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Disabilities II

PTA - midterm practical

How assess for diastasis recti? Hook-lying,have pt slowly raise head & shoulders off floor, reaching hands toward knees, until spines of scaps leave floor. Place fingers of one hand horiz. across midline of ab@umbilicus.Test at, above,&below for gap >2 fingers.(or may present as bulge)
What exercise for diastasis recti >2? Head lift/ Head lift w/pelv.tilt: Pt hook-lying w/hands crossed over midline@diastasis.Exhale-lift head just until bulge, lower, relax. May also do w/pelvic tilt.
How prevent diastasis recti? Maintain ab func./tone
Pregnancy & Vital signs: respiration (normal 12-20)-does not increase proportionally-pt.reaches max.capacity@lower work level
Pregnancy & Vital signs: BP Initially, decreases, but cardiac output increases
Pregnancy & Vital signs: HR Increases 10-20 bpm
Pregnancy: Body Mech.& Posture Teach basics of good body mech.>COG over BOS, as well as preg.induced postural deviations. Avoid single leg wt.bearing, of car Pillow btwn knees, no full hip abd, no cross legs Lay on left side(increase CO, decrease lig.pain)
Pregnancy & appropriate modality/tx: Superficial heat, ice, effleurage to low back
Oncology: appropriate level/intensity of tx as relates to lab values & protocol: Chk labs (BEFORE you see pt)-follow hematological guidelines Take vitals b/f,during,after exercise Pulse ox esp. with lung CA pt
Oncology & Rehab: Hematological Guidelines/hematocrit Normal- 38-47% <25% -no exer. = light exer. > resist.exer.
Oncology & Rehab: Hematological Guidelines/hemoglobin Normal-12-16 g/dl <8 - no exer. 8-10 - light >resist.
Oncology & Rehab: Hematological Guidelines/platelets Normal- 200,000-400,000 <5,000 -no exer. 5,000-10,000 -light > resist.
Oncology & Rehab: Hematological Guidelines/WBC Normal- 4,000-10,000 <500 -no exer. = light > resist
Oncology & Rehab: Bone metastasis and WB status (0-25% cortex) =FWB submax iso's & aerobic (25-30% cortex) = PWB (ROM/no stretch) (50% cortex)= NWB/no exer.
Oncology-"red flags": ACS 7 signs of CA: "CAUTION"- Changes in bowel/bladder habits; A sore that doesn't heal in 6 wks; Unusual bleeding/discharge; Thickening or lump in breast or elsewhere; Indigestion or difficulty swallowing; Obvious change in wart or mole; Nagging cough or hoarseness
Oncology- typical rehab probs Decreased strength, endurance, ROM, balance, coordination. Pain, dyspnea, boney instability, wounds, lymphedema, amputations, incontinence MONITOR VITALS!
Terminology for Transfer or Ambulation Assistance: INDEPENDENT:pt needs no physical assistance or supervision MODIFIED INDEPENDENT ASSISTED: pt uses adaptive/assistive equip (transfer board, bed rail..) ASSISTED: pt req's assistance from another person to perform safely , cues, or directions. MIN.ASSIS
Created by: llacorte
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