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Aging Adult > Exam 2 > Flashcards

Exam 2 Flashcards

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1
Q

4 facts from orders section

A

WB status, activity restrictions, PT orders, vital sign parameters (can we titrate oxygen)

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2
Q

3 facts from physician/nursing notes

A

PMHx, HPI (history of present illness), social history

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3
Q

what do we know from the medical record

A

imaging, labs, surgery, medications

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4
Q

normal MAP

A

70-100

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5
Q

unstable MAP

A

60-65

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6
Q

normal PWP

A

8-10 mm HG

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7
Q

how much leg flexion with arterial line

A

strictly less than 90

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8
Q

Don’t put BP cuff over what

A

IV line or fistula

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9
Q

head of bed angle for ng tube

A

30 degrees

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10
Q

types of open drains

A

Penrose, Foley, Malecot

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11
Q

types of closed drains

A

Hemovac or JP drain (Jackson-Pratt)

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12
Q

minimum o2 saturation

A

88%, goal is 90-92%

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13
Q

how long to wait between BP attempts

A

3-5 minutes

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14
Q

ECG rhyme

A

R (W/G), L (B/R), Center (B 4 ICS), don’t put electrodes over pacemaker

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15
Q

Summarize the goal of the APTA’s Core Competencies for Entry Level Practice in Acute Care Physical Therapy

A

entry-level acute care PT, guided by sound acute care clinical decision-making, will be able to assist patients with achieving their optimal heath outcomes as part of physical therapy best practice in acute care

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16
Q

5 domains involved in the APTA’s Core Competencies

A

1 – Clinical Decision-Making (an integral component of all of the sections); 2 – Communication; 3 – Safety; 4 – Patient Management; and 5 – Discharge Planning

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17
Q

3 components required of a clinician in the acute care environment according to the APTA’s Core Competencies for Entry Level Practice in Acute Care

A

Safety, skills, D/C planning

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18
Q

scalene nerve blocks can inhibit the action of what

A

the diaphram

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19
Q

how should we breathe with COPD patients

A

pursed lip breathing

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20
Q

how to calculate MAP

A

MAP = SBP + 2 DBP / 3

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21
Q

calculate pulse pressure

A

SBP - DBP

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22
Q

how is oxygen handled

A

titrate but do not discontinue

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23
Q

line that monitors blood gas

A

swan ganz

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24
Q

5 stages of the transtheoretical model

A

precontemplation, contemplation, preparation, action, maintenance

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25
% of those with mild cog impairment who get dementia
10-15%
26
3 most common types of dementia
Alzheimer's, Lewy, Vascular
27
etiology of AD
buildup of amyloid protien => plaques
28
stages of AD
1- nothing, 2-very mild/typical aging, 3-noticeable deficit, 4-mild dementia (detect in interview), 5-mod assistance required, 6-forgets name of caretaker, 7-severe dementia, incontinence
29
delirium
rapid change in mental state,
30
what is sundowning
symptoms of dementia get worse at the end of the day
31
items in mini-cog
3 item recall, clock draw, 0-2 positive for dementia, 3-5 negative for dementia
32
MoCA
Includes tests for executive function, naming, memory, attention, language, abstraction, delayed recall, and orientation Scores > 26 = Normal
33
MMSE
11 questions to assess: * Orientation, registration, attention, calculation, recall, language, and visual construct * Scoring * 24-30: no impairment * 18-24: mild impairment * 0-17: severe impairment
34
best practice for dementia
massed, constant, blocked, cannot transfer, no mental practice,
35
score for geriatric depression scale
Score greater than 11, need referral or follow up * 0 10 normal, 11 20 mild depressive, 21 30 severe depressive
36
what type of joint is the GH joint
ball and socket, covered by hyaline cartilage
37
what is the angle of scaption
30 degrees from straight side (HH in retroversion, scapula in anteroversion)
38
how many bands of the GH ligament
3 (superior, middle, inferior)
39
joint type of SC
saddle
40
for shoulder flexion which way does proximal end of clavicle move
inferiorly
41
AC joint type
plane synovial joint
42
2 parts of the coracoclavicular ligament
trapezoid and conoid
43
resting position
55 AB, 30 AD from horizontal
44
CPP for GH
full abduction and lateral rotation
45
GH capsular pattern
ER > ABD > IR
46
landmark for superior angle of scapula, inferior, spine
T2, T7-T9, T4
47
motion from GH vs. scapula
2/3 GH, 1/3 Scapula
48
innervation of serratus anterior
long thoracic nerve
49
how is the GH joint stabilized
balance, convacity/compression, adhesion/cohesion, capsule/ligaments
50
are outcome measures used enough
NOPE
51
high risk for a DVT
3-8 points
52
most likely direction for a shoulder dislocation
anterior 90%
53
Type 1 v. Type 2 AC pathology
sprained vs. torn AC lig, CC normal
54
type 3 vs. T4 AC pathology
disruption of AC and CC; p. displacement into Trap
55
type 5 AC pathology
rupture of delto-trapezoid fascia
56
type 6 AC pathology
clavicle displaced into conjoined tendon
57
where does a painful arc often occur
170-180 abduction
58
test item cluster for AC joint
crossbody, resisted extension (horizontal crossover), O'Brien's
59
which types of AC pathology are rare
4-6, immobilize for up to 6 weeks
60
common position of arm for AC injury
adduction, landing on arm
61
classifications of instability
traumatic, atraumatic, acquired
62
subluxation v. dislocation
subluxation will auto-reduce
63
4 types of shoulder dislocations
Hill-Sachs, Boney Bankart, Labral Tear, Axial nerve injury
64
location of bankart lesion
anterior gelnoid, reverse is posterior glenoid
65
what is a Hill-Sachs lesion
compression fracture, humeral head as a result of anterior dislocation (posterolateral humerus, reverse is anteromedial humerus)
66
which muslce is a slap lesion associated with
biceps tendon (anterior dislocation)
67
conditions which cause atraumatic instability
Ehler's danlos syndrome and Marfan's
68
test item cluster for anterior instability
relocation, surprise, apprehension
69
test item cluster for posterior instability
jerk
70
labral tear
kim test, biceps load test
71
risks for recurring instability
young age, men, less risk with having a fracture such as a bony bankart or greater tubercle
72
phase of recovery from SH dislocation with intervention
acute: PROM, intermediate: AROM (AB to 90), advanced: full ROM, sport specific: return to sport activities
73
will using large muscles make smaller not rotator cuff muscles not work
NOPE
74
mobilization direction for shoulder internal rotation
posterior
75
mobilization direction for shoulder external rotation
anterior
76
mobilization direction for shoulder abduction
inferior
77
mobilization direction for SH adduction
superior
78
dynamic constraints to GH mobility
rotator cuff muscles, scapular stabilizers
79
precautions with reverse SH arthroplasty
no hand behind back, no extension past neutral
80
key words for elder abuse
intention to act, failure to act, trust, harm to older adult
81
types of abuse
physical, emotional, sexual, financhial, verbal, neglect/abandonment
82
where to report elder abuse
adult protective services
83
three components of a good death
people, location, pain
84
physiological signs of death
confusion, restlessness, more time sleeping, less eating, fatigue, irregular HR, loss of BP, rapid breathing/apnea, cool distal extremities, irregular bowel/bladder
85
what covers hospice
Medicare Part A (terminal condition, less than 6 months, no longer seeking treatment)
86
what is rehabilitation light
1-2x/week, slow progression
87
rehab in reverse
PRN, assistive devices, bed mobility, education
88
skilled maintenance
help with ambulation or transfers
89
what are advanced directives
legal, desires in event of death, appoints power of attorney (medical) - makes decisions if patient can't, do not resuscitate orders

Aging Adult (3 decks)

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