Fractures Flashcards
(10 cards)
What are two factors that predispose elderly individuals to falls?
Two factors that predispose elderly individuals to falls are decreased flexibility and reduced vision. Other factors include pain, diminished strength, slower reaction time, and the use of assistive ambulatory aids.
What is a pathological fracture?
A pathological fracture occurs when a bone is weakened by an underlying condition like infection (osteomyelitis) or a metastasizing tumor. This differs from typical trauma fractures because the bone breaks with minimal or no force due to its weakened state.
What is the difference between a closed reduction and an open reduction for a fracture?
A closed reduction involves re-aligning bone fragments through manipulation without surgery, typically held in place with a cast or brace. An open reduction involves surgery to re-align bone fragments, which are then held in place with internal fixation devices like pins, screws, or plates.
What is Toe-touch weight bearing?
Toe-touch weight bearing means only the toe can be placed on the ground to provide balance while standing, with 90% of the weight borne by the unaffected leg. Imagining an egg under the foot is an instruction to emphasize putting very little weight on the affected leg, as if you would crush an egg.
What is the primary reason for performing reconstructive surgery of the hip (arthroplasty)?
The primary reason for performing reconstructive surgery of the hip (arthroplasty) is the restoration of joint motion and treatment of pain, primarily in cases of osteoarthritis (OA) and rheumatoid arthritis (RA).
What are the three hip movement precautions after a posterolateral approach hip replacement surgery?
After a posterolateral approach hip replacement surgery, the three hip movement precautions are: hip flexion not greater than 90 degrees, no internal rotation, and no adduction.
Why is maintaining good mobility at the knee important after a total knee replacement operation?
Maintaining good mobility at the knee after a total knee replacement operation is important to ensure good range of motion (ROM) as the knee heals.
What are two psychological issues an occupational therapist should be sensitive to in geriatric rehabilitation clients with orthopaedic conditions?
Two psychological issues an occupational therapist should be sensitive to in geriatric rehabilitation clients with orthopaedic conditions are fear and anxiety. Other issues can include changes in body image, decreased functional ability, and fear of dependence.
When can a patient typically engage in sexual activity after a hip fracture or lower extremity joint replacement?
A patient should typically not engage in sexual activity for 6 weeks after a hip fracture or lower extremity joint replacement, adhering to specific precautionary measures.
What is a cardinal role of the occupational therapy assistant in teaching patients ways of performing daily occupations safely?
A cardinal role of the occupational therapy assistant is teaching the patient ways of performing daily occupations safely, often involving training on movement precautions.
