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WGU C475 - OA Final Exam Study Guide Questions and Answers
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WGU C475 - OA Final Exam Study GuideQuestions and Answers
Role of Caregiving - -These individuals help with personal care, dressing,
feeding, toileting, helping ambulate (ADLs); medical care (med management,
BP, oxygen tanks); organize doctor's appts, manage finances, & deal with
daily household tasks (IADLs); emotional support; very knowledgable about
their condition & needs, and often become their advocate
-True or False: caregivers can be informal who are family or friends who
have no formal training or caregivers can be hired from companies who are
trained. - -True
-Effects of Caregiving - -- Higher costs & financial difficulties
- May be unable to work full time or hold down a job altogether
- Their employers don't have adequate policies in place to support them
- Sacrifice their own health & well-being in order to care for their loved ones
- Spend so much time caring for loved ones that their family & relationships
can suffer
-What assessments are used when treating caregivers? - -Caregiver self-
assessment questionnaire
-Most caregiver assessments screen for what? - -stress, burden, anxiety,
and other psychological effects of caregiving
-Can you bill for the time spent treating your client's caregiver? - -Yes.
-What conditions must be met in order to bill for the treatment of the
caregiver? - -Client must be directly involved in the caregiver training. This
can include medication management, transfers, dressing, etc.
therapist is training them on how to perform the activities
-What interventions are used for caregivers? - -- Energy conservation,
psychosocial factors, prioritizing roles, time-management
- Create documentation of instructions for home focused towards the
caregiver's needs and abilities
-Define Hospice - -- encompasses a philosophy of care for individuals of any
age with life-limiting illnesses for whom further curative measures are no
longer desired or appropriate.
- focuses on symptom control and meeting the emotional, social, spiritual,
and functional needs of the client and family
, -Define Palliative Care - -- an approach that improves the QoL of the
patients and their families facing the problem associated with life-
threatening illness, through the prevention and relief of suffering
- initiated at any point in the course of the client's illness
- Curative care interventions also may be used
-How do you assess hospice patients? - -- Often referred by an a doctor and
we can advocate for our services
- Client-centered approach to establish a relationship to facilitates dialogue &
appropriate intervention priorities of occupational & functional areas
- QoL assessment tools can also be appropriate
-What are some assessments used when treating hospice patients? - --
Individual Prioritized Problems Assessment (IPPA)
- ADL Interview (ADL-I)
- Canadian Occupational Performance Measure (COPM)
- Assessment of Motor and Processing Skills (AMPS)
- Time-use diary
- Qualitative interviews
-What interventions are used for the treatment of hospice patients? - --
Fatigue management
- Care of lymphedema in collaboration with physical therapy
- Compensatory strategies (including home modifications & assistive
technologies)
- Education of patient, caregivers & health care professionals (transfer,
relaxation techniques, ergonomics & lifestyle)
- Training daily activities
- Providing opportunity for enjoyment
- Support both patient & families - trained in enhancing participation in
meaningful activities, sensory stimulation, family & staff edu, positioning, &
emotional & spiritual needs
-Define Restraints - -any method, drug or medication, physical or
mechanical device, material or equipment, that immobilizes or reduces
access to move any part of the body freely, particularly when used to restrict
or manage a client's behavior or movement
-What are the two types of restraints? - -1.) Chemical restraints such as
sedatives, anticonvulsant medications, anti-anxiety medications for the
purpose of restraint
2.) Physical or mechanical device, material, or equipment that reduces the
ability to use part of body freely
-What assessments are used when determining if restraints are appropriate?
- -- Assess the person's strengths, needs, and other factors help identify
, safety, health, and behavioral concerns that increase the probability of the
use of restraint or seclusion.
-How are restraints related to falls? - -Physical restraints are not effective in
reducing falls or injuries for older adults in hospitals or nursing homes
-Do you need a physician's order to put a patient in restraints? - -Yes.
-How often must a physician's order be renewed for restraints? - -every 24
hours.
-What must be included for a physician's order to put a patient in restraints?
- -clinical justification for restraint, ineffective alternatives attempted,
specific time period (up to 24 hr) and type of restraints to be used
-CDC reports that ____________ of adults with cognitive impairment
experience sexual violence, and ___________ Americans have a disability
(CDC, 2019) - -25-67%
1/5
-__________ of people with disabilities reported past/present sexual
dysfunction; of the 79% of health professional who found the topic
important, only ______ felt comfortable addressing it as most identified lack
of training and preparedness ( Haboubi & Lincoln, 2002) - -72%
9%
-____________ of partners affects by stroke report a reduction in frequency or
complete cessation of intercourse( Hall, 2013) - -73-85%
-_________ of TBI survivors report some sexual disruption post injury
( Moreno et. al., 2013) - -50-60%
-How do relationship roles impact sexuality? - -- Changes in relationship
roles led to an inability to perform according to previous expectations,
causing a reduction in self-esteem and a fixation in a dependent sick role by
the affected partner.
- Dependence on non-affected partner for self care led to sexual passivity
-The Occupation of Sexuality - -- how a person identifies and expresses
oneself as related to sex, orientation, intimacy, whether related to sex
organs or not.
- self perception, moral/values, think about societal trends/media/ etc
-True or False: Sexuality is a learned behavior in many aspects. - -True
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