diaphragm

Answer 10

Diaphragmatic Breathing

Question 11

A breathing techno that prevents air from being trapped in your lungs, helps regulate your breathing pattern, and reduces anxiety from feeling short of breath

Answer 11

Pursed Lip Breathing

Question 12

A scale that measures spasticity (tone)

Answer 12

Modified Ashworth Scale

Question 13

Hand placement for measuring tone in the shoulder?

Answer 13

shoulder/elbow

Question 14

Hand placement for measuring tone in the elbow?

Answer 14

above the elbow/wrist

Question 15

Hand placement for measuring tone in the wrist?

Answer 15

forearm/hand

Question 16

Hand placement for shoulder PROM?

Answer 16

_____/elbow

Question 17

Hand placement for elbow PROM?

Answer 17

above the elbow/wrist

Question 18

Hand placement for wrist PROM?

Answer 18

forearm/hand

Question 19

Upper Extremity Donning flaccid or spastic:

Answer 19

1. position shirt on lap
2. position sleeve opening for affected hand
3. put affected arm in first
4. use unaffected arm to pull the shirt over back
5. put unaffected arm in last

Question 20

Lower Extremity Dressing flaccid or spastic:

Answer 20

1.

Question 21

Lower Extremity Dressing flaccid or spastic:

Answer 21

1. position pants on the floor
2. put affected leg in then affected leg in
3. use reacher/dressing stick to pull pants up to thighs
4. grab pants weight shifting side to side to pull pants over buttocks

Question 22

When donning affected extremities

Answer 22

affected leg/arm first and followed by the unaffected arm/leg

Question 23

When doffing affected extremities

Answer 23

unaffected leg/arm first followed by the affected arm/leg

Question 24

a medical scale used that assess individuals after a closed head injury (TBI) based on cognitive and behavioral presentations as they emerge from coma

Answer 24

Ranchos Los Amigos Scale

Question 25

Level 1 :

Answer 25

* No response to external stimuli (senses) | * Coma

Question 26

Level 2:

Answer 26

* Generalized response | * Pt reacts to external stimuli in nonspecific, inconsistent, and nonpurposeful manner

Question 27

Level 3:

Answer 27

* Localized response (responds directly to the stimulus) * Total assist * Pt responds specifically and inconsistently with delays to stimuli, but may follow simple commands for motor action

Question 28

Level 4:

Answer 28

* Max assist * Agitated and Confused * Pt exhibits bizarre, non-purposeful, incoherent or inappropriate behaviors, has no short term recall, attention is short and non-selective * Doesn't cooperate * Moody/ Aggressive

Question 29

Level 5:

Answer 29

* Max Assist * Confused, Non-agitated, Inappropriate * Inappropriate use of objects (toothbrush) * Pt gives random, fragmented, and non-purposeful responses to complex or unstructured stimuli- simple commands are followed inconsistently, memory and selective attention are impaired, and new info not retained * Perform tasks with structure and max cues

Question 30

Level 6:

Answer 30

* Mod assist * Confused and Appropriate * Pt gives context appropriate, goal-directed responses, dependent upon external input for direction. There is carry-over for relearned, but not for new tasks, and resent memory problem persists

Question 31

Level 7:

Answer 31

* Min assist * Automatic and appropriate * Judgement impaired * Pt behaves appropriately in familiar settings, performs daily routines automatically, and shows carry-over for new learning at lower than normal rates. Pt initiates social interactions

Question 32

Level 8:

Answer 32

* Standby assistance * Purposeful and appropriate * Pt oriented and responds to the environment but abstract reasoning abilities are decreased relative to premormid levels

Question 33

Level 1 activity:

Answer 33

ROM, positioning, coma stem (stimulate the senses)

Question 34

Level 2 activity:

Answer 34

ROM, positioning, coma stem (therapist may lift arm and the pt may move legs)

Question 35

Level 3 activity:

Answer 35

Ask the pt can he/she grasp toothbrush or brush (pt give delayed nods and blinks eyes spontaneously) try to grasp object

Question 36

Level 4 activity:

Answer 36

Ask pt to brush hair or brush teeth, Pt screams I DON'T WANT TO BRUSH MY TEETH and throw the object

Question 37

Level 5 activity:

Answer 37

ask pt do she know what the object is (say no) tell pt that the object is a toothbrush/brush, ask pt to demonstrate what do you do with a toothbrush (pt brush hair)

Question 38

Level 6 activity:

Answer 38

Pt doesn't know the time or day of week Have pt identify object in therapist hand (toothbrush/brush), have pt brush teeth or brush hair

Question 39

Level 7 activity:

Answer 39

Ask pt to brush teeth and he/she put too little or too much paste (pt asks did she put enough) or have pt brush hair but the pt continuously brushes it w/o stopping

Question 40

Level 8 activity:

Answer 40

Have pt set an alarm in his/her phone for a reminder of when to brush teeth or comb hair, or write things to do on a dry erase board

Question 41

How do you perform diaphragmatic breathing?

Answer 41

* Seated or laying * put one hand on your stomach and one on your chest * breathe in through your nose expanding your stomach * As you breathe out through pursed lips flatten your stomach (12 deep breaths)

Question 42

How do you perform purse lip breathing?

Answer 42

* Relax neck and shoulders * Breathe in through your nose while counting to 3 * Breathe out slowly though pursed lips counting to 6 * repeat for a min or 2 or until you feel comfortable

Question 43

Energy conservation and work simplification:

Answer 43

* Pace yourself * Sit whenever possible * Eliminate unnecessary tasks * Change positioning * Use assistive devices