content for 2nd exam
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| What are the 4 stages of pressure ulcers? | 1) discoloration; 2) partial; 3) full thickness; 4) full thickness + tissue destruction
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| 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
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| During which wound healing phase can OT begin? | Phase III (Remodeling/Maturation) which happens from about 2 weeks post injury to 1 year
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| What are the purposes of a static splint? | protect, support, prevent further injury, correct, stabilize, immobilize,
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| What is the purpose of a dynamic splint | to mobilize through elongation of muscles and or tendons
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| Low temperature thermoplastics are pliable at what temp? | 170 degrees
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| What does RSD stand for? | Reflex Sympathetic Dysfunction (another name for Complex Regional Pain Syndrome/CRPS)
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| 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
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| What does "blocking" do? | 1) focuses tendon gliding; 2) forces excursion in an extended position; 3) Isolates joint movement
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| What are some OT roles & Tx for RSD? | TENS (transcutaneous Electrical Nerve Stimulation); Active ROM, Moist heat, massage as tolerated for edema, desensitization program,
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| 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.
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| OT tx for burns & scarring | massage to soften & prevent adhesions, flatten & elongate collagen fibers & prevent contractures, ROM, stretch (heat 1st), pressure garments
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| OT vs OTA roles in splinting | OTs make dynamic splints; OTAs make static splints
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| Median nerve injury signs | "Ape Hand", flat hand due to damage of thenar eminence muscles (OAF); loss of sensation, opposition, weak hand grasp
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| Ulnar nerve injury signs | Claw Hand
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| Radial nerve injury signs | Wrist drop, abnormal sensations of first three digits.
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| Common causes of median nerve injuries | carpal tunnel syndrome - bad habits, repetitive actions, bad sleep positions
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| Cumulative trauma scale | 1 = symptoms improvement after rest, 5 = even after rest, no improvement
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| correct splint position for carpal tunnel syndrome | Opponens spling: wrist cock up 0-10 degree position, thumb at opposition (splint 2)
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| TX for Carpal Tunnel | splinting, change of habits or behavior contributing to symptoms, surgery only 50% successful
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| Guidelines for splint positioning | Functional position; protect skin, bony prominences; preserve arches; functional position of forearm (between neutral & pronation)
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| 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?
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| unilateral dexterity & coordination tests | 9 hole peg; box & blocks; pick up (non standard)
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| 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
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| 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
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| 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;
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