Foundations (final) Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
Goals of proper positioning (4) | 1. make pt comfortable, 2. prevent pressure sores, 3. provide pt w/ access to environment, 4. position for treatment |
3 general procedures for positioning + draping | 1. body mechanics, 2. Lift (do not drag), 3. expose only area necessary |
Procedures for relieving pressure (primary objective) | disperse pressure over greatest area |
Procedures for relieving pressure (6) | 1. no direct contact w/ bony prominences, 2. eliminate sheet wrinkles, 3. minimize time w/ head elevated, 4. utilize linen/trapeze for transfers, 5. avoid position w/o support, 6. use "pressure dispersing medium" (pillow) |
Bridging the gap | support proximal and distal to sensitive area (like a bridge) |
Effects of bedrest (7) | 1. atrophy, 2. fatigue, 3. reduced cardiac funct., 4. loss of bone, 5. deep vein thrombosis (DVT), 6. orthostatic hypotension, 7. pressure ulcers |
95% of pressure ulcers develop on... (5) | 1. sacral/coccygeal, 2. greater troch., 3. ischial tuberosity, 4. heel, 5. lateral malleolus |
Pressure ulcer prevention (6) | 1. freq. repositioning, 2. relieve pressure on bony prominences, 3. physical activity, 4. monitor skin, 5. decrease moisture, 6. nutrition |
Minimum time between checking patient positioned in supine/prone | 2hrs |
Documentation for pressure ulcers | vital signs, stage + location of ulcer, positioning |
ROM | range of motion (full motion possible at the joint) |
Passive Range of Motion (PROM) | produced by external force ("relax I'm going to move you") |
Active Range of Motion (AROM) | produced by active contraction of muscles ("do this") |
Active Assisted Range of Motion (AAROM) | helped by external force ("So the parts you can. I will help you with the rest") |
Reliability | repeatability of measures |
Validity | degree to which your measure represents what you intend to measure |
Improving reliability with a goniometer | use a consistent position, landmark, device, and therapist |
What type of ROM would you measure if the muscle is tight? | PROM |
What type of ROM would you measure if the muscle is weak? | AROM |
What type of ROM would you measure if the capsule is tight? | PROM (for tightness) |
What type of ROM would you measure if the patient has nerve damage? | AROM |
Active Insufficiency | deficit of muscle shortening |
Passive Insufficiency | deficit of muscle lengthening |
Contraindication for ROM intervention | disrupt healing, life threatening condition |
5 elements of pt management | examination, eval, diagnosis, prognosis, intervention |
end feel: boney | abrupt end with no give |
end feel: capsular/ligamentous | bending plastic ruler |
end feel: muscular | stretching a large rubber band |
end feel: springy | bouncy end feel |
end feel: empty | unable to reach end feel (due to pain, etc) |
During ROM measure, stabilize ____ | the proximal segment |
Steps of ROM measure | 1. POSITION pt, 2. STABILIZE, 3. assess END FEEL, 4. PALPATE boney landmark, 5. ALIGN goni, 6. record START POSITION, 7. record END POSITION |
Created by:
cbaweiss
Popular Physical Therapy sets