Chunk One

Question 1

WH: inflammatory phase:

Answer 1

initial stage of wound healing that includes:

• clot formation
• blood vessel dilation allowing neutrophils and monocytes to initiate debridement and attack bacteria
• changes in skin color, temperature, pan, swelling and function

Question 2

WH: proliferation phase:

Answer 2

second stage of wound healing that begins by day three after injury:

• wound revasculariation
• scab formation
• wound re-epithialization (new skin layer)
• fibroblasts initiating contraction
• erythema and beginning of scar formation

Question 3

WH: Maturation phase:

Answer 3

final phase of wound healing that may continue for months or years that includes:
- collagen remodeling
- scar softens while its tensile strength increases
erythema lessons

Question 4

debridement

Answer 4

a procedure performed to facilitate wound helaing and involves removal of damaged or nonviable tissue

Question 5

types of debridement include:

Answer 5

surgical
mechanical chemical
autolytic

Question 6

surgical debridement

Answer 6

a type of debridemet that involves surgically removing damaged or nonviable tissue with a sharp instrument

Question 7

mechanical debridement

Answer 7

a type of debridemtnt that involves actively removing damaged or nonviable tissue

Question 8

types of mechanical debridement include:

Answer 8

hydrotherapy
wet-to-dry dressings
- wound irrigation followed by suction

Question 9

chemical debridement

Answer 9

type of debridement that uses fast acting enzymes to slough nonviable tissue form a wound

Question 10

autolytic debridement

Answer 10

type of debridement that uses the body’s own enzymes to breakdown nonviable tissue

Question 11

alginate dressing

Answer 11

primary wound care dressing that can absorb large quantities of exudate

Question 12

transparent film dressing

Answer 12

semi-occlusive wound care dressing that can be used as a primary or secondary dressing and act as a waterproof barrier

Question 13

hydrogel sheet dressing

Answer 13

wound care dressing that hydrates the wound and promotes autoytic debridement

Question 14

scar management

Answer 14

technique best used six to 12 weeks after wound closure to minimize the risk of adhesions, contracture, hypertrophy or hypersensitivity

Question 15

scare management interventiosn include:

Answer 15

mobilization orthoses ie applying submaximal stretch
massage: graded bivration , manual
compression ie: gloves tublar gauze
densitization: graded touching, textures
ROM : active and passive
thermal modalities : ultrasound moist heat

Question 16

conduction

Answer 16

transfer of energy between two connected surfaces of contrasting temperatures

Question 17

examples of conduction include:

Answer 17

paraffin wax
cryotherapy
hot pack

Question 18

convection

Answer 18

transfer of energy from a circulating source in contact with a body part:
ie: fluidotherapy
whirlpool

Question 19

evaporation

Answer 19

physiological response resulting from the topical applicaitn of a vapocoolant
ie:
cold spray
cooling cream

Question 20

electrotherapeutic physical agent modalities

Answer 20

PAM that require esential knowledge of electrical principles electrode selctiona and placement indications and contraindications,

Question 21

ie: of electroherapeutic PAM:

Answer 21

NMES: neuromuscular
FES: functional
TENS; transcutaneous

Question 22

Hot pack:

Answer 22

superficial, moist heat, conduction modality

Question 23

precautions to hot pack

Answer 23

overheating of the client
localized burns to the body part being treated
discomfort from the weight of the pack

Question 24

hot pack is recommended

Answer 24

for use as an adjunct to other occupation-based interventions

Question 25

fluidotherapy

Answer 25

superficial, dry heat, convection modality that involves inserting a distal extremity into a thermostatically controlled machine of circulating particles, typically used for desensitization edema and pain reduction improving ROM

Question 26

paraffin therapy

Answer 26

superficial, conduction, heat modality that involves use of thermostatically controlled, warmed wax and mineral oil, method used: immersion dip immersion pouring

Question 27

cryotherapy

Answer 27

superficial conduction cold modality that may be used to address spasticity pain edema

Question 28

NMES stands for

Answer 28

neuromuscular electrical stimulation

Question 29

NMES is

Answer 29

a type of physical agent modality that provides electrical stimulation to a peripheral nerve potential uses: - strengthen a muscle - increase ROM - decrease spasms - manage edema

Question 30

FES stands for

Answer 30

functional electrical stimulation

Question 31

FES is

Answer 31

``` form of electrotherapy to: maintain muscle mass gain ROM facilitate voluntary movement manage spasticity ```

Question 32

TENS is

Answer 32

for of electrotherapy used as a component of a comprehensive pain management program techniques of application include: subsensory sensory motor

Question 33

TENS stands for

Answer 33

transcutaneous electrical nerve stimulation

Question 34

ultrasound US

Answer 34

mechanical acoustic modality that uses energy conversation to influence: tissue length pain inflammation tissue healing

Question 35

social competence

Answer 35

mastery of a complex interaction of social, cognitive, emotional, and behavioral skills needed for social adaptation, includes demonstration of effective: interpersonal communication social communication social skills

Question 36

play space

Answer 36

designated social or physical environment designed for children to foster exploration development socialization

Question 37

ABA: applied behavior analysis

Answer 37

therapeutic approach used to enhance school function, positive behaviors, and socialization through intensive therapy consisting of reinforcement and daily structure

Question 38

least restrictive environment

Answer 38

academic context allowing students with disabilities to receive their education and all academic and related services in the same setting as children who do not have disabilities

Question 39

behavioral modification

Answer 39

an intervention strategy used to shape behavior; typically associated with providing a combination of positive or negative reinforcement

Question 40

reality orientation

Answer 40

intervention method used for persons with cognitive impairment that includes routines and consistent reminder of time date and weather current location familiar names roles of people in their support network

Question 41

temperament

Answer 41

behavioral attributes of a personality that influence social interactions in nine areas; activity level, rhythmicity, approach or withdrawal attention span threshold of response distractibility adaptability intensity of response and quality of mood

Question 42

activity pacing

Answer 42

energy conversation technique that includes integrating regular rest breaks into daily activities establishing daily habits and routines maintaining adequate sleep hygiene

Question 43

activity planning

Answer 43

energy conservation technique that involves looking ahead days, weeks or months to develop a strategy for organizing and scheduling tasks based on occupational roles, priorities, task demands and expected energy expenditure levels and includes time for rest and recovery

Question 44

activity modfiications

Answer 44

adaptations to activities or tools to: promote a lifestyle change facilitate independence reduce injury or health related risk

Question 45

just right challenge

Answer 45

top-down task analysis approach that involves identifying client centered activities that are meaningful and contextually relevant provide the greatest opportunity for success maintain motivation and arousal

Question 46

task simplification

Answer 46

method of grading activity to allow the capacity of the client to match activity demands, may involve: breaking an activity into smaller parts eliminating steps of an activity modifying objects used during the activity

Question 47

incremental gradation of occupation

Answer 47

gradual increase or decrease in activity and/or environmental demands to optimize a client's performance, typically started form where the client will be successful

Question 48

client educatino

Answer 48

collaborative client-centered teaching approach used to advise a client on: plan of care and goals resources discharge planning home programs includes assessing the ability to carry out health care recommendations

Question 49

automaticity

Answer 49

ability to perform activities using an automatic response or habit, involves less attention to details of the procedural steps linking a new activity with an environment

Question 50

generalization of skill

Answer 50

ability to transfer a newly learned skill across a variety of contexts and activities facilitated by maintaining client motivation contextually relevant practice direct exposure to a task

Question 51

home program

Answer 51

set of recommended activities provided to support carryover of skills learned in a therapeutic setting to the natural environment