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ACTIVITY NURS 115

CHAPTER 39

QUESTION?ANSWER:
WHAT ARE SOME COMCEPTS FOR BODY MECHANICS? *GOOD BODLY ALIGMENT OR POSTURE *GOOD BALANCE *GOOD COORDINATED BODY MOVEMENT *GOOD POSTURAL REFLEXES
WHAT IS GOOD BODY ALIGNMENT OR POSTURE? IT PERMITS OPTIMAL MUSCULOSKELETAL BALANCE AND OPERATION; PROMOTES HEALTHY PHYSIOLIC FUNCTIONING
WHAT IS GOOD BALANCE? *CENTER OF GRAVITY IS TO BASE AND GOES THROUGH THE BASE OF SUPPORT, IN WHICH PROVIDES FOUNDATION FOR STABILITY
WHAT IS GOOD COORDINATIED BODY MOVEMENT? *WHEN YOU USE MAJOR MUSCLE GROUP, THE BODY'S NATURAL LEVERS FULCRUM (HELPS DIRECT MOVEMENT)
WHAT IS GOOD PASTURAL REFLEXES? *INTERGRATED FUNCTIONING OF THE MUSCLOSKELTAL AND NEVEROUS SYSTEM IS ESSENTIAL FOR BODY ALIGMENT AND BALANCE
WHAT IS LABYRINTHINE? A POSTION AND MOVEMENT FOUND IN THE SENSORY ORGANS IN THE INNER EAR, STIMULATED AND TRASMITTED TO THE CEREBELLUM
WHAT IS THE PROPRIOCEPTOR AND KINESTHETIC SENSE? THIS INFORMS THE BRAIN OF THE LOCATION OF A LIMB
WHAT IS THE VISUAL OR OPTIC REFLEXES? ALERTS THE PERSON TO SPATIAL RELATIONSHIPS WITH THE ENVIROMENT
WHAT IS THE EXTENSOR OR STRETCH REFLEXES? WHEN A PERSON IS STRETCHED PAST THEIR POINT, THEIR STIMULATION CASUES A REFLEX CONTRATION THAT LETS THE PERSON GO BACK TO THEIR ERECT POSTURE
WHAT ARE SOME ROLES OF THE SKELETAL SYSTEM IN MOVEMENT? *SUPPORTS SOFT TISSUE *PROTECTS DELICATE STRUCTURES OF THE BODY *FURNISHES STORGE AREA FOR MINERAL SALTS AND FATS *PRODUCES BLOOD CELLS
WHAT ARE SOME TYPES OF BONES IN THE SKELETAL SYSTEM? *LONG *SHORT *FLAT *IRREGULAR
WHAT ARE SOME EXAMPLE OF A LONG BONE? FOUND IN THE UPPER AND LOWER EXTREMITIES: HUMERUS AND FEMUR
WHAT ARE SOME EXAMPLE OF SHORT BONES? FOUND IN THE WRIST AND ANKLE: CONTRIBUTE TO MOVEMENT
WHAT ARE SOME EXAMPLES OF FALT BONES? RELATIVELY THIN: SKULL AND RIBS; THEY CONTRIBUTE TO SHAPE
WHAT ARE SOME EXAMPLES OF IRREGULAR BONES? EVERYTHING ELSE THAT IS LEFT: BONES OF THE SPINALCOLUMN AND JAW
WHAT IS ABDUCTION? \ / SUBTRACT
WHAT IS ADDUCTION? / \ ADD
WHAT IS FLEXION? \ AWAY
WHAT IS EXTENSION? / INTO
WHAT IS ROTATION? 0 AROUND
WHAT IS SUPINATION? SUPINE (PALMS UP)
WHAT IS PRONATION? PRONE (PALMS DOWN)
WHAT IS INVERSION? SOLE OF FOOT INWARD (IN ANKLE)
WHAT IS EVERSION? SOLE OF THE FOOT OUTWARD (IN ANKLE)
WHAT IS DORSIFLEXION? BACKWARD BENDING OF THE HAND OR FOOT
WHAT IS PLANTAR FLEXION? FOOTDROP POSITION (FLEXION)
WHAT ARE SIX TYPES OF JOINTS? (1) BALL-AND-SOCKET (2) CANDYLOID (3) GLIDING (4) HINGE (5) PIVOT (6) SADDLE
WHAT ARE EXAMPLES OF BALL-AND-SOCKET JOINTS? SHOULDER AND HIP
WHAT ARE EXAMPLE OF CANYLOID JOINTS? WRIST
WHATE ARE EXAMPLES OF GLIDING JOINTS? CARPAL OR TORSAL; BONES OF WRIST OR FOOT
WHAT ARE EXAMPLES OF HINGE JOINTS? ELBOW AND KNEE
WHAT ARE EXAMPLES OF PIVOT JOINTS? JOINT BETWEEN RADIUS AND ULNA
WHAT ARE EXAMPLES OF SADDLE JOINTS? METACARPAL OF THUMB (ALLOWS SIDE TO SIDE MOVEMENT)
WHAT DOES THE MUSCLE SYSTEM DO? THE CONTRACTION AND RELAXATION OF THE SKELETAL MUSCLES
WHAT ARE SOME ROLES OF THE MUSCULAR SYSTEM? *PROVIDE MOTION *HELP MAINTAIN POSTURE *THEY SUPPLY HEAT PRODUCTION
WHAT ARE THREE TYPES OF MUSCLES? (1) SKELETAL (2) SMOOTH OR VISCERAL (3) CARDIAC
WHAT IS THE SKELETAL MUSLES? *MUSCLES AND CONNECTIVE TISSUE THAT COMPRISES INDIVIDUAL MUSCLES ORGANS (TRICEPTS, BICEPS, AND HOMSTRINGS) * MOVEMENTS OF THESE MUSCLES (CONTRATIONS) CAUSES BONES TO MOVE
WHAT ARE THE TWO POINTS OF ATTACHMENT OF THE SKELETAL MUSCLES? (1) POINT OF ORIGIN (ATTACHMENT TO THE MORE STATIONARY BONE) (2) POINT OF INSERTION (ATTACHMENT TO THE MORE MOVABLE BONE)
WHAT IS THE PURPOSE OF THE NURVOUS SYSTEM? NERVE IMPULSES STIMUALTE MUSCLES TO CONTRACT
WHAT ARE THE EFFECTS OF THE NERVOUS SYSTEM ON MUSCLE CONTRATION? *AFFERENT NERVOUS SYSTEM CONVEYS INFORMATION FOR RECEPTORS IN THE PERIPHERY OF THE BODY TO THE CNS *NEURONS CONDUCT IMPULSES FROM ONE PART OF THE BODY TO ANOTHER *INFORMATION IS PROCESSED BY THE CNS *EFFERENT SYSTEM SENDS THE RESPONSE FROM CNS TO SKELETAL
WHAT ARE THE DEVELOPMENTAL CONSIDERATIONS FOR AN INFANT? *AT 3 MONTHS MAY RISE CHEST *AT 5 MONTHS HEAD CONTROL IS USUALLY ACHIEVED *SPINE AND EXTREMITIES ARE FLEXED *JOINTS COMPLETE ROM *WEIGHT UNEVENLY DISTRIBUTED(POOR BALANCE) *POSTURE IS AWKWARD
WHAT ARE THE DEVELOPMENTAL CONSIDERATIONS FOR A TODDLER? *AGE 15 MONTHS MOST CAN WALK * 18MONTHS MOST CAN RUN * 2 YEARS CAN JUMP *SWAYBACK WITH POPBELLY *FEET EVERTED/INVERTED *WIDE BASE *WALKING, RUNNING, AND JUMPING *LATER, POSTURE APPEARS LESS AWKWARD AND CERVICAL AND LUMBAR CURVATURES IS LESS ACCENTUATED
WHAT ARE THE DEVELOPMENTAL CONSIDERATIONS FOR A CHILD? *AGE 4 WAL KBACKWARDS *AGE 5 JUMP OFF HEIGHTS *SLIMMER *TALLER *BETTER BALANCE *REDUCE POPBELLY *MORE COORINATED *STAIRS, SKIPPING JUMPING ROPE *FEET CLOSER TOGETHER *ALL MECHANISMS FOR PHYSICAL LOCOMOTION IS ACQUIRED
WHAT ARE THE DEVELOPMENTAL CONSIDERATIONS FOR ADOLESCENTS? *GROWTH SPURT *BONES GROW FASTER THAN MUSCLES *GIRLS: HIPS WIDEN, FAT DEPOSITES *BOYS: LONG BONES LENGTHEN, CHEST AND UPPER ARMS
WHAT ARE THE DEVELOPMENTAL CONSIDERATIONS FOR THE ADULT? *STANDS AND SITS ERECT *MENS MUCLES PEEK IN MID 30'S AND THROUGHOUT THEIR 50'S *MUSCLE STRENGTH IS NOT NOTICED UNTIL 70'S
WHAT ARE THE DEVELOPMENTAL CONSIDERATIONS FOR THE OLDER ADULT? LOSS BONE TISSUE; FRAGILE *BAD CARTILAGE * DECREASE ROM *JOINT DISEASE *SLOWER SMALLER STEPS *MINERALIZATION SLOWS *GREATER FLEXATION OF CERVIAL VERTEBRAE
WHAT ARE SOME POSTURAL ABNORMALTIES OF THE MUSULOSKELETAL SYSTEM? *HIP DYSPLASIA * CLUBFOOT * SCOLIOSIS *KYPHOSIS
WHAT ARE SOME PROBLEMS THAT COULD OCCURE WITH BONE FORMATIONS AND MUSCLE FORMATION? *COGENITAL PROBLEMS *DIETARY PROBLEMS *DISEASE RELATED PROMBLEMS *AGE-RELATED PROBLEMS *MUSCULAR DYSTROPHIES
WHAT ARE SOME EXAMPLES OF PROBLEMS THAT OCCURE COGENITAL? *ACHONDROPLASIS(DWARF) *oSTEOGENESIS IMPERFECTA
WHAT ARE SOME EXAMPLES OF PROBLEMS THAT OCCURE DIETARY? *VITAMIN D DEFICIENCY(RICKETTS)
WHAT ARE SOME EXAMPLES OF PROBLEMS THAT OCCURE DISEASES? *PAGETS DISEASE(EXCESSIVE BONE DESTRUCTION)
WHAT ARE SOME EXAMPLES OF PROBLEMS THAT OCCURE AGE-RELATED? *OSTEOPROSIS
WHAT ARE SOME EXAMPLES OF PROBLEMS THAT OCCURE MUSCULAR DYSTROPHIES? *DGENERATION *WEAKNESS OF SKELETAL MUSCLES
WHAT IS THE NURSES RESPONSEABILITIES FOR BONE AND MUSCLE FORMATION PROBLEMS? *WORK WELL WITH OTHER HEALTHCARE PROVIDERS *PATIENT EDUCATION AIMED AT OPTIMAL MOBILITY *FAMILY EDUCATION
WHAT ARE SOME PROBLEMS WITH JOINT MOBILITY? *INFLAMATION LEADING TO ARTHRITIS (>20 INFLAMATION IN 1 OR MORE JOINTS) *DEGENERATION LEADING TO OSTEOARTHRITIS (NON INFLAMMATORY) *TRAUMA LEADING TO SPRAINTS, TEARS, OR RUPTURES
WHAT ARE SOME PROBLEMS THAT WOULD AFFECT THE CENTRAL NERVOUS SYSTEM? *SEVERE HEAD TRAMA; MAY DAMAGE MOTOR CORTEX *CVA'S; TEMP OR PERMANENT DAMAGE *DISEASES; PARKINSONS(DECREASE BASAL GANGLIA) MULTIPLE SCLEROSIS (DEREASE MYELIN SHEATH) *STROKE
WHAT ARE SOME PROBLEMS THAT COULD AFFECT THE MUSCULOSKELETALSYSTEM? *FRACTURES; BREAK IN BONE OR CARTILAGE *SOFT TISSUE INJURIES; SPRAINS, STRAINS, DISLOCATIONS
WHAT ARE SOME THINGS THAT WOULD AFFECT OTHER BODY SYSTEMS? OXYGENATION AFFECTING DISEASE; ANEMIA, ANGINA, COPD *DISEASES RESULTING IN MUSCLE WASTING; CANCER, ANOREXIA *IMMOBILITY ASSOCIATED WITH BED REST
WHAT ARE SOME OTHER FACTORS? *MENTAL HEALTH; DEPRESSION *LIFESTYLE; ACTIVE VS SEDENTARY, CULTURAL, OCCUPATION *ATTITUDES; PHYSICAL ATTRACTIVENESS *FATIGUE AND STRESS; DECRESED BODY ENERGY *EXTERNAL FACTORS; WEATHER,$, NEIGHBOROHOODS
WHAT IS ISOTONIC EXERCISE? INVOLVES MUSCLE SHORTING AND ACTIVE MOVEMENT, CIRCULATION AND OSTEOBLAST ACTIVITY
WHAT ARE SOME EXAMPLES OF ISOTONIC EXERCISE? *SWIMMING *WALKING *JOGGING *BIYCLING
WHAT IS ISOMETRIC EXERCISES? CONTRATION OF MUSCLES WITHOUT SHORTING, CIRCULATION AND OSTEOBLAST ACTIVITY
WHAT ARE SOME EXAMPLESOF ISOMETRIC EXERCISES? CONTRATIONS OF THE QUADS AND GLUTS
WHAT IS ISOKENTIC EXERCISES? INVOLVES CONTRATIONS WITH RESISTANCE
WHAT ARE SOME EXAMPLES OF ISOKENTIC EXERCISES? REHAB FOR THE KNEE AND ELBOW
WHAT ARE THE FOUR DIFFERENT TYPES OF BODY MOVEMENT EXERCISES? (1) AEROBIC (2) STRETCHING (3) STRENGTH AND ENDURANCE (4) MOVEMENT AND ACTIVITIES OF DAILY LIVING
WHAT ARE SOME EXAMPLES OF AEROBIC EXERCISES? *SWIMMING (INCREASE BLOOD FLOW)
WHAT ARE SOME EXAMPLES OF STRETCHING? *YOGA *DANCE(STRETCHED ONLY THROUGH ROM, INCREASE FLEXIBILITY, ROM AND CIRCULATION)
WHAT ARE SOME EXAMPLES OF STRENGTH AND ENDURANCE? *WEIGHT TRAINING *SOME ISOMETRIC EXERCISES(INCREASES POWER OF MS SYSTEM AND GENERAL BODY IMPROVEMENT)
WHAT ARE SOME EXAMPLES OF MOVEMENT AND ADL'S? *HOUSEHOLD CLEANING(CONTRIBUTE TO ACTIVE LIFESTYLE)
WHAT ARE SOME PHYSICAL BENIFITS OF EXERCISES? *IMPROVE CVS *IMPROVED PULMARY FUNCTION *DECREASE BLOOD PRESSURE *INCREASE MUSCLE STRENGTH *IMPROVED DIGESTION * INEASE OXYGENATION *WEIGHT CONTROL *INCREASE SKIN *INCREASE MOTABOLSIM
WHAT ARE SOME PSYCHOLOGICAL BENEFITS OF EXERCISE? *IMPROVED WELL-BEING *SLEEP *SELF-CONCEPT *INCREASE POSTIVE BEHAVIOR *BODY IMAGE
WHAT IS A MAJOR RISK FACTOR R/T EXERCISE? *AVOIDING IT!
WHAT ARE SOME RISK R/T IMMOBILITY PHYSIOLOGICAL MODE IN THE CVS? *INCREASE CARDIAC WORKLOAD *ORTHOSTATIC HYPOTENSION *VENOUS THROMBOSIS *PREDISPOSTION TO THROMBI
WHAT ARE SOME RISK R/T IMMOBILITY PHYSIOLOGICAL MODE IN THE RESPIRATORY SYSTEM? *DECREASE VENTILATORY EFFORT AND INCREASE R SECREATIONS *DECREASE DEPTH AND RATE OF RESPIRATIONS *POOLING OF SECREATIONS(HYPOSTATIC PNEUMONIA
WHAT ARE SOME RISK R/T IMMOBILITY PHYSIOLOGICAL MODE IN THE MS SYSTEM? *MUSCLE ATROPHY *OSTEOPOROSIS *BONE DEFORMATION
WHAT ARE SOME RISK R/T IMMOBILITY PHYSIOLOGICAL MODE IN THE METABOLIC SYSTEM? *DECREASE METABOLIC RATE *F AND E INBALANCE *MUSCLE WASTING *ANOREXIA
WHAT ARE SOME RISK R/T IMMOBILITY PHYSIOLOGICAL MODE IN THE GI SYSTEM? *POOR DIGESTION *ALTERED PROTEIN *WEIGHT GAIN *CONSTIPATION/FECAL IMPACMENT
WHAT ARE SOME RISK R/T IMMOBILITY PHYSIOLOGICAL MODE IN THE URINARY SYSTEM? *UTI'S *RENAL CALCULI *DECREASE URINARY VOLUME *FOLEY CATH INCREASES UTI'S *URINE ALKALIINITY LEADS TO UTI'S
WHAT ARE SOME RISK R/T IMMOBILITY PHYSIOLOGICAL MODE IN THE SKIN? *SKIN BREAKDOWNS *PROLONGED LEADS TO DECUBITUS ULCERS
WHAT ARE SOME OBJECTED DATA OPTAINED DURING A PHYSICAL ASSESSMENT FOR MOLBILITY? *GENERAL EASE OF MOVEMENT AND GAIT *ALIGNMENT *JOINT STRUCTURE AND FUNCTION *MUSCLE MASS, TONE, AND STENGTH *ENDURENCE
WHAT ARE SOME OBJECTED DATA OPTAINED DURING A PHYSICAL ASSESSMENT FOR MOBILITY (GENERAL EASE OF MOVEMENT AND GAIT)? *INVDUNTARY MOVERMENTS(TREMORS) *MOVEMENT(UICK/SURE SLOW/DELIBERATE *ARMS SWING FREELY *GAIT ABNORMALTIES(RISK FOR INJURY) *NOTE ASSISTIVE DEVICES
WHAT ARE SOME OBJECTED DATA OPTAINED DURING A PHYSICAL ASSESSMENT FOR MOLBILITY (ALIGNMENT)? *MENTAL AND EMOTIONAL MAY BE INFLUENCED
WHAT ARE SOME OBJECTED DATA OPTAINED DURING A PHYSICAL ASSESSMENT FOR MOLBILITY (JOINT AND FUNCTION)? *INSPECT PALAPATE *ASSESS ROM
WHAT ARE SOME OBJECTED DATA OPTAINED DURING A PHYSICAL ASSESSMENT FOR MOLBILITY (MUSCLE MASS, TONE, AND STRENGTH)? *NOTE: FLACCIDITY, RIGIDITY, SPASTICITY, PARESIS *MOVEMENT OR BODY PERFORMANCE
WHAT ARE SOME OBJECTED DATA OPTAINED DURING A PHYSICAL ASSESSMENT FOR MOLBILITY (ENDURANCE)? *ASSESS ABILITY TO MOVE, TURNIN BED *ABILITY TO MAINTAIN CORRECT ALIGNMENT *ABILITY TO PERFORM SELF-CARE FUNCTIONS
WHAT ARE SOME OBJECTIVE/SUBJECTIVE DATA FOR DIAGNOSING FOR MOLBILITY? *RECOGNIZE PROBLEMS THAT MAY AFFECT OTHER AREAS OF FUNCTION(PAIN, INEFFECTIVE HEALTH MAINTANCE, SEXUAL DYSFUNCTION, SELF CARE) *IDENTIFY COMPLICATIONS THAT PT IS AT GREATEST RISK IN AN EFFORT TOWARD PREVENTION
WHAT ARE SOME EXAMPLES OF NURSING DIAGNOSIS FOR MOLBILITY? *ACTIVITY INTOLERANCE *IMPAIRED PHYSICAL MOBILITY
WHAT ARE SOME POSSIBLE GOALS FOR A PATIENT WITH IMMOBILITY? *INCREASE ACTIVITY INTOLERANCE *ENCOURAGE SOSIALIZATION *ENCOURAGE SELF-CARE *KEEP GOOD BODY ALIGNMENT *DECREASE INJURYS IN SKIN/MS *MAINTAIN PATIENT AIRWAY *DECREASE AIRWAY SECREATIONS
WHAT ARE SOME IMPLEMENTATIONS FOR MOBILITY? *ADRESS METABOLIC NEEDS: NUTRITIONAL NEEDS AND WOUND HEALING *RESPIRATIONS: PROMOTE LUNG EXPANSION *CARDIOVASCULAR: PREVENTING ORTHOSTATIC HYPOTENSION AND THROMBUS *MS INERVENTIONS: REGULAR ROM *SKIN: PREVENT PRESSURE ULCERS *ELIMINATION: HYDRATION
WHAT ARE SOME COMMON DIEVICES TO PROMOTE CORRECT ALIGNMENT? *PILLOWS *MATTRESSES *AJUSTABLE BEDS *SIDERAILS *TRAPEZE BAR *SAND BAGS *TROCHANTER ROLLS *SPLINTS *FOOT BOARDS *FOOT BOOTS
wHAT ARE SOME IMPLEMENTATIONS FOR POSITIONING? *TURNING POSITIONS EVERY TWO HOURS *USE TURN SCHEDULE
wHAT ARE SOME IMPLEMENTATIONS FOR MOVING AND LIFTING? *KNOW DOCTORS ORDER *KNOW LIMITATIONS *PAIN MED PRN BEFORE ACTIVITY *BE REALISTIC ANOUT WHAT YOU CAN DO *PROPER BODY MECHANICS *REMOVE OBSTACLES
wHAT ARE SOME IMPLEMENTATIONS WHEN ASSISTING WITH AMBULATION? *RECOGNIZE PESSIBLE NEED FOR PHYSICAL CONDITIONING PRIOR TO AMBULATION *USE QUADRIEPS AND GLUTEAL DRILL SETS *USE PUSHUP TO PREPARE FOR CRUTCH WALKING *DANGLE *EMPLOY ASSISSTANCE OF ANOTHER PERSON *PATIENT SAFETY *NURSE SAFETY
HOW WOULD YOU TEACH A PATIENT TO USE STAIRS WITH CRUTCHES? *GOOD LEG GOES UP *BAD LEG COMES DOWN
WHAT IS FOUR POINT GAIT USED FOR? *PATIAL WEIGHT BEARING IS PERMITTED ON BOTH LEGS *MAXIMAL SUPPORT
WHAT IS TWO POINT GAIT USED FOR? *PARTIAL WEIGHT BEARING IS PERMITED ON BOTH FEET *FASTER THAN FOUR POINT GAIT *LESS SUPORTIVE
WHAT IS THREE POINT GAIT USED FOR? *NON WEIGHT BEARING *REQUIRES GOOD BALANCE *FASTER GAIT *CAN USE WITH WALKER *ARM STENGTH
WHAT IS THE SWING THROUGH GAIT USED FOR? *WEIGHT BEARING *ARM STENGTH *BALANCE *MOST ADVANCED *BODY WEIGHT IS SWONG THROUGH AND PAST THE CRUTCHES
WHAT IS THE SWING TO GAIT USED FOR? *WEIGHT BEARING BOTH FEET *PROVIDES STABILITY *ARM STENGTH *CAN USE WITH WALKER *BOTH CRUTCHES MOVE AHEAD TOGETHER AND THE BODY WEIGHT IS LIFTED TO THE CRUTCHES
WHEN A NURSE IS MEASURING FOR CRUTCHES, WHAT ARE TWO WAYS A NURSE CAN MEASURE THE CORRECT SIZE? (1) PT LIE IN BED MEASURE HEIGHT AND SUBTRACT 16 INCHES (2) MEASURE FROM AZILLA STRAIGHT DOWN TO THE HEEL ADD 1 INCH(2.5CM)
WHAT IS THE METHOD "LOG ROLLING" USED FOR? *PATIENTS WITH SPINAL CORD OR BACK INJURIES
TO DETERMINE IF YOU HAVE GIVEN THE RIGHT EXERCISE TO THE RIGHT PATIENT, WHAT SHOULD THE PATIENT BE ABLE TO DO? *HAVE THE HEART RATE AT A CERTAIN TIME
Created by: tmitchell0019