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Occupational Therapy · NBCOT

OTA: Community and Home Health Practice

Home safety assessment and community-based occupational therapy practice setting concepts tested on the NBCOT.

30 cards · basic cards · AI-written, checked twice. Edit anything.

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What is the primary purpose of a home safety assessment conducted by an occupational therapist?
To identify environmental hazards and functional barriers that could increase injury risk or limit independence in the home
What design philosophy aims to create environments and products usable by the widest range of people without adaptation?
Universal design
Name a common accessibility modification recommended to allow wheelchair entry to a home.
A ramp replacing or supplementing entry steps
What minimum doorway width is generally recommended to accommodate standard wheelchair passage?
About 32 inches of clear width
What Medicare eligibility requirement generally must be met for a patient to qualify for home health occupational therapy services?
The patient must be considered homebound and require skilled care under a physician's plan of care
What does 'homebound status' generally mean for Medicare home health eligibility purposes?
Leaving home requires considerable and taxing effort, and absences are infrequent, of short duration, or for medical care
What term describes the process of helping a person with a disability return to participation in community life, such as shopping or attending events?
Community reintegration
What term describes a person's ability to safely travel within their community, whether by walking, driving, or public transit?
Community mobility
What is the purpose of discharge planning in home health occupational therapy?
To ensure the patient and caregivers are prepared to safely maintain function and safety once formal services end
What term describes equipment such as a wheelchair, hospital bed, or walker that is prescribed for repeated use in the home?
Durable medical equipment (DME)
What is the role of an occupational therapist in coordinating with other members of a home health interdisciplinary team?
Communicating functional progress and needs with nursing, physical therapy, social work, and the physician to align the overall plan of care
What documentation and assessment tool is required for Medicare-certified home health agencies to assess patient outcomes?
The Outcome and Assessment Information Set (OASIS)
What delivery method allows occupational therapy services to be provided remotely using video or phone technology?
Telehealth
What term describes the physical, emotional, and financial strain experienced by a family member providing ongoing care?
Caregiver burden
Why is training a patient in ADLs and IADLs within their actual home environment often more effective than training in a clinic?
It accounts for the specific layout, equipment, and routines the patient will actually use, improving carryover and safety

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