Blog

Which of the following can result from reduced tone in lower esophageal sphincter with increased gastric pressure?

  A 45‑year‑old woman with right hemiparesis after a stroke is observed preparing a cup of tea in the therapy kitchen. She scans the counter, reaches with the left hand to open a tea bag, spills water while pouring from the kettle, hesitates when using the electric kettle switch, and places the cup on the far edge of the counter requiring trunk lean. Which of the following statements best reflects an analysis of performance from the observation?  

  An occupational therapist uses a visual analog pain scale to assess a patient diagnosed with rheumatoid arthritis, who presents with chronic pain and swelling in both hands and wrists. Together, the therapist and patient have identified pain management as a targeted outcome.  Pain management is best categorized under which of the following occupational domains?  

Which of the following best describes performance patterns as defined in the OTPF-4?

Specific capacities, characteristics, or beliefs that reside within the person, group, or population and influence performance in occupations best describes which of the following?

Liz is a 68-year-old who was diagnosed with rheumatoid arthritis. She has experienced pain and stiffness to her neck, bilateral upper and lower extremities. She has difficulty safely navigating more than 4 to 6 steps in her 2 story home and tends to stay on the first floor of her home most of the time to avoid going up and down the stairs in her home. Putting on a bra, washing her hair and putting on pullover shirts have become increasingly difficult for her. As a result Liz has stopped attending programs at the local senior center. Using the COAST format for goal writing, identify the T (Timeframe) in the goal below. Client will independently don a pullover shirt using a reacher within 4 weeks during therapy sessions.

During an OT evaluation a  client describes performing a daily tea ceremony before bedtime that includes specific words, arranging a cup and candle, and reflecting on the day. The client reports that this practice helps them feel connected to family and prepares them for sleep. This scenario best illustrates which performance pattern?

  An 82‑year‑old woman uses a wheeled walker for household ambulation but reports difficulty crossing the street to reach the community center. During observation she demonstrates delayed reaction to obstacles, decreased endurance, and requires frequent hand support from the walker when turning. Which of the following body functions is most directly implicated in the client’s difficulty with community mobility in this scenario  

  A 70‑year‑old man struggles to walk from his home to the nearby bus stop (approximately 150 meters). During a community mobility assessment he demonstrates slow gait speed, needs frequent rests, has difficulty recovering from small slips, and reports shortness of breath when walking uphill. Which of the following body functions is most directly required for successful community mobility in this scenario?  

Liz is a 68-year-old who was diagnosed with rheumatoid arthritis. She has experienced pain and stiffness to her neck, bilateral upper and lower extremities. She has difficulty safely navigating more than 4 to 6 steps in her 2 story home and tends to stay on the first floor of her home most of the time to avoid going up and down the stairs in her home. Putting on a bra, washing her hair and putting on pullover shirts have become increasingly difficult for her. As a result Liz has stopped attending programs at the local senior center. Which is the most appropriate functional problem statement?