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OTA 223 EX2

content for 2nd exam

QuestionAnswer
What are the 4 stages of pressure ulcers? 1) discoloration; 2) partial; 3) full thickness; 4) full thickness + tissue destruction
What are the three phases of the normal wound healing process? Phase I: Acute/Inflammatory (injury to 5 days); Phase II: Granulation/Proliferation (5 to 14 days); Phase III: Remodeling/Maturation
During which wound healing phase can OT begin? Phase III (Remodeling/Maturation) which happens from about 2 weeks post injury to 1 year
What are the purposes of a static splint? protect, support, prevent further injury, correct, stabilize, immobilize,
What is the purpose of a dynamic splint to mobilize through elongation of muscles and or tendons
Low temperature thermoplastics are pliable at what temp? 170 degrees
What does RSD stand for? Reflex Sympathetic Dysfunction (another name for Complex Regional Pain Syndrome/CRPS)
What is important about the difference between TAM and TAP? The difference between TAM (Total Active Motion) and TAP (Total Passive Motion) is the potential for further ROM
What does "blocking" do? 1) focuses tendon gliding; 2) forces excursion in an extended position; 3) Isolates joint movement
What are some OT roles & Tx for RSD? TENS (transcutaneous Electrical Nerve Stimulation); Active ROM, Moist heat, massage as tolerated for edema, desensitization program,
What is important about pt education when it comes to RSD? To have pt understand the importance of carry over and changing behavior at home.
OT tx for burns & scarring massage to soften & prevent adhesions, flatten & elongate collagen fibers & prevent contractures, ROM, stretch (heat 1st), pressure garments
OT vs OTA roles in splinting OTs make dynamic splints; OTAs make static splints
Median nerve injury signs "Ape Hand", flat hand due to damage of thenar eminence muscles (OAF); loss of sensation, opposition, weak hand grasp
Ulnar nerve injury signs Claw Hand
Radial nerve injury signs Wrist drop, abnormal sensations of first three digits.
Common causes of median nerve injuries carpal tunnel syndrome - bad habits, repetitive actions, bad sleep positions
Cumulative trauma scale 1 = symptoms improvement after rest, 5 = even after rest, no improvement
correct splint position for carpal tunnel syndrome Opponens spling: wrist cock up 0-10 degree position, thumb at opposition (splint 2)
TX for Carpal Tunnel splinting, change of habits or behavior contributing to symptoms, surgery only 50% successful
Guidelines for splint positioning Functional position; protect skin, bony prominences; preserve arches; functional position of forearm (between neutral & pronation)
important things to remember about pt instructions for splints provide guidelines & schedule, document you've given them, written as well, clean, maintain, warnings for care - heat, driving OK? wet OK?
unilateral dexterity & coordination tests 9 hole peg; box & blocks; pick up (non standard)
Cota's role in dexterity & coordination tests S from OTR or trained COTA; Document training; cannot interpret results; skill increases w/ experience; utilize info for TX planning
guidelines for admin 9 hole peg test dominant first, practice test is one complete test, score is number of seconds, demonstrate while reading instructions, dish with pegs placed on side of H being tested
guidelines for box & blocks dom hand first, demo while reading instructions, 150 1" cubes; practice is 15 sec, fingertips must cross partition; 1 block/time; full test is 1 min;
Created by: sherryama on 2011-11-04



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