COTA (Random Test 2 Notes)
What is the OT Process? (List the steps in order and who does each step)
1. Referral (MD)
2. Evaluation (OTR)
3. Intervention Planning (OTR and COTA together)
4. Intervention implementation (OTR and/or COTA)
5. Re-evaluate (OTR/COTA)
6. Discharge (if goals are met) OR
Continuation of Care
What is an outcome?
A goal; the OTR initially sets up the goals and the COTA reviews and motifies them as they do treatments
What three things do you need before seeing a client?
Name, diagnosis (Dx), precautions
Level of Assistance
I = Independent
mod. I = modified independent
AE = Adapted Equiptment
(Skipped a few levels in class)
min. A = minimal assist (25% COTA assist)
mod. A = moderate assist (50%)
max. A = maximum assist (75%)
Total A = total assist (100%) (OR dependent)
Give an example of a goal.
"Client will don a shirt with mod A"
Means: goal is that they will do it with 50% assist
They aren't there yet, so start with a lower level and when that goal is met, bump it up to min A and keep going up.
Things to consider when making goals?
Include level of assistance
Include a time limit (ex: standing for 5 min)
MAKE SURE GOALS ARE MEASURABLE AND REASONABLE
If current goal of standing for 3 min is met, move it to 5 min next; not 10 min.
Abbreviations: Clt., clt.s, pt., & pt.s
Client, clients, patient, patients
Abbreviations: c and s
with and without
Abbreviations: res., tx, dx (or DX)
resident, treatment (intervention implmentation) and diagnosis
Abbreviations: S, CGA, doff, & don
supervision, contact guard assist (transfer belt), off, & on
Abbreviations: stdg, drsg, g/h (or G/H)
standing, dressing, grooming & hygiene
Abbreviations: act. tol, str., end.
activity tolerance, strenght, endurance
Abbreviations: LE, UE, R, L, B, & ROM
lower extremedy, upper extremedy, right, left, bilateral, range of motion
Abbreviations: LTG & STG
long term goal & short term goal
When does discharge planning start?
At the beginning of the process with planning LTGs; after and during the evaluation