PTA - midterm practical
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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)
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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.
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How prevent diastasis recti? | Maintain ab func./tone
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Pregnancy & Vital signs: respiration | (normal 12-20)-does not increase proportionally-pt.reaches max.capacity@lower work level
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Pregnancy & Vital signs: BP | Initially, decreases, but cardiac output increases
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Pregnancy & Vital signs: HR | Increases 10-20 bpm
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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, esp.in/out of car
Pillow btwn knees, no full hip abd, no cross legs
Lay on left side(increase CO, decrease lig.pain)
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Pregnancy & appropriate modality/tx: | Superficial heat, ice, effleurage to low back
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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
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Oncology & Rehab: Hematological Guidelines/hematocrit | Normal- 38-47%
<25% -no exer.
= light exer.
> resist.exer.
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Oncology & Rehab: Hematological Guidelines/hemoglobin | Normal-12-16 g/dl
<8 - no exer.
8-10 - light
>resist.
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Oncology & Rehab: Hematological Guidelines/platelets | Normal- 200,000-400,000
<5,000 -no exer.
5,000-10,000 -light
> resist.
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Oncology & Rehab: Hematological Guidelines/WBC | Normal- 4,000-10,000
<500 -no exer.
= light
> resist
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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.
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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
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Oncology- typical rehab probs | Decreased strength, endurance, ROM, balance, coordination. Pain, dyspnea, boney instability, wounds, lymphedema, amputations, incontinence
MONITOR VITALS!
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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
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llacorte
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