A
Activity demands are __________ to specific __________ _________. - ANSWER>>linked;
client factors
Client factors - ANSWER>>components which reside within or are unique biophysiological
factors of teh individual
Client factors __________ the ability to ___________ in occupations. - ANSWER>>affects;
engage
What is the scope of practice issue with PAMS - ANSWER>>challenge to the "use of heat, light,
water, sound.."
T/F AOTA had an official position on PAMS - ANSWER>>false
PAm task force was created in ____________ to explore issues and philosophical positions -
ANSWER>>1990
Professional issues with PAMS - ANSWER>>-many opposed
-inconsistent with professions theory and philosophy
______% physical disability practicioners felt PAMs was a natural evolution toward new
technologies - ANSWER>>80%
_________% thought PAMS was consistent with the philosophical base - ANSWER>>58%
Where do you go to find out about a state's modalities/thermal agent's specific law? -
ANSWER>>Department of Health and Human Services
,Outcome of PAMS - ANSWER>>- inconsisitency between desire to clinicians to obtain
education and training at an academic level
-contributed to states adopting regulatory language to outline skills and training needed
_________ states with liscensing language or regulations specifiying training requiement for
PAMS application - ANSWER>>>26
FL, NY, IL, NE, SD, CA, MT, NH, NJ, GA, MD, KY, TN - ANSWER>>states that identify
education/training requirements for PAMS and require seperate liscense.
Educational programs only need to ____________ but not _______________ application of
PAMS. - ANSWER>>demonstrate; perform
-lack of understanding of theoretical framework
-Top-down approach
-occupation as the end and means
-no reference to dx in the OT practice framework
-insecurity and inconsistency in whether OT's diagnose - ANSWER>>Theoretical issues of
PAMS
What is the OTPF missing? - ANSWER>>- we don't diagnose
-but we can have a clinical impression
Activity demand - ANSWER>>components and characteristic of activity will determine demand
of activity and impact the skill or completion of performance
Difference between OT and PT education - ANSWER>>-PT said to be medically based/
reductionistic
-We went from reductionistic to a hybrid of medical and community components
-OT needs to be better at medical component
, What kind of patient has a better outcome after a hip or knee replacement? - ANSWER>>patient
who are physically active prior to srugery
At what point do you put in a shoulder arthroplasty? - ANSWER>>- when they have
uncontrolled pain
- movement needs to be at 90 flexion and abduction
Significance of PAMS - ANSWER>>- impact CF
-influence biophysiological fctn of tissue
-influence cardio, hematological, and immunological systems
-use preparatory to treating a variety of neuro-musculo, movement mrelated and sensory
functions
What caused a change in clinical reasoning for PAMS - ANSWER>>- it impacts performance at
cellular level
-modifies cellular/histochemical activity within body
T/F you need to engage in actiity and occupation when using PAMS - ANSWER>>true
Physical agent modalities - ANSWER>>procedures and interventions that are systematically
applied to modify specific client factors when neurological, musculoskeletal, or skin conditions
arepresent that may be limiting occupational performance
Purpose of using the energy of PAMS - ANSWER>>- modulate pain
-modify tissue healing
-increase tissue extensibility
-modify skin/scar tissue
-decrease edema/inflammation
T/F PAMS are used in preparation for or concurrently with purposeful and occupation based
activities - ANSWER>>true