WGU C475 - OA Final Exam Questions With Answers (Graded A+ 2023/2024)

WGU C475 - OA Final Exam Questions With Answers (Graded A+ 2023/2024). 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