A COTA works in a busy outpatient clinic that has a large open space where several therapy sessions are occurring simultaneously. The COTA is providing intervention for a client who has executive dysfunction secondary to an acquired brain injury. The client wants to return to work as a receptionist in an office that has an open concept design. Currently, the client is able to complete most work tasks in the therapy environment, but becomes easily distracted by movements and sounds. Which adaptation to the treatment environment would be MOST BENEFICIAL for promoting the client’s progress towards the return-to-work goal?

Position a portable partition to block the client’s line of sight from the other activities occurring in the clinic.

Schedule future sessions in a quiet treatment room within the rehabilitation department that has no visual or auditory distractions.

Configure a simulated work station cubicle with side walls and have the client use noise cancellation headphones during sessions.

Answers

Answer 1
The adaptation to the treatment environment that would be MOST BENEFICIAL for promoting the client's progress towards the return-to-work goal would be to configure a simulated work station cubicle with side walls and have the client use noise cancellation headphones during sessions. This adaptation would recreate the environment that the client wishes to return to and provide a controlled environment where distractions can be minimized. The noise-cancelling headphones would help to block out any external sounds that may cause the client to become distracted. With this setup, the client can practice working in an open concept design environment while still being able to focus on the task at hand.

Related Questions

CASE STUDY A
Acute Pain
L.Y. is a healthy 13-year-old who had all her wisdom teeth removed 6 hours ago and is experiencing significant pain. She has been prescribed acetaminophen and codeine for pain relief and is at home recovering. Her mother wants her to rest and stop text- messaging her friends about her dental surgery.

1. How do acetaminophen and codeine act to reduce pain? What is a side effect of high levels of each drug? Why has the dentist prescribed only a limited supply of the medication?
2. How does L.Y.'s text-messaging behavior affect her perception of pain?
3. Does L.Y. need to rest in bed quietly to reduce pain?
4. L.Y. becomes increasingly irritated with her mother and tells her to "get off my case." How does L.Y.'s stress affect pain perception?

Answers

1. Acetaminophen and codeine act to reduce pain through different mechanisms. Acetaminophen is an analgesic and antipyretic that works by inhibiting the synthesis of prostaglandins, which are responsible for pain and inflammation. Codeine is an opioid analgesic that acts by binding to opioid receptors in the brain, reducing the perception of pain. Side effects of high levels of acetaminophen include liver damage, while high levels of codeine can lead to respiratory depression, constipation, and addiction. The dentist prescribed a limited supply of the medication to minimize the risk of side effects and potential dependence.

2. L.Y.'s text-messaging behavior may have both positive and negative effects on her perception of pain. On one hand, communicating with friends can provide a distraction, which may help to reduce the perceived intensity of the pain. On the other hand, continually discussing her dental surgery may keep her focused on the pain, potentially exacerbating it.

3. Resting in bed quietly may help L.Y. to reduce pain by allowing her body to recover and heal. However, engaging in gentle activities that distract her from the pain, such as reading or watching a movie, can also be beneficial. It's essential to find a balance between rest and distraction that works best for L.Y.

4. L.Y.'s stress can negatively affect her pain perception. Stress can increase the release of stress hormones, such as cortisol, which can intensify the sensation of pain. Additionally, stress can exacerbate emotional responses, leading to increased discomfort and a heightened perception of pain. It's crucial for L.Y. to manage her stress levels during recovery to ensure optimal pain control.

What brain function is affected by stressful environments

Answers

Brain areas implicated in the stress response include the amygdala, hippocampus, and prefrontal cortex. Neurochemical systems, including Cortisol and norepinephrine, play a critical role in the stress response

1. What is the FIRST step for working toward equity, which in turn moves the world closer to global health?
providing clean drinking water worldwide
limiting the amount of illegal immigration that occurs
acknowledging that there is unfair treatment, or inequity
eliminating poverty in all nations

Answers

providing clean drinking water worldwide is the FIRST step for working toward equity, which in turn moves the world closer to global health

What has changed in the field of global health?

The phrase "international health" is quickly being replaced with the word "global health." We discuss the World Health Organization's (WHO) position in global and international health as well as the transition between the two.

The phrase "global health initiatives" is used to describe institutions that coordinate the efforts of international stakeholders to raise and distribute funding to solve health concerns, and who accomplish this through assisting the implementation of health projects in low- and middle-income countries.

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When your immune system recognizes a foreign protein or chemical, it forms specific ___.

Answers

When your immune system recognizes a foreign protein or chemical, it forms specific antibodies. Antibodies are proteins produced by the immune system in response to the presence of antigens, which are foreign substances that the body recognizes as harmful. The antibodies are designed to specifically recognize and bind to the antigen, marking it for destruction by other immune cells. This process is called the immune response and is a critical part of the body's defense against infections and diseases. The ability to produce specific antibodies is a key feature of the adaptive immune system, which is capable of recognizing and responding to a wide range of different pathogens and foreign substances.

Using the reflective discussion method, discuss two measures healthcare organizations should consider putting into place to protect health record data to ensure that the health record integrity is maintained and the health record data is available for treatment. Are there any issues with these measures? How will you apply these measures as a HIM professional?

Answers

Measure 1: Implementing robust access controls and authentication

One measure healthcare organizations should consider is implementing strong access controls and authentication protocols. This can involve using multi-factor authentication (MFA) to ensure that only authorized individuals can access health records. Additionally, healthcare organizations should implement role-based access controls to limit the information accessible to each user based on their job function.

Potential issues with this measure could include increased complexity for users, such as remembering multiple passwords or using MFA devices. There may also be resistance from staff members who find the new security measures inconvenient.

As a HIM professional, I would work with IT and security teams to develop and implement access control policies and ensure that all employees are trained in the appropriate protocols. I would also work to communicate the importance of these measures in protecting patient privacy and maintaining health record integrity, to help gain buy-in from staff members.

Measure 2: Establishing regular backups and data redundancy

Another measure to protect health record data and ensure its availability is establishing regular backups and data redundancy. This involves creating multiple copies of health record data and storing them in different locations, such as on-premises and in the cloud. Regular backups should be scheduled to minimize data loss in case of a system failure or cyberattack.

Potential issues with this measure include the cost of additional storage and infrastructure, as well as ensuring that backup data is also secure and protected from unauthorized access.

As a HIM professional, I would work closely with IT and security teams to develop a comprehensive backup and data redundancy strategy, ensuring that all critical data is securely backed up and accessible in the event of a disaster. This would involve selecting appropriate backup solutions, monitoring the success of backup processes, and regularly testing backup data to verify its integrity and accessibility.

Explanation:

By implementing these measures and addressing potential issues, healthcare organizations can help protect health record data and maintain the integrity and availability of the information necessary for patient treatment.

_________ is having another person watch you lift and assist you if anything goes wrong. A. Coaching B. Observing C. Spotting D. Co-lifting

Answers

Answer:C spotting

Explanation: a spotter is a person who watches a person light or perform an exercise and helps only if needed to avoid injury to the

4.1 Meaning of citizenship

Answers

Citizenship refers to the status of being a member of a particular country or state, and enjoying the rights and privileges that come with that membership. It is a legal and political concept that defines the relationship between an individual and the country in which they reside or have a connection to. Citizenship grants individuals certain rights and responsibilities, such as the right to vote, the right to work and live in the country, the obligation to pay taxes, and the duty to obey the laws of the country. It is an important aspect of national identity and is often acquired through birth, descent, naturalization, or marriage.

the legal status & relationship between an individual and a state that provides an entitle of specific rights and duties..

it's also called as Nationality

How does L.Y.'s text-messaging behavior affect her perception of pain?

Answers

Could you please provide more context and send me a message possibly? Thank you

Answer the following questions using the information provided (show all calculations)

Is the ear plug effective to work for 8 hours? Why?

After using the ear plug, the worker can work for? (maximum time)

After using the ear plug ,If the worker is standing 2 meters away from machines, what will be the distance that will allow the worker to work for 8 hours?

Answers

The distance that the worker would have to stand would be given as  3.36 meters

How to solve for the distance

29 dB is the NRR of the ear plug

The effective noise level = 100 dB - 29dB

= 71dB

According to OSHA the maximum level is given as 90 dB for a time of 2 hours.

90 - 29

= 61 dB

Distance 2 = 2 meters x (100 dB/71 dB)^(1/2)

Distance 2 = 2 meters x 1.68

Distance 2 = 3.36 meters

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Which of the following is NOT a health benefit of a "built environment"?
O visible and well-lit stairs
O increased levels of pollution
O designated bike paths and sidewalks
O housing built in close proximity to schools, shops, and work sites

Answers

Answer: increased levels of pollution

Explanation:

Increased levels of pollution is not a health benefit of a built environment. In fact, pollution has negative effects on health. A well-designed built environment promotes physical activity, social interaction, and access to essential services, which contribute to better overall health. Visible and well-lit stairs, designated bike paths and sidewalks, and housing built in close proximity to schools, shops, and work sites are all examples of features in a built environment that can promote health and well-being.

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