Occupational Therapy and Rehabilitation Concepts

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Questions and Answers

What is the primary purpose of Functional Capacity Evaluations (FCEs)?

  • To evaluate employee satisfaction with their work environment
  • To predict a client's ability to sustain job activities (correct)
  • To analyze financial aspects of an employee's job
  • To assess the mental health of an employee

How long do Functional Capacity Evaluations typically last?

  • 7 to 10 hours over a week
  • 1 to 2 hours
  • 2 to 4 hours over two days (correct)
  • 5 to 6 hours over four days

Which of the following is NOT typically included in traditional vocational evaluations?

  • Work-related capabilities
  • Personal relationships (correct)
  • Intellectual capacities
  • Physical capacities

Who generally conducts vocational evaluations?

<p>Vocational evaluators and occupational therapists (D)</p> Signup and view all the answers

What does NOT typically cover the costs of vocational evaluations?

<p>Private medical plans (C)</p> Signup and view all the answers

What is the main purpose of conducting a worksite evaluation?

<p>To evaluate the suitability for return to work for disabled patients (A)</p> Signup and view all the answers

Which of the following is considered a type of ergonomic hazard?

<p>Ergonomic hazard (D)</p> Signup and view all the answers

Which checklist is recommended for assessing computer workstations?

<p>OSHA VDT Checklist (D)</p> Signup and view all the answers

What kind of support is essential for proper chair ergonomics?

<p>Lumbar support (C)</p> Signup and view all the answers

Among the types of hazards listed, which one is not primarily recognized in the Philippines?

<p>Psychosocial hazard (D)</p> Signup and view all the answers

When analyzing manual material handling, which is a critical aspect to evaluate?

<p>The physical energy demands involved (C)</p> Signup and view all the answers

Which of the following is an item on the Industrial: ILO Ergonomic Checkpoints?

<p>Lighting premises (B)</p> Signup and view all the answers

What is the comfortable distance recommended for legroom in office settings?

<p>Two finger breadths (C)</p> Signup and view all the answers

What is one method to assess how problems manifest in a patient with R CVA?

<p>Analyze performance patterns and skills (D)</p> Signup and view all the answers

Which aspect is essential during the initial phase of working with clients with R CVA?

<p>Establishing rapport through observation (A)</p> Signup and view all the answers

What factor should be considered regarding the impact on the family of a patient with R CVA?

<p>Exploration of marital status (C)</p> Signup and view all the answers

When analyzing the nature of conditions in patients, which reasoning method is particularly important?

<p>Diagnostic reasoning (C)</p> Signup and view all the answers

What is critical to know before seeing a client for the first time?

<p>Comprehensive expected outcomes (C)</p> Signup and view all the answers

Which question is vital to ask to assess a patient's eating skills affected by R CVA?

<p>What specific skills are challenging for you? (B)</p> Signup and view all the answers

What is one of the first steps in addressing a problem faced by clients?

<p>Problem-sensing (D)</p> Signup and view all the answers

When reflecting on your decisions and actions, which should be included?

<p>Relevant client demographics (C)</p> Signup and view all the answers

What is the primary focus when assessing work tasks during an occupational therapy evaluation?

<p>The desired outcomes of the work tasks (B)</p> Signup and view all the answers

Which tool is stated as useful in evaluating a person at the worksite?

<p>Activity analysis (B)</p> Signup and view all the answers

What type of information should the occupational therapist gather before visiting the worksite?

<p>Essential functions requiring accommodation (C)</p> Signup and view all the answers

What is one important detail the occupational therapist should investigate about work tasks?

<p>How mistakes might affect task outcomes (C)</p> Signup and view all the answers

In addition to assessing the workstation, what should the occupational therapist evaluate?

<p>The entire work environment, including accessibility (D)</p> Signup and view all the answers

What must the occupational therapist obtain before taking photographs or video recordings at the worksite?

<p>Permission from both the employer and the worker (A)</p> Signup and view all the answers

What aspects of a worker's abilities can the occupational therapist analyze?

<p>Motor, sensory, cognitive, perceptual, emotional, and behavioral abilities (B)</p> Signup and view all the answers

What aspect of work tasks may influence how an occupational therapist approaches the assessment?

<p>Quotas, standards, or time constraints (A)</p> Signup and view all the answers

What is the primary reason for coming up with several hypotheses in therapy?

<p>To explore a wide range of therapy possibilities (B)</p> Signup and view all the answers

Which of the following is an important consideration when interpreting cues during therapy?

<p>The availability of therapy equipment (B)</p> Signup and view all the answers

What aspect of ethical reasoning involves analyzing an ethical dilemma?

<p>Generating alternatives solutions (C)</p> Signup and view all the answers

What is a key factor in effective interactive reasoning?

<p>Building positive interpersonal relationships (C)</p> Signup and view all the answers

Why is it important to find multiple cues supporting a hypothesis?

<p>To thoroughly validate the working hypothesis (C)</p> Signup and view all the answers

When evaluating a child in a distracting environment, what should be prioritized?

<p>Finding a quieter place for evaluation (D)</p> Signup and view all the answers

What type of questions should be asked during an interview to get a better picture?

<p>Open-ended questions to explore further (D)</p> Signup and view all the answers

What should a therapist consider when dealing with a culturally diverse client?

<p>Cultural factors that may affect communication (B)</p> Signup and view all the answers

What score on the 7-point ordinal scale indicates total assistance?

<p>1 (B)</p> Signup and view all the answers

Which of the following levels indicates complete independence?

<p>6 (B)</p> Signup and view all the answers

What is the minimum possible score on the functional capacity evaluation scale?

<p>0 (C)</p> Signup and view all the answers

Which type of assistance does a score of 2 represent?

<p>Maximal Assistance (A)</p> Signup and view all the answers

What does a score of 5 on the scale indicate?

<p>Supervision or Setup (A)</p> Signup and view all the answers

What is the maximum total score achievable on the functional capacity evaluation?

<p>126 (D)</p> Signup and view all the answers

Which level of independence corresponds to a score of 3?

<p>Moderate Assistance (A)</p> Signup and view all the answers

What does a score of 0 signify in the context of functional capacity evaluation?

<p>Activity Does Not Occur (A)</p> Signup and view all the answers

Flashcards

Functional Capacity Evaluation (FCE)

A clinic-based assessment (2-4 hours over two days) to evaluate a person's ability to sustain job tasks.

FCE and job demands

FCE often uses performance in short, intense tasks to predict overall job performance; it relies on population or coworker norms for accurate predictions.

Vocational Evaluation

A comprehensive process using real or simulated work to assess and help a person's vocational development

Factors in Vocational Evaluation

Evaluations traditionally address physical/psychomotor, intellectual, emotional, interests, attitudes, aptitudes/achievements, work skills/tolerances, habits, capabilities, and job-seeking skills.

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Vocational Evaluation Duration

Vocational evaluations can last 3-10 days, depending on assessment goals.

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Worksite Evaluation

An assessment conducted at the workplace to analyze job demands, worker's abilities, and the work environment.

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Essential Functions

The key tasks and duties that are critical for a job to be performed effectively.

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Activity Analysis

Breaking down a job's tasks into smaller steps to identify difficulties and potential solutions.

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Work Environment Assessment

Examining the workplace itself, including accessibility, physical layout, and environmental factors.

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Accommodations

Modifications to the workplace or job duties to enable a worker with limitations to perform their role.

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Outcome of Tasks

The desired result of completing a job task, not just the process of doing it.

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Impact of Task errors

Assessing how errors in performing a task affect the overall job output.

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Worksite Documentation

Photos and videos of the work environment, taken with permission, to aid in assessment.

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Ergonomic Risk Analysis

A process of identifying and evaluating potential ergonomic hazards in the workplace. This involves checking workspaces, tools, and tasks to ensure they are designed to minimize physical strain and risk of injury.

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Ergonomic Evaluation

Focused on preventing work-related musculoskeletal disorders (WMSDs) or identifying individuals at risk. It considers posture, movement, and other factors that can cause strain.

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Occupational Safety and Health Administration (OSHA)

A U.S. government agency that sets and enforces workplace safety and health standards. They have specific guidelines for computer workstation ergonomics.

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VDT Checklist

A checklist used to evaluate the ergonomics of computer workstations, focusing on factors like chair height, monitor position, keyboard placement, and lighting.

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ILO Ergonomic Checkpoints

A set of guidelines developed by the International Labour Organization (ILO) to address ergonomic hazards in various industrial settings. It covers areas like material handling, tools, machine safety, and workspace design.

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Musculoskeletal Disorders (MSDs)

Conditions that affect the muscles, tendons, ligaments, nerves, and bones. These are often caused by repetitive motions, awkward postures, and other ergonomic factors.

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Psychosocial hazard

Factors in the workplace that can negatively affect mental health and well-being, such as stress, bullying, and lack of control.

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Clinical Reasoning

The process of analyzing information, considering different possibilities, and making informed decisions about a patient's care.

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Diagnostic Reasoning

Focusing on identifying the underlying cause of a patient's symptoms or condition.

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Investigative Reasoning

Gathering information through assessments and observations to support the diagnosis.

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Performance Patterns

The usual ways a person performs tasks or engages in activities.

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Performance Skills

The specific abilities needed to carry out tasks, such as motor skills, cognitive skills, and social skills.

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Client Factors

Individual characteristics that influence a person's occupational performance, such as values, beliefs, and life experiences.

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Problem-Sensing

The initial step of clinical reasoning, where the therapist becomes aware of a potential problem or issue.

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Setting Boundaries for the Problem

Clearly defining the scope of the problem, determining what to include and exclude in the assessment and intervention.

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Cue Interpretation

The process of analyzing observations and information from a client to understand their situation.

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Hypothesis Evaluation

Examining the possible explanations you have for a client's situation, based on the available cues.

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Ethical Reasoning

Thinking through ethical dilemmas, generating options, and deciding on appropriate actions.

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Interactive Reasoning

Thinking about how to build a positive relationship with your client during evaluation and treatment.

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What cues from the interview?

Observing and gathering information from a client interview to understand their situation.

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Additional Questions

Planning questions to ask a client for a more complete understanding of their situation.

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Consider Cultural Factors

Thinking about how a client's culture influences their experiences and needs.

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Collaborate During Evaluation

Working together with the client during the evaluation process to gather information and make decisions.

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Study Notes

Learning Objectives

  • Understand OT theory and frames of reference related to work
  • Describe the role of OT in occupational or industrial rehabilitation
  • Describe different evaluation methods in occupational or industrial rehabilitation
  • Use ergonomic checklists in the evaluation of a selected client

Pre-Test

  • Statement 1: T - The Person-Environment-Occupation Model considers the dynamic relationship between the person, environment, and occupation.
  • Statement 2: T - In the Occupational Adaptation Frame of Reference, occupational challenges can negatively impact mastery of a desired occupation.
  • Statement 3: T - Functional Capacity Evaluations assess general skills and capacities of the worker.
  • Statement 4: T - Functional Capacity Evaluations are typically done in two to four hours over two days.
  • Occupational therapy approaches performance from a holistic perspective, considering the dynamic interplay between the person, environment, and occupation.
  • The Person-Environment-Occupation Model emphasizes the complex relationships among these factors, viewing occupational performance as a product of this interaction.
  • Occupational therapists work with clients to optimize performance in occupations they consider important, considering personal strengths and limitations, psychological adaptation, and mobility skills in preparation for returning to work.

Evaluation in Occupational or Industrial Rehabilitation

  • Occupational or industrial rehabilitation services encompass a wide range of services to support injured workers.
  • Therapists play a vital role in assisting people with work-related injuries and ensuring effective rehabilitation.
  • Functional Capacity Evaluations (FCEs) are key assessment tools. FCEs are used for injury prevention and rehabilitation, and define an individual's functional abilities or limitations.
  • FCEs involve a systematic review of referral information, administration of tests, and analysis of results in context of safe work tasks in order to evaluate the client's ability to fulfill occupational expectations.

Vocational Evaluations

  • Vocational evaluations are comprehensive processes used to assess vocational potential.
  • Evaluations consider physical and psychomotor capacities, emotional stability, interests, attitudes, work skills, and work-related tolerances, and job-seeking skills.
  • These evaluations can last from three to ten consecutive days, depending on the specific needs of the client.

Work Sample Evaluations

  • Work samples are hands-on evaluations that assess dexterity, coordination, and tool use.

Psychometric Tests

  • Psychometric tests, such as intelligence tests and personality assessments, can be used to measure intelligence, personality, achievement, abilities, aptitudes, and interests.

Ergonomic Evaluations

  • Ergonomic evaluations are important tools used to assess risks in the workplace, and to optimize the worker's environment.
  • These evaluations are done systematically gathering information and testing hypotheses about the client's performance, in context of an occupation.
  • They include consideration of factors like posture, repetitive motions, use of tools, and environmental conditions.

Worksite Evaluations

  • Worksite evaluations are on-site assessments to determine whether someone can return to work after injury or determine needed workplace accommodations.
  • These evaluations consider the work, worker, and workplace, identifying essential job functions and required modifications.
  • Ergonomic principles should be considered when evaluating the workplace.

General Ergonomics Risk Analysis Checklist

  • This checklist is used for identifying and analyzing ergonomic risk factors in a workstation.

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