Term
What are psychotropic meds |
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Definition
"mind changing' drugs that alter or change the way the mind works
helps to reduce symptoms, assist in returning people to premorbid function |
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Term
how do psychotropic drugs work |
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Definition
alter neurotransmitter blances in the brain. |
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Term
What brain chemicals do psychotropic drugs effect |
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Definition
dopamine, norepinephrine, serotonin |
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Term
psychotropic drugs for schizophrenia work primarily on what key brain chemical |
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Definition
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Term
anti depressants work by altering levels of what key brain chemical |
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Definition
serotonin
each antidepressant has a slightly different action |
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Term
Why do COTAs need to know about psychotropic drugs |
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Definition
We observe the effects of the meds on the pt.'s Sx, performance of ADL's, watch for side effects/complications, encourage pt to comply with medications, report undocumted drugs to prevent interactions |
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Term
How can psychotropic drugs be administred |
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Definition
Oral (tablets, capsules, extended release capsules)
Liquid form
injection |
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Term
Schizophrenia (and other psychotic disorders) are treated with drugs known as |
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Definition
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Term
neuroleptics are designed to |
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Definition
control hallucinations and delusions, bring person in better contact with reality, may reduce violent or possible dangerous ehaviors of manic episodes and with drug abusers |
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Term
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Definition
extrapyramidal syndrome
movement disorder
anti-parkinsonian drugs also have side effects of dry mouth, blurred vision |
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Term
What is neuroleptic malignant syndrome |
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Definition
extreme rigidity and catatonia |
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Term
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Definition
tardive dyskinesia
may become permanent unless stopped
facial movements, writhing of the tongue and/or fingers, disfiguring and embarrassing |
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Term
What is the therapeutic value of antidepressants |
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Definition
relief from depression and the risk of suicide, relief from social withdrawal, may also increase actiity or normalize sleep and appetite |
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Term
What are the 3 major classes of antidepressants |
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Definition
Tricyclics, MAOI's (monoamine oxidase inhibitors- may cause HTN), and SSRI's (selective serotonin reuptake inhibitors-has fewer side effects) |
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Term
Lithium medications fall under what medication category |
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Definition
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Term
How does Ritalin affect children and adults |
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Definition
children: controls hyperactivity
adults: increase mental and physical activity |
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Term
What are some side effects of ECT |
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Definition
(Electroconvulsive therapy) headaches,STM loss, confusion, relief of depression Sx including suicide |
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Term
What does psychosurgery provide relief from |
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Definition
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Term
what are the 3 levels of motivation for occupation or action |
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Definition
exploration motivation
competency motivation
achievement motivation |
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Term
What is the exploration motivation |
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Definition
is the desire to act, to explore for the pure pleasure of it |
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Term
What is competency motivation |
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Definition
the desire to influence the envionment in a specific way and to get better at it |
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Term
What is achievement motivation |
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Definition
the desire to attain, compete with or surpass a standard of excellence |
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Term
Early childhood (b-5yr) has the main occupation of |
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Definition
Play
children are dependent upon their parents (caregivers) to provide basic needs in a nurturing and supportive environment |
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Term
What role does the OT play in children b-5yr |
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Definition
sensorimotor or sensory integrative treatmet approaches, behavioral approach, modifying the environment for success, building trust |
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Term
Later childhood (6-12 yr) has an occupation of what |
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Definition
still mostly play but the child begins to learn more social norms, delay gratification, become aware of the needs of others |
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Term
What Dx can a later childhood (6-12 yr) have |
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Definition
conduct disorders, ADHD, LD, drug and ETO abuse, Tourettes syndrome, aspergers |
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Term
What role does OT have in later childhood 6-12yr |
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Definition
may be seen in schools, after school, day treatment programs.
Tx approach varies with philosophy and setting and ot will need to always address education baed goals in school systems (handwriting, note taking) |
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Term
What occupations does the adolescence (puberty -21) have |
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Definition
develop an identity sperate from ones parents, spends more time engaged in play, work consists of school and chores, puberty, choice of career is examined |
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Term
What Dx can an adolescent have (puberty-21yrs) |
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Definition
major psychiatric disorders (scizophrenia, mood disorders, mania, depression), substance abuse, eating disorders, identity issues (gender identity, rebel against authorities).
Dx may require hospitalization |
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Term
What role does the OT have for adolecents puberty-21 yr |
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Definition
enhanement of basic ADL's and IADL's, acquisition of prevocational leisure skills, self esteem and self identity, sensorimotor skills (body image), computer sprogram activities |
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Term
What occupations does early adulthood have (21-40) |
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Definition
adult role is now focused on work, strive to succeed in career, develop friendships and intimacies with others, search for marital or intimate partner, parenthood, contribute to the future |
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Term
Dx for adulthood 21-40years |
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Definition
mood disorders (chronic), personality disorders, anxiety disorders, alcohol and substance abuse, adjustment reaction disorder, domestic violence, inertility, hiv/std, or mental disorders previously unDx |
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Term
Role of the OT in adulthood 21-40 yrs |
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Definition
facilitate development of adult life skills and fulfillment of goals, address ADL/IADL's, social skills, leisure skills, vocational skills, education, crisis intervention, identification of goals |
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Term
occupation of midlife age 40-65 |
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Definition
work, but may be reevaluating lifes direction (Erikson generativity, stagnation), more attention to the process of aging (wrinkles, menopause), looks toward the future and retirement |
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Term
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Definition
continued chronic problems (burn out, pt role), adjustment disorders (life stressors, maladaptive behaviors, overeating, drinking, withdrawal), early onset dementia and other organic brain syndromes |
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Term
role of ot in midlife 40-65 |
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Definition
previous interventions, adjustment (conflict resolution model), demetia |
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Term
what role does late adulthood and aging have (age 65-death) |
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Definition
back to play, understand and appreciate accomplishmens (think of Erikson ego integrity vs despair), loss of career ole, creating new roles, aging body, change in status and social identity, loss of friends, famly through death |
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Term
dx of late adulthood 65-death |
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Definition
depression, alzheimers and ther organic mntal diorders, economic issues, medical issues (physical) |
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Term
OT role in late adulthood 65-death |
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Definition
maximize functional independnce in ADL/IADLs, reality orientatio, remotivtion and reminiscence techiniques, physical activities, crafts, games, puzzles, environ adaptations, develop hobbies and social interest |
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