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Rationales OT > AOTA/POT SCI/MUSCU Diseses > Flashcards

AOTA/POT SCI/MUSCU Diseses Flashcards

1
Q

What type of burn involves dry, peeling, redness, with mild to moderate pain and leaves no scarring?

A

1st degree or superficial

healing time is between 3-7 days
due to sunburn, hot liquid burn

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2
Q

What type of burn involves the epidermis and upper Demis layer and is characterized with wet, blisters and erythema?

A

2nd degree: superficial partial thickness

healing time sis less than 2 weeks, due to hot metal or hot liquid

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3
Q

What type of burn involved the hair follicles, sweat glands, and other superficial layers and is characterized as the MOST PAINFUL?

A

2nd degree, partial deep

healing time is 3-5 weeks due to contact with flame or extent heat

may involve skin graft

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4
Q

What type of burn involves contact with chemicals, pain free, with high potential for hypertrophic scarring?

A

3rd degree, full thickness burn

healing time months

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5
Q

What type of burn involves all the underlying tissue, bone, fat under the skin usually cause by electrical burn?

A

4th degree, subdermal

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6
Q

What is the focus of medical management during the emergent phase?

A

Sustaining life, controlling infection, managing pain

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7
Q

What is the focus of medical management during the acute phase?

A

infection control, grafting, biological dressing, psychological support,

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8
Q

What is the OT intervention for 1st degree burn?

A

Typically heals on its own so avoid extra sun exposure

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9
Q

What is the OT intervention for 2nd degree burn superficial ?

A

ROM, assess wound/scar, edema control, splinting, sensation, MMT, grip strength, being ADL tx after onset of injury or surgery

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10
Q

What is the OT intervention for 2nd degree burn deep?

A

ROM, (72 hours post/op), wound care, edema control, splinting (serial casting or dynamic splint), sensation and introduce strengthening after wound heals, begin ADL ASAP.

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11
Q

What is the OT intervention for 3rd degree burn deep?

A

Evaluation, prevent contractures (anti-contracture positioning), PROM within 24 hours, edema control, education, adaptive ADL techniques

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12
Q

What are some key points to rememberer with skin conditioning?

A

Skin lubrication should be performed several times a day and use skin massage to desensitize grafted sites.

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13
Q

What are some key points to rememberer with scar management?

A

initiate compression therapy for both edema control and scar compression, create custom-made compression garment insert.

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14
Q

What is the recommended wear time for a patient to wear his/her pressure garment?

A

wear 24 hours a day for garment except bathing and massage.

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15
Q

How should you distribute pressure evenly in a pressure garment?

A

Add flexible inserts (gel or air cushioned) or conformers

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16
Q

What is the ideal anti-contracture positioning?

A

Positioning to the opposite of patient’s greatest comfort

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17
Q

What is the protocol for post-op immobilization period?

A

After skin graft, immobilization between 3-10 days until graft adherence is confirmed.

Immobilization period for donor size is 2-3 days.

Walking n0t resumed 5-7 days.

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18
Q

Exercise protocol after immobilization?

A

Start with gentle AROM to avoid shearing

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19
Q

What is hypertrophic scar and how should you treat it?

A

Most apparent between 6-8 weeks after wound closure and scar matures after 1-2 years.

Apply compression therapy early and continue until scar matures.

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20
Q

What is heterotrophic ossification?

A

bone formation in abnormal areas. Loss of ROM and pain is common.

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21
Q

What is pruritis/

A

persistent itching and may lead to skin maceration and reopening of the wound.

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22
Q

What should an OT do if the burned area is along the head and neck?

A
  • Position to stretch affected areas
  • use mouth and neck splint
  • use compression garment
  • education of healing appearance/appearance changes
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23
Q

What should an OT do if the burned area is along the UE (axillary, elbow)?

A
  • Airplane position (90 degrees ABD position splint)
  • Manage edema with positioning, wrapping, compression garment
  • AROM
  • begin ADL training asap after onset
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24
Q

What should an OT do if the burned area is along the trunk?

A

Position to place affected areas in prolonged stretch

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25
Q

What are some post-op/pre-prosethetic symptoms?

A

pain, skin complications, edema of residual limb, bone spurs, neuroma, phantom limb and sensation

26
Q

what are some post-prosthetic signs and symptoms?

A

skin ulcers, sebaceous cyst, edema, sensory changes

27
Q

What are the types of UE prosthesis training?

A
  • Prosthesis control training
  • Prosthesis use training
  • preposition
  • prehension
  • Functional Training
28
Q

What is prosthesis controls training?

A

how each component of upper limb prosthesis operates.

29
Q

What is prosthesis use training?

A

Teaching how to integrate functional use

30
Q

What is preposition training?

A

teach how to identify optimal position for functional activities

31
Q

What is prehension training?

A

teaching how the terminal device controls during grasp activities

32
Q

What is functional training?

A

Incorporating the Terminal device as functional assist or problem-solve approach

33
Q

What is intrinsic burn splint?

A

MCP Flex 60-70,
IP full EXT
Wrist EXT 10

34
Q

How would you teach the patient pain management and desensitization pre-prosthetic phase?

A

Tapping, light or deep tissue massage, fluidotheraphy

35
Q

OT interventions of strengthening for pre-prosthetic phase?

A

Isometric exercises to strengthen the muscles that will be involved in operating a prosthesis.

36
Q

How would an OT teach motor learning or muscle re-education for amputee patients?

A

Incorporate residual limb to bilateral activities and provide biofeedback to use muscle groups to operate.

37
Q

This type of prosthesis is relatively light, cost affective and provides sensory feedback, but need harness on the body?

A

Body-powered (body motion used to apply tension)

38
Q

This type of prosthesis increases grip force, offers minimal effort needed to control, improved cosmesis, and no need for harness.

A

Myoelectric (uses EMG signals)

but $$$$ and lack of sensory feedback.

39
Q

This type of disease is characterized as widespread pain and affecting entire muscle.

A

fibromyalgia

40
Q

What are some common interventions for fibromyalgia?

A

Education, myofascial release, fatigue management, pacing activities, energy conservation, memory aids, environment modification

41
Q

what type of hip fracture is mostly associated with women with osteoporosis?

A

Femoral neck hip

42
Q

Non-weight bearing?

A

no weight place on affected extremity

43
Q

Toe-touch Weight Bearing

A

Only toe can touch the ground for balance. 90% of weight is on unaffected limb

44
Q

Partial Weight bearing

A

50% of body weight

45
Q

Weight Bearing as tolerated?

A

based on pain response

46
Q

What are the hip precautions for posterolateral approach?

A 
No internal rotation (toes inwards)
No bending (hip flex at 90)
No crossing (adduction)
47
Q

What are the hip precautions for anterolateral approach?

A

No external rotation
No hip flexion beyond 90
No adduction

48
Q

When can the OT begin out of bed activities with a patient who had a hip replacement injury?

A

1-3 days post op

49
Q

What are the precautions for Total knee replacement?

A

No squatting, no kneeling on affected knee, no twisting on knee

50
Q

How should you position knee when lying in bed for TKA?

A

Knee must be flat when lying, no pillow under bed

51
Q

What are some spinal precautions?

A

No bending at waist
no lifting more than 10 lbs
no twisting trunk

52
Q

What are some standard body mechanics to teach a person low back pain/conditions?

A 
Neutral spine
bend from hip
avoid twisitng
Carry loads COG
Lift with legs
Lift with Wide BOS and in saggital plane
53
Q

What type of lift is safest lift for the back and ideal for heavy loads?

A

Semisquat

54
Q

what type of arthritis is progressive, non-inflammatory, and isolated to a specific joint?

A

Ostheoarthritis

55
Q

What are some intervention to osteoarthritis?

A

heat modalities (to decrease stiffness and relax muscles) and joint protection/energy conservation, AROM, light strengthening/aerobic exercises

56
Q

What are contraindications for arthritis?

A

MMT for pain and resistive exercise

57
Q

What type of arthritis is chronic and inflammatory?

A

Rheumatoid Arthritis

58
Q

What are some interventions to RA during acute period?

A

positioning, AE, AROM, Fx activity education

59
Q

What is some intervention to RA during flare-up?

A

PROM

60
Q

What type of splint is recommended for RA?

A

Soft neoprene

61
Q

What type of splint is recommended during exacerbation period of RA?

A

Resting hand splint

62
Q

What are some common RA deformities?

A

Boutonniere, swan neck, ulnar drift, mallet finger, trigger finger

Rationales OT (13 decks)

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