Exam 3: SCI part 3 of 3 (from Spring 2015) Flashcards Preview

Bringman class fall 2015 > Exam 3: SCI part 3 of 3 (from Spring 2015) > Flashcards

Flashcards in Exam 3: SCI part 3 of 3 (from Spring 2015) Deck (17):
1

SCI: B/B problems can be ____ or ____

  • ~reflexive
  • ~flaccid/areflexive

2

B/B reflexive details

  • ~retain, hold then will get to the point where they will release
  • ~there is tone to hold B/B in
  • ~Cells in the bladder are stretchy- they will get in the get to the point where they will have to go
  • ~Bowel need to be on a pattern (one a day, twice a day, etc)
  • ~GCR
  • ~Digital stimulation
  • ~Diet is HUGE for these patients; don’t have things that upset the stomach

3

GCR

  • Gastro-colic reflex
    • ~they eat food and then poop

From Wikipedia: "The gastrocolic reflex or gastrocolic response is one of a number of physiological reflexes controlling the motility, or peristalsis, of the gastrointestinal tract. It involves an increase in motility of the colon in response to stretch in the stomach and byproducts of digestion in the small intestine. Thus, this reflex is responsible for the urge to defecate following a meal. The small intestine also shows a similar motility response. The gastrocolic reflex helps make room for more food.[1]" (https://en.wikipedia.org/wiki/Gastrocolic_reflex)

4

digital stimulation

if the anus if stimulated for a prolong time, they can help to stimulate the evacuation of the bowel

5

B/B flaccid/ areflexive details

  • ~B/B go together, if you is areflexive with one, you will be with the other
  • ~Leak constantly- don’t have the sphincter- want to firm out the bowel bc you don’t want a constant leak

6

urinary catheter

  • ~Don’t go above the level of the bladder
  • ~Urine comes out of your body as sterile, but it does not stay that way; if it goes back into the body- BAD
  • ~If you drain it, you have to measure how much you got out
  • ~10 cc of fluid will go into the catheter that will help fill the balloon to keep the catheter in

7

Goals (in general)

  • ~Will have to wrote some goals
  • ~What does the pt need to do, where is the pt going back to, the env to go to , physosocial, an act of violence that they need to get to, what is the home env,
  • ~Don’t forget to do a time frame

8

What are the 5 main divisions of a goals (plus 1)

  • ~vascular
  • ~positioning/ skin
  • ~breathing
  • ~flexibility
  • ~strengthen

*and education

9

transfer goals

  • ~start dependent, go to max assist to mod to min assist
  • ~book will tell you no to do independent

10

strengthening and flexibility goals

  • ~Want to strengthen and stretch the muscles that they still have and increase ROM
  • ~Hamstring length important for transfers, sitting, etc

11

positioning goals

  • ~Positions that they need to get into- side lying, short sitting
  • ~should be able to tell the person who is helping them- will be able to direct the helper
  • ~EX: pt will be able to long sit by 2 weeks to facilitate transfers

12

vascular goals

  • ~orthostatic hypotension
  • ~will use ab binding and LE wrapping
  • ~ex: pt will understand abdominal binding and LE wrapping by _ visit to decrease the chance of…
  • ~ex: pt will be able to recite the s/s of autonomic dysreflexia by _ visit

13

skin care goals

  • ~avoiding wounds
  • ~weight shifting
  • ~positioning off of boney prominences

14

respiratory goals

  • ~Helping with breathing
  • ~working on breathing- incentive spiro, how to cough easier

15

help with long sitting

  • ~Circle sit
  • ~STRAIGHT BACK
  • ~Throw back position

16

angular momentum

  • ~Teach them to keep arms lower than 90*; want to try and get the arms straight and stay straight to get momentum to roll over
  • ~Will put them in air casts to teach them to keep arms straight
  • ~Make sure to turn your head
  • ~If you protract, they will be able to keep going more
  • ~Very hard to get LE to roll over

17

Distal fixation for muscle fixation

  • ~Triceps extend elbow
  • ~anterior deltoid can flex shoulder
  • ~Help to move forward and do the triceps movement if the delt are strong enough