Chapters 4-6 Flashcards
(25 cards)
What psychosocial aspects are there for treating patients with a neurological condition?
Pt’s adaptation to disability
Pt’s stages of adjustment to disease or disability
Effects of impairments, functional limitations, and disability
Effects of limitations on participation
Pt’s reintegration into environment, family, work and life
What types of settings are patients with neurological conditions in?
Acute care, SNF, rehab hospitals, outpatient centers and home care
Define impairments, functional limitations and disability
Impairments- problems at the tissue and organ level
Functional limitations- result of impairments that negatively effect a person’s quality of life (ADLs)
Disability- functional limitations on a societal level
What are the stages of death?
Denial Anger Bargaining Depression Acceptance
Cranial nerve assessments are recommended for what type of patients?
Patients with lesions on the brain, brain stem and cervical spine
What are the 3 groups of tonal abnormalities?
Spasticity
Rigidity
Flaccidity
What vital signs should be assessed during a neurological assessment?
Heart rate, respiration and blood pressure
What is the x3 of A & O X3?
Person, place and time
What is homonymous hemianopsia?
Blindness of the nasal half of the visual field of one eye and the temporal half of the visual field of the other eye
Superficial sensations…
Pain, temperature, light touch and pressure
Deep pressure sensations…
Kinesthesia, proprioception and vibration
Combined sensations…
Tactile localization, two-point discrimination, barognosis, stereognosis, graphesthesia and recognition of texture.
Kinesthesia
Tests to sense pt’s arm moving up and down
Proprioception
Examines pt’s sense of joint position at rest and joint movement
Stereognosis
Pt’s ability to identify familiar objects by touch
Graphesthesia
Pt can identify letters and numbers written on their skin
Barognosis
Pt can identify different gradations of weight in objects of similar shape and size
Two point discrimination
Identifies two points applied to pt’s skin simultaneously
Motor control vs motor learning
Motor control - ability of CNS to direct the neuromotor system in purposeful movement and postural adjustment
Motor learning - skilled movement based on previous experience
CVA…
Cerebral vascular accident, stroke
Causes of stroke…
Cerebral embolism - blockage by a foreign object or embolism
Cerebral hemorrhage - artery ruptures
Cerebral thrombosis - most common, blood clot or plaque buildup blocks artery
TIA…
Transient ischemic attack, mini stroke
Most common types of pneumonia…
Aspiration - liquids
Bacterial - bacteria infection
Isometric vs isotonic vs isokinetic exercises
Isometric - tension without joint movement or change in muscle length
Isotonic - tension due to concentric and eccentric contractions
Isokinetic - predetermined velocity of muscle shortening and lengthening
