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National Board for Certification of Occupational Therapists - COTA

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Medical NBCOT : National Board for Certification of Occupational Therapists - COTA Exam

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Test Number : NBCOT
Test Name : National Board for Certification of Occupational Therapists - COTA
Vendor Name : Medical
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NBCOT exam Format | NBCOT Course Contents | NBCOT Course Outline | NBCOT exam Syllabus | NBCOT exam Objectives

DOMAIN
EVALUATION AND ASSESSMENT 25%
Acquire information regarding factors that influence
occupational performance on an ongoing basis throughout
the occupational therapy process.

- Impact of typical development and aging on occupational performance, health, and wellness across the life span
- Expected patterns, progressions, and prognoses associated with conditions that limit occupational performance
- Impact of body functions, body structures, and values, beliefs, and spirituality on occupational performance
- Resources for acquiring information about the clients current condition and occupational performance
- Administration, purpose, indications, advantages, and limitations of standardized and non-standardized screening and assessment tools
- Internal and external factors influencing a clients meaningful engagement in occupation related to typical habits, roles, routines, and rituals, and the level and type of assistance required
- Therapeutic application of theoretical approaches, models of practice, and frames of reference that guide intervention in a variety of practice contexts and environments
- Task analysis in relation to a clients performance skills, the occupational profile, practice setting, stage of occupational therapy process, areas of occupation, and activity demands

DOMAIN
ANALYSIS AND INTERPRETATION 23%
Formulate conclusions regarding client needs and priorities to develop and monitor an intervention plan throughout the occupational therapy process.

- Interpretation and analysis of quantitative assessments designed to measure specific client factors and performance skills
- Integration of qualitative data collected from interviews, observation, and assessment of the social and physical
environments, valued activities, necessary occupations, and priorities
- Integration of screening and assessment results with the client occupational profile, client condition, expected outcomes, and level of service delivery to guide critical decision-making for determining eligibility for services, prioritizing needs, and identifying a targeted intervention plan
- Characteristics and functions of interprofessional teams for coordinating client care and providing efficient and effective programs and services consistent with specific core competencies, expertise, unique contributions, team roles, and context of the organization
- Management of collaborative client-centered intervention plans, Individualized Education Program plans, and transition plans based on client skills, abilities, and expected outcomes in relation to available resources, level of service delivery, and frequency and duration of intervention
- Prioritization of intervention goals and activities based on client needs, wants, developmental skills, abilities, progress, and expected outcomes in relation to level of service delivery as well as frequency and duration of intervention
- Strategies used for assessing and addressing health literacy to enhance non-verbal and verbal interactions with a client and relevant others in order to promote positive health behaviors, enable informed decisions, maximize safety of care delivery, and promote carry-over of the intervention to support positive intervention outcomes
- Factors used for determining and managing the context and type of individual and group activities for effectively supporting intervention goals and objectives

Methods for monitoring the effectiveness of individual and group intervention in order to make decisions about continuation of the intervention or modifications to the intervention approach, context, or goals - Clinical decision-making for adapting or modifying the intervention plan and prioritizing goals in response to physiological changes, behavioral reaction, emotion regulation, and developmental needs of the client

DOMAIN
INTERVENTION MANAGEMENT 37%
Select interventions for managing a client-centered plan throughout the occupational therapy process.

Methods and techniques for selecting and preparing the environment to support optimal engagement in the intervention and promote goal achievement
- Indications, contraindications, and precautions associated with wound management, considering the characteristics of a wound, the stage of wound healing, and the influence of the wound on engagement in occupation as guided by evidence, best practice standards, scope of practice, and state licensure practice acts in order to support functional outcomes
- Indications, contraindications, precautions, and appropriate clinical application of superficial thermal agents as guided by evidence, best practice standards, scope of practice, and state licensure practice acts
- Indications, contraindications, precautions, and appropriate clinical application of deep thermal, mechanical, and electrotherapeutic physical agent modalities as guided by evidence, best practice standards, scope of practice, and state licensure practice acts
- Interventions for supporting leisure and play-based exploration and participation consistent with client interests, needs, goals, and context
- Methods for grading an activity, task, or technique based on level of development, client status, response to intervention, and client needs
- Methods for facilitating individual and group participation in shared tasks or activities consistent with the type, function, format, context, goals, and stage of the group
- Interventions to support optimal sensory arousal, and visual motor, cognitive, or perceptual processing for supporting engagement in meaningful occupations consistent with developmental level, neuromotor status, mental health, cognitive level, psychosocial skills and abilities, task characteristics, context, and environmental demands 030205 Compensatory and remedial strategies for managing cognitive and perceptual deficits or intellectual disabilities
- Adaptive and preventive strategies for optimal engagement in occupation consistent with developmental level, neuromotor status, and condition
- Intervention strategies and techniques used to facilitate oral motor skills for drinking, eating, and swallowing consistent with developmental level, client condition, caregiver interaction, and mealtime environment and context
- Prevocational, vocational, and transitional services, options, and resources for supporting strengths, interests, employment, and lifestyle goals of the adolescent, middle-aged, and older adult client
- Methods for grading various types of therapeutic exercise and conditioning programs consistent with indications and precautions for strengthening muscles, increasing endurance, improving range of motion and coordination, and increasing joint flexibility in relation to task demands
- Methods and strategies used to develop, implement, and manage sensory and motor reeducation, pain management, desensitization, edema reduction, and scar management programs
- Techniques and activities for promoting or improving postural stability, facilitating dynamic balance, and teaching proper body mechanics and efficient breathing patterns during functional tasks to support engagement in occupation
- Types and functions of immobilization, mobilization, restriction, and non-articular orthoses for managing specific conditions
- Influence of anatomical, physiological, biomechanical, and healing principles on orthotic selection, design, fabrication, and modification
- Methods and techniques for training in the safe and effective use of orthotic and prosthetic devices consistent with prioritized needs, goals, and task demands in order to optimize or enhance function
- Factors related to measuring, selecting, monitoring fit of, and recommending modifications to seating systems, positioning devices, and mobility aids
- Characteristics and features of high- and low-tech assistive technology for supporting engagement in meaningful occupation
- Mobility options, vehicle adaptations, and alternative devices for supporting participation in community mobility
- Training methods and other factors influencing successful use and maintenance of commonly used assistive technology options, adaptive devices, and durable medical equipment
- Principles of ergonomics and universal design for identifying, recommending, and implementing reasonable accommodations and features in the workplace, home, and public spaces in order to optimize accessibility and usability
- Processes and procedures for identifying, recommending, and implementing modifications in the workplace, home, and public spaces, considering the interaction among client factors, contexts, roles, task demands, and resources

DOMAIN COMPETENCY AND PRACTICE MANAGEMENT 15%
Manage professional activities of self and relevant others as guided by evidence, regulatory compliance, and standards of practice to promote quality care.

- Methods for defining a clinical question and performing a critical appraisal to support evidence-based practice
- Methods for applying continuous quality improvement processes and procedures to occupational therapy service delivery
- Methods for evaluating, monitoring, and documenting service competency and professional development needs of self and assigned personnel based on scope of practice and certification standards for occupational therapy
- Methods for developing, analyzing, and applying evidence that supports occupation-based programming to advance positive health outcomes for individuals, groups, and specific populations
- Application of ethical decision-making and professional behaviors guided by the NBCOT standards of practice and Code of Conduct
- Precautions or contraindications associated with a client condition or stage of recovery
- Infection control procedures and universal precautions for reducing transmission of contaminants
- Basic first aid in response to minor injuries and adverse reactions
- Safety procedures to implement during interventions
- Preventive measures for minimizing risk in the intervention environment
- Methods for identifying, locating, and integrating federal regulations, facility policies, and accreditation guidelines related to service delivery across occupational therapy practice settings
- Influence of reimbursement policies and guidelines on occupational therapy service delivery
- Accountability processes and procedures using relevant practice terminology, abbreviations, information technology, and reporting mechanisms for justifying, tracking, and monitoring sentinel events and outcomes related to occupational therapy service delivery

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Medical exam Cram

Delaying scientific care all the way through the pandemic might charge you later | NBCOT Free PDF and real Questions

Cherie Skaggs’ tooth had damage for a long time, however she didn’t have insurance, and, like many americans all over the coronavirus pandemic, couldn’t discover a dental workplace to take a non-emergency appointment for what she idea became a cracked filling.

One pecan became all it took for that dangerous teeth to worsen. Now she’s in loads of ache – each bodily and financially.

in its place of paying a couple hundred dollars to fix the filling, she’ll be making payments for 18 months for a $1,600 emergency root canal and crown.

“When i was having an achy teeth, If I had common in a different way, i would have stated ‘What’s the money pay price?’” Skaggs observed. “I not ever need to go through having a root canal again.”

The hazards of delaying scientific care

Delaying medical and dental care or screenings may be expensive to both your fitness and funds. The basic Care Collaborative and Larry A. green core recently surveyed more than 750 primary care clinicians in forty nine states, and 60% of them pointed out a few of their patients will experience avoidable diseases as a result of they didn’t get care.

“usually it’s things that we’ve all considered unfortunately satisfactory as physicians: individuals having heart attacks, people having to be hospitalized as a result of they missed medications or didn't comply with up,” noted Dr. Ada Stewart, president-pick of the American Academy of household Physicians. “it may well cost [the patient] and the [medical] equipment a lot of money by using no longer being in a position to deal with those things that may be minor.”

individuals are also putting off pursuits assessments. The EPIC fitness analysis community referred to screenings for colon, cervical and breast cancers had been down round ninety% in March 2020 from the numbers in a few previous months.

Stewart talked about the classification of “basic” versus “non-simple” may well be puzzling to people.

“Non-basic doesn't mean unnecessary,” Stewart noted. “all of your preventative [screenings] are basic.”

She added that any individual whose preventative care appointments were cancelled right through the pandemic may still be sure to reschedule them as soon as viable.

but americans aren’t most effective fending off events screenings. The American faculty of Cardiology showed a drop in the number of people going to emergency rooms with symptoms of heart attack or stroke.

When i used to be having an achy enamel, If I had usual in another way, i might have observed ‘What’s the cash pay rate?’

this is what chiefly frightens physicians.

Dr. Jacqueline Fincher, president of the American faculty of Physicians, spoke of an opportunity encounter recently saved one in all her affected person’s lifestyles. Fincher turned into in Walmart when she noticed the girl huffing and puffing. The woman was anxious about going to the emergency room as a result of she feared contracting COVID-19. youngsters, both Fincher and the lady’s husband have been thinking so they went to Dr. Fincher’s workplace instead. After a brief examine, the woman went to the ER anyway since it grew to become out she was having a heart attack.

“They put her within the coronary care unit and acquired things to relax and did a cardiac cath on her day after today,” Fincher says. “She had what I name a widowmaker, a ninety five% blockage of her leading left anterior descending coronary artery.”

Fincher says maintaining appointments is awfully vital for americans with chronic situations seeing that lab work regularly determines if organs are functioning appropriately and drug treatments are at the correct dosage.

It’s similar for pursuits dental care.

Sally Cram, a periodontist and spokesperson for the American Dental affiliation, talked about many dental issues, like periodontal sickness, can also no longer harm and so sufferers may be blind to the underlying concern devoid of touring their dentists.

“Delaying activities dental care can result in extra pointless pain and invasive, costly medication down the highway,” says Sally Cram, a periodontist and spokesperson for the American Dental association.

Pediatric care is often on a time table

A pediatric doctor does an annual assess up with a baby.

Dr. Sally Goza, president of the American Academy of Pediatrics, said she’s been involved via the plummeting variety of appointments for babies at pediatric workplaces.

“What that capability is sufferers aren't coming in for their pursuits care and to get their vaccines and to get their screenings completed and checking out for listening to and vision,” she stated.

Goza mentioned some fogeys are rescheduling appointments for the summer, but many are not, mainly if the youngsters are older, which is whatever Goza issues about.

“in the event that they don’t need a kind for college, are they going to bear in mind to reschedule when all of here is over with the entire stress?” she spoke of.

another chance is falling off schedule for vaccines, given that many of them should happen at commonplace intervals. The AAP in the beginning recommended prioritizing appointments for patients below 2, but because the pandemic has long gone on, that has modified.

“We’ve now stated they really should still be looking at getting their babies to their visits to monitor for intellectual health considerations, to monitor for behavioral concerns, to get vaccines up so far and to in reality just make sure the families are doing okay,” Goza stated, adding doctors at her observe are planning to extend hours and work weekends to are trying to seize up.

in the event that they don’t want a kind for school, are they going to bear in mind to reschedule when all of here is over with all of the stress?

Telehealth care has stuffed part of the hole, however no longer all.

“We had a child who broke his arm on the trampoline and the mother become afraid to go to the emergency room that evening as a result of the COVID pandemic,” she noted, adding the newborn became at her office the next morning. “He sat there with a damaged arm all nighttime. these are the issues they don’t need to pass over.”

finances frequently play a task in scientific decisions

Even all over non-pandemic instances, finances play a large position in determining no matter if or no longer to get scientific care.

“one of the most first things that I locate customers will reduce on occasion is their scientific approaches when they want to cut returned on costs,” says Mary Bell Carlson, a CFP, AFC, frequent as the Chief fiscal mom. “a lot of times when individuals are in intricate monetary cases, fitness care is likely one of the first things to go.”

Carlson mentioned the choice is partially about handle, because individuals can commonly decide whether or now not to ge medical care, despite the fact that a physician recommends it.

“they can’t stop paying their loan, they nonetheless ought to pay and have food on the table, they still must hold the lights on,” she spoke of. “however have they got to have the knee surgery? It’s something that's within their control.”

scientific debt is the no 1 reason people go into bankruptcy, Carlson stated. because of this, she recommends making a spending plan that takes medical charges into consideration.

despite the fact, Carlson referred to she doesn’t expect to peer americans cease delaying medical care as a result of price range any time soon.

“What people and households are most focused on at this time is paying the critical expenses and putting food on the desk. Most shouldn't have the luxury to spend on ‘added’ things, which frequently comprises optional surgeries [and medical procedures],” she noted. “I anticipate that as they start to look issues rebound, jobs come again, and earnings solidifies, then they will see these processes resume, however for now, most individuals are doing simplest what’s fully fundamental and critical.”

defense protocols at medical workplaces

As scientific and dental practices begin to reopen, organizations like the American scientific affiliation and American Academy of family unit Physicians are sending ideas to medical doctors about the way to open safely.

defense measures consist of:

— enhancing schedules to evade a high quantity of patients.

— Designating separate ready areas for neatly and ill sufferers.

— doing away with non-simple gadgets like magazines from waiting areas.

— enabling sufferers to wait in automobiles except it's time to go to the exam room.

— Limiting the number of individuals who can be with a patient.

— Requiring people to put on masks.

— Screening sufferers earlier than in-grownup visits to remind them of security protocols.

— holding physical distancing on every occasion viable.

— Sanitizing exam rooms after each and every patient and disinfecting high-touch areas periodically.

— Having hand sanitizer quite simply attainable and encouraging use.

Tiffani Sherman is a contributor to The Penny Hoarder.

This become at the start posted on The Penny Hoarder, a personal finance web page that empowers hundreds of thousands of readers nationwide to make sensible selections with their money via actionable and inspirational assistance, and resources about a way to make, shop and manage cash.

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Misc [2 Certification Exam(s) ]
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mySQL [4 Certification Exam(s) ]
NBSTSA [1 Certification Exam(s) ]
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NCLEX [3 Certification Exam(s) ]
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P&C [2 Certification Exam(s) ]
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Polycom [2 Certification Exam(s) ]
PostgreSQL-CE [1 Certification Exam(s) ]
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PsychCorp [1 Certification Exam(s) ]
PTCB [2 Certification Exam(s) ]
QAI [1 Certification Exam(s) ]
Qlik [2 Certification Exam(s) ]
QlikView [2 Certification Exam(s) ]
Quality-Assurance [6 Certification Exam(s) ]
RACC [1 Certification Exam(s) ]
Real-Estate [2 Certification Exam(s) ]
RedHat [8 Certification Exam(s) ]
RES [5 Certification Exam(s) ]
Riverbed [9 Certification Exam(s) ]
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Sair [8 Certification Exam(s) ]
Salesforce [10 Certification Exam(s) ]
SANS [2 Certification Exam(s) ]
SAP [98 Certification Exam(s) ]
SASInstitute [15 Certification Exam(s) ]
SAT [2 Certification Exam(s) ]
SCO [10 Certification Exam(s) ]
SCP [6 Certification Exam(s) ]
SDI [3 Certification Exam(s) ]
See-Beyond [1 Certification Exam(s) ]
ServiceNow [1 Certification Exam(s) ]
Siemens [1 Certification Exam(s) ]
Snia [7 Certification Exam(s) ]
SOA [15 Certification Exam(s) ]
Social-Work-Board [4 Certification Exam(s) ]
Splunk [3 Certification Exam(s) ]
SpringSource [1 Certification Exam(s) ]
SUN [63 Certification Exam(s) ]
SUSE [1 Certification Exam(s) ]
Sybase [17 Certification Exam(s) ]
Symantec [137 Certification Exam(s) ]
Teacher-Certification [4 Certification Exam(s) ]
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TIA [3 Certification Exam(s) ]
Tibco [18 Certification Exam(s) ]
Trainers [3 Certification Exam(s) ]
Trend [1 Certification Exam(s) ]
TruSecure [1 Certification Exam(s) ]
USMLE [1 Certification Exam(s) ]
VCE [7 Certification Exam(s) ]
Veeam [2 Certification Exam(s) ]
Veritas [34 Certification Exam(s) ]
Vmware [76 Certification Exam(s) ]
Watchguard [1 Certification Exam(s) ]
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