Intro; test 2
What are the 5 General Approaches to Intervention?
(1) Create/promote - health promotion; (2) establish/restore - re-mediate; (3)Maintain; (4) Modify - compensation/adaptation; (5) Prevent
Good goals are...
* Relevant to the client
* Occupation based
How can you assess money management of clients?
Give out a blank check and ask them to fill it out for a certain amount and certain place; give a simple money test (shopping for gloves); see if their bills are open to indicate they are paying them
What are activity demands?
The objects used and their properties.
Example: difficulty grasping a spoon; build with blocks, bead work, sort objects, etc.
Do performance patterns change?
YES - depending on the environment - your roles are based on where you are (you're a mom at home, a student at school, etc.); habits can change as well (eating habits, exercise habits)
What is a child's occupation?
Name the three areas of social participation & describe each.
*Community - engage in activities that result in successful interaction with neighbors, organizations, work, and school
*Family - engage in activities that result in successful interaction in specific and desired familial roles
*Peer/friend - engage in activities at different levels of intimacy, including sexual activity
What are the universal stages of loss? Which two are seen most often in clients?
(1)denial; (2)Anger; (3)Bargaining; (4)Depression; (5)Acceptance
Seen Most: Anger and depression
What is a therapeutic relationship?
Addressing physical and emotional needs of the client; treating the whole person in an individual way; understanding the client and his/her motivations, desires, and needs
Who benefits from a therapeutic relationship?
What is the therapeutic use of self?
awareness of oneself, including communication and relations, and how one presents themself
What is self awareness?
Knowing one's true nature; the ability to recognize one's own behavior, emotional responses, and effect on others - knowing strengths and weaknesses
What is empathy?
Understanding an experience that is shared; the ability to put yourself in another's position and understand the other's perspective; NOT pity (which is sympathy with condescension); NOT IDENTIFICATION (feeling at one with clt. and loosing sight of differences)' SHARED EXPERIENCE
What is sympathy?
NOT a shared experience; it's feeling sorry for another person; example: a friend's pet dies and you've never had a pet; a client looses a parent, but you've never lost one, etc.
Define active listening.
Listening without making judgments, jumping in with advice, or providing defensive replies.
It includes: paraphrasing, restating, reflecting, and clarifying.
What are task groups?
Therapeutic, peer-support, focus, and consultation and supervision
1st - determine ind. goals of members
2nd - determine group goals & decide how to meet ind. needs with a group task
3rd - organize activity by analyzing the steps involved (activity analysis, # of participants, setting, time, materials needed, etc.)
What are group dynamics?
interacting forces within a small human group; the sociological study of these forces.
What are observations?
The means of gathering information about a person or environment by simply being present and noticing.
What are behavioral observations?
Statements about an individual which are substantiated or backed up by facts.
Example: Jill was tired, as evidenced by falling asleep at the dinner table."
(Judgment, connector, fact)
What are the three behavioral observation connectors?
As demonstrated by; as noted by; as evidenced by
What kind of motor praxis skills are required for grabbing a cup?
lateral movement (one side), crossing the mid-line, bilateral integration (both sides <hands> together, motor control (easily put cup down)
What is apraxia?
The inability to perform purposeful movement.
What is occulomotor?
Coordinating body parts with visual information while engaging in physical activity. (example: playing basketball)
What is proprioception?
Knowledge of body position in space (Example: Raise your right hands."
What is gustatory?
One of the senses - it's taste
What is vestibualr?
located in the inner ear activated by head movement (balance) - awareness of acceleration, deceleration,a and spacial orientation
What is involved in high level cognitive skills?
Having coping skills
Problem solving skills
What is it not important to jump to conclusions? Give an example
The context and environment make a difference; someone might be hysterical when there's a flat tire, but then you find out her husband and baby were just in a car accident and she was on her way to see them and it is taking longer now due to a flat tire.
What are the distances for public, social, personal, and intimate space?
public - 12-25 feet
social 4-12 feet
personal - 18 inches -4 feet
intimate: less than 18 inches.
What level of space do you use when working with clients on ADLs?
personal or intimate
What three areas are included in a cognitive check?
Person, place, and time
What does it mean to write a person is oriented x3? x2? x1?
Oriented x3 means clt. knows person, place, and time.
Oriented x2 - missing one of the three
Oriented x1 - missing two of the three
When do you ask more than one cognitive question about person, place, or time?
When they get one wrong or needs clarifying. For example, if they get the year wrong, do they still know the current president or do they say the name of the president to match the year they think it is? If they don't know exactly where the are, look at where the have been; they might be getting all the places mixed up.
What are the behaviors needed for work and education?
Cooperative, attention span, decision making, motivation, attendance (being there physically and mentally), acceptance of supervision, appropriate appearance, punctuality, responsibility, organization, and productivity.
What are some relaxation techniques used by the speaker Deb?
Weighted blanket, warm-pack (heated shoulder pack), low lighting, soothing music, lava lamps, etc.