Mosby PART 2

The OT was asked to design a tenodesis splint for a patient with an incomplete C6 SCI. Which therapeutic goal would this treatment MOST likely support?

• Patient will be able to use the hands to perform grasp and release

• Patient will be independent with manipulation of fasteners

• Patient will assist with self-feeding using adapted equipment

• Patient will be able to put on and remove garment using overhead technique

A patient is referred to OT for splinting. The goal of splinting is to increase ROM that will eventually allow improvement in fine motor coordination and prehension patterns. Which strategy should the OT use to accomplish this goal?

• Apply a dynamic splint for controlled motion

• Apply prolonged stretch to the joint and soft tissue

• Position the extremity in a functional hand position

• Position the extremity in the safe hand or antideformity position

A client with a TBI is attending a work rehabilitation program. The long-term goal is to have the patient resume work at a food processing plant handling the canning process. Overall strength and coordination are good, but the client exhibits occasional angry outbursts with other workers. The OT program should include:

• A program that stimulates the procedures for canning

• Prework hardening with emphasis on social interactions and work readiness

• Recommendations to physician for medication to help impulse control

• Recommendation for client to delay therapy until behavior is controlled

The OT is working with a child who has some behavioral issues and the child's family as well. What are important cultural contextual factors that need to be considered in therapy?

• Family's view of disability, discipline and value of independence

• School's view of child's academic performance

• Family's view of their fit and status in the community

• Family's financial status and level of education

An office worker experienced an injury that resulted in being confined to a wheelchair. When the worker returned to work, an OT was consulted to assess the worker and make recommendations about reasonable accommodations. The OT's recommendations should address:

• Accessing the building, work area, and bathrooms

• Remodeling the building to accommodate the individual's wheelchair

• Renting a new office space for the individual

• Investigating other job possibilities

The OT designing an intervention plan for a 10 y/o with a learning disability. The intervention plan should focus on developing performance skills related to:

• Tactile-kinesthetic input

• Behavioral issues

• Motor function

• Cognition

A patient presents with morning stiffness, joint inflammation, muscle weakness, and difficulty with community mobility and ADLs. The OTs initial goals should be:

• Preservation of muscle strength

• Maintenance of lifestyle

• Relief of pain and inflammation

• Education of patient to use adapted equipment

During a treatment session, the OT observes that the patient can flex the affected shoulder through its full ROM in side lying. The OT should progress to activities that places the extremity in:

• Gravity-assisted position

• Gravity-eliminated position

• Neutral position

• Antigravity position

A patient with peripheral neuropathy has impairment of sensation in bilateral feet and hands. The main focus of treatment should be:

• Desensitization techniques

• Sensory retraining or re-education

• Compensatory techniques related to safety

• Assisting patient in diminishing stereognosis

To evaluate the proper fit of a splint given to a patient, the OT should:

• Instruct the patient to return to rehab facility if any redness occurs

• Observe for signs of redness after 20 minutes of wearing the splint

• Use a splint pattern to custom make the splint for the patient

• Observe for pressure marks after 24 hours of wearing the splint