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OTA 223 EX2
content for 2nd exam
| Question | Answer |
|---|---|
| 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
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