Exam 2: Implementing Interventions

May cannot put weight on her lower extremities to transfer from her wheelchair. But she has good upper-body strength. What type of transfer do you teach May to use when transferring from her wheelchair to her bed?

What modality could you use to heat the muscles in the shoulder girdle prior to deep tissue massage?

Mabel is your 87-year-old nursing rehabilitation patient with a diagnosis of chronic obstructive pulmonary disease (COPD). She lives alone and has a private home health aide, who visits daily to help her with bathing, meal preparation, and housekeeping. What activities will you focus on during Mabel's therapy sessions?

What does the term, "Flat affect" mean?

Your nursing home patient, Helen, is an 89-year-old woman with a diagnosis of advanced Alzheimer's disease. At breakfast, you see Helen being fed by a nursing assistant while reclined in a geri chair. What do you say to the nursing assistant?

Four of the six students in the early childhood play group at your school receive OT for sensory processing disorders. How could you service these children as a group?

Your student has limited mobility. After performing passive range of motion on the student in supine, how do you position him in side lying to work on active reaching?

Marshall is a 13-year-old student with quadriplegic cerebral palsy. When he sits upright in his wheelchair, the front edge of his seat hits the back of his mid thighs. His lateral supports and headrest are fully extended. What do you conclude?

Dawn is a 36-year-old cognitively disabled woman in your community activity program. She has not developed the emotional skills of sympathy and empathy. Lately, Dawn has been bossing the other clients of the program around and threatening them if they do not do what she says. How do you address Dawn's behavior?

Lucy is a 93-year-old nursing home patient who wants to be independent in her kitchen at home. How do you structure strengthening exercises, so Lucy can lift her arms to reach into her cupboards?

Ralph is an inpatient on the intensive care unit. He was admitted overnight with a diagnosis of acute right cerebrovascular accident (CVA) with left hemiplegia. What kind of splint does Ralph's doctor order for him?

Two weeks after being admitted to the hospital with a diagnosis of acute right CVA with left hemiplegia, Ralph is now able to get out of bed and participate in twice-daily therapy sessions. His left arm has not regained movement, and you notice a separation in Ralph's shoulder joint that is two fingers wide. You ask your OT department to contact the physician and request orders for what type of orthotic device?

Don is a 35-year-old outpatient with a medical history of brain injury. He is able to drive, but often gets lost. He cannot remember the routes he needs to drive to get where he needs to go. What adaptation do you recommend for Don?

During a home evaluation, you observe that Frances has two narrow steps with no railings to enter her home. She is currently using a wheeled walker for mobility, but her physical therapist anticipates that she will not need this much longer. What modification do you recommend to Frances for her home?

How many people are required to safely transfer a patient from a bed to a wheelchair using a Hoyer lift?

Arlene has severe arthritic deformities in both of her wrists. She cannot supinate her hand to neutral to hold a pen and write. What adaptation do you recommend for Arlene, so she can write?

How can you facilitate a swallowing reflex with Megan, so she will not pocket food?

Matthew, your 16-year-old student with quadriplegic cerebral palsy, has limited upper extremity motor skills. His teacher asks you for some ideas for Matthew that would address leisure skills. He spends most of his time at home watching television. What is one adaptation that you could recommend for Matthew?

Sandy is a 32-year-old client of the community program where you work. She has a diagnosis of Down syndrome with cognitive delay. Sandy completes her own basic self-care tasks, simple meal preparation, and housekeeping. Her case manager asks you for a recommendation for a supported employment placement. What do you recommend?

Is the use of physical restraint or seclusion allowed in public school?