Exam 2: Implementing Interventions

Felicia is an 8-year-old outpatient who sustained a thumb injury when her hand was slammed in a car door. You would like to use fluidotherapy to help relieve pain and improve mobility in Felicia's carpometacarpal (CMC) joint. But she is afraid of the unit. What could you do to help Felicia accept the treatment?

Bud is at home recovering from a stroke. He can no longer sit in the bathtub to take a bath. Bud uses a wheelchair to get around his house most of the time. What adaptation do you recommend to Bud for bathing?

How do you evacuate a wheelchair-bound high school student from the second story of the high school in the event of a fire?

Your student, Megan, cannot feed herself. She often pockets food when eating. What does this mean?

Your student, Dani, begins to cry when you ask her to write a paragraph. She says it's too hard and you are a mean OT teacher. How could you grade this activity, so it is not so overwhelming for Dani?

Arthur is an 82-year-old man with a diagnosis of left cerebrovascular accident with right hemiplegia. How do you teach him to put on a button-down shirt by himself?

Three of your OT students are experiencing difficulties feeding themselves in the lunch room. They spill their trays, create large messes, and do not eat much food. All three of the students have diagnoses of autism spectrum disorder. How could you address the feeding issues of your students?

Brenda, your outpatient, owns an antique store. She has had multiple back surgeries and, as a result, can no longer climb the stairs to the second story of her shop. Brenda complains to you that the second story of her shop is where she keeps all of her inventory, and she must be able to access it. What recommendation do you give to Brenda to address this problem?

Your student, Eric, must have thickened liquids at a honey consistency. What does this mean?

Alyssa, your new 3-year-old student, jumps all over the therapy room and cannot attend to a task for more than a few seconds at a time. How do you structure Alyssa's therapy sessions?

How could you inhibit spasticity in the left, upper extremity of your patient - a toddler with cerebral palsy?

Lester will be discharged from the nursing home in one week. He lives alone, and you have concerns regarding Lester's ability to follow through with the adaptive dressing and housekeeping techniques you have taught him during his nursing home stay. What do you and your OT department decide to do to insure that Lester will be able to follow through with the techniques you have taught him?

Emily is an 88-year-old outpatient with senile dementia. Her family reports that Emily likes to watch television, but she cannot operate the remote control. They have to help her find stations. What adaptation do you recommend for Emily?

Your patient Iva, who has a diagnosis of left cerebrovascular accident with right hemiplegia, has partial shoulder movement with grade 2+ strength. What modality could you use to facilitate shoulder flexion during a reaching activity?

Ford is a 33-year-old rehabilitation patient with a C5-C6 spinal cord injury. He would like to work on pulley exercises to strengthen his upper extremities, but he cannot hold on to the pulley handles. How can you adapt the pulleys, so Ford can exercise?

Your friend Angie has muscular dystrophy. She can still walk around her home using a wheeled walker, but she can no longer manage her grocery shopping. She gets too tired walking behind the shopping cart. What do you recommend to Angie?

Amy is a 57-year-old inpatient with a diagnosis of schizophrenia. She dislikes the smell of food and avoids eating when possible. Amy's doctors are concerned about her nutritional status. What interventions could you try with Amy to desensitize her sense of smell, so she can eat?

Remy is a 37-year-old man with a cognitive disability. He has been working with you on shopping skills and can now successfully shop for and purchase one item at a department store with no assistance. What would be your next step in teaching Remy shopping skills?

Norman has left hemiplegia from a right CVA. His Medicare Part A coverage has run out, and his wife wants to take him home rather than pay for a longer nursing home stay. Norman is developing spasticity in his affected arm and has been issued a resting pan splint. What training will his wife need before she takes Norman home?

Your student Jesse, who has multiple developmental disabilities, cannot feed herself at lunch without spilling food on her lap. She holds her spoon with a gross grasp and cannot scoop food without shoveling it off her tray. She does not pay attention to where her food items are and repeatedly knocks her milk and tray off the lunch table. What adaptations do you recommend for Jesse to her teacher?