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From Flashcardlet > Foundations of Practice Midterm > Flashcards

Foundations of Practice Midterm Flashcards

(58 cards)

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0
Q

What to do prior to patient treatment

A
  1. Prepare bed tx table, and surrounding area
  2. Have all supplies needed at hand
  3. Allow room for in impeded movement
  4. Remove equipment and furniture that is not needed for tx
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1
Q

Correct body mechanics

A
  1. Keep load close
  2. Maintain balance
  3. Use back muscles
  4. Lift with legs
  5. Don’t twist
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2
Q

Pt abilities and deficits to be aware of

A

Physical
Cognitive
Perceptual
Behavioral

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3
Q

Instructions

A

Establish what you are about to do

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4
Q

Commands

A

Specific command at a specific time; when you want it done

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5
Q

What kind of command elicits a quicker response

A

Sharp

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6
Q

What kind of command elicits a slower response

A

Soft

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7
Q

Levels of assistance

A

Stand by
Minimal
Moderate
Maximum

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8
Q

Types of assistance

A

Verbal cues
Balance control
Lifting/supporting

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9
Q

Dependent transfers

A

Minimal or no active participation by pt

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10
Q

Draping

A

Covering pt with sheets or towels

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11
Q

Things to remember about draping

A

Protect modesty
Provide warmth
Protect wounds, scars, etc
Expose specific body area for treatment

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12
Q

Functional ambulation

A

Walking which occurs while an individual works on an activity for a specific purpose; integrates ambulation into ADLs and IADLs
Eg: laundry, cooking, mowing lawn

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13
Q

AFOs (ankle-foot orthosis)

A

Protective external device made of lightweight theraplastic splinting material and applied to area to protect or compensate for joint instability

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14
Q

Ambulation devices used for

A 
Poor balance
Decreased strength
Follow precautions
Increase functional mobility
Pain control
Improve safety
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15
Q

NWB

A

Non weight bearing, involved limb should not touch ground

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16
Q

TTWB

A

The touch weight bearing; pt can rest toes on ground but not bear any weight

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17
Q

PWB

A

Partial weight bearing; a limited amount (%) is permitted

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18
Q

WBAT

A

Weight bearing as tolerated; pt determines how much weight bearing they can tolerate

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19
Q

FWB

A

Full weight bearing; permitted to bear full weight; assistive devices used for balance only

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20
Q

FIM score

A

(Functional independence measurement) 1=dependent (more than 75% assist) 7=completely independent (no cuing or assistance; with or without assisting devices)

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21
Q

2 types of wheelchair wheels

A
  1. Standard solid rubber

2. Pneumatic

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22
Q

Pneumatic wheels

A

More shock absorption, smoother ride, look for air valve

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23
Q

Types of drive wheels

24
Standard drive wheels
Multiple steel or aluminum spokes, requires alignment to be adjusted
25
Mag drive wheels
Strong, lightweight, less spokes, less maintenance
26
Projections on wheelchair
Adaptation of outer rim wheel for pts with decreased grip strength
27
Wheelchair armrest lengths
Desk length | Full length
28
Front rigging
Provides support for LE Consists of footplate attached to either a footrest or elevating leg rest May be fixed or removable Pivoting or non pivoting
29
Antitipping devices
Small extensions with or without wheels that comes out from back of chair
30
Reclining wheelchair
Used when patient cannot sit erect Extended back is standard Needs headrest
31
Tilt in space wheelchair
Chair leans back but angle of seat is fixed | Used for?
32
One arm drive wheelchair
2 outer rims on one side or lever that is pumped for propulsion and steering
33
Amputee wheelchair frame
Wheels set behind vertical back supports to compensate for the posterior CG of a LE amputee
34
How to calculate seat depth
Distance from flat back surface to posterior aspect of lower leg - 2 to 3 in
35
How to calculate seat width
Widest aspect of hips or thighs + 2"
36
How to calculate back height
Distance between top of seat to inferior angle of scapula
37
How to calculate armrest height
Distance between top of seat to pt's arm at 90 degree elbow flexion
38
How to calculate seat to footrest length
Distance between posterior aspect of thigh at popliteal fossa to sole of foot
39
Purpose of proper seat depth
Support pelvis and thigh To long: affect circulation, sacral sitting Too short: thighs not properly supported, poor weight dist
40
Purpose of proper seat width
Properly reaching wheels and armrests Too wide: difficulty reaching wheels or armrests Too narrow: excessive pressure on lateral aspects of LE
41
Purpose of proper armrest height
Able to sit in proper alignment
42
Purpose of proper footplate length
Affects sitting posture Too long: sacral sitting Too short: uneven weight dist on thigh
43
Purpose of proper footplate size
Provide proper support of LE
44
How often should pts be repositioned?
Every 2 hrs | Especially when pt has: poor circulation, fragile skin, decreased sensation, pain issues
45
Decubitus ulcers
Pressure sores
46
Inspect new splints ______min of wear to determine tolerance
5-10
47
Pt must relieve pressure on buttocks and sacrum every _____min
10
48
Positioning of pt lying on stroke side
Involved shoulder well forward (body wt on scapula) Involved leg brought in line with the trunk, knee slightly bent Uninvolved leg forward with knee flexed and pillow underneath
49
Positioning of pt lying on non-stroke side
Involved arm well forward with elbow slightly bent on a pillow Involved leg brought far enough forward to prevent pt from rolling to back, knee bent on pillow Small pillow placed under waist for spinal alignment
50
Positioning of stroke pt on back
Small pillow under butt of stroke side; should extend just to knee Pillow under involved arm, kept straight, palms facing upwards
51
Positioning of stroke pt sitting in a chair
Arm rested on pillow on a table, palm down | Pillow under involved buttock
52
Barriers to effective communication
Foreign language or jargon Carelessness in word choice Inability or u willingness to listen to each other carefully
53
Fundamentals of communication
Sender Message Receiver Environment
54
Active listenin
Involves paraphrasing for clarification Restatement Reflection Clarification
55
Restatement
Repeating the words of the speaker as you have heard them
56
Reflection
Verbalizing both the content and implied feelings of the sender Shows you're hearing more than just he words, you're hearing emotions behind them
57
Clarification
Summarizing or simplifying the sender's thought and resolving confused verbalizations into clear concise statements

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