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Flashcards in Intro Deck (39)
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1
Q

What is wrong about stating “full time w/c user”?

A

should be “w/c bound”

2
Q

cancer kid?

A

child diagnosed with cancer

3
Q

amputee?

A

pt with an amputation

4
Q

hemiplegic?

A

no, pt with hemiplegia

5
Q

suffering from Down Syndrome?

A

no, living with Down Syndrome

6
Q

true or false: a person with a disability will be receptive to personal questions.

A

false

7
Q

What is the FIM?

A
  • Functional Independence Measure
  • 18 items
  • 7 point scale
  • Physical, psychological, social function
8
Q

FIM 7

A
  • Ind (Independent)
  • No assistive devices
9
Q

FIM 6

A
  • Mod Ind
  • requires adaptive or assitive device
10
Q

FIM 5

A
  • S or : requires someone within arms reach for safety
  • or CG: requires hand on for safety
  • comples 100% of the work
11
Q

FIM 4

A
  • Min A or CG
  • pt completes >75% of the work
12
Q

FIM 3

A
  • Mod A
  • Pt completes 50-74%
13
Q

FIM 2

A
  • Max A
  • Pt completes 25-49% of the work
14
Q

FIM 1

A
  • D
  • Pt completes <25% of the work
15
Q

Types of cuing

A
  • VC: ex. using a cane
  • TC: ex. advance the walker
  • VC: ex. markings on the floor
16
Q

what is the balance grade of a pt that maintains steady balance without support, and shift weights easily in all directions

A

NORMAL

17
Q

what is the balance grade of a pt that shows minimal sway, maintains balance without support, and accepts moderate challenge (i.e. picking up object from floor)

A

GOOD for dynamic and static

18
Q

what is the balance grade of a pt that is able to maintain balance with hand hold support/Min A, and accepts minimal challenge (i.e. turning trunk or head)

A

FAIR static and dynamic

19
Q

What is the balance grade of a pt that requires Min A for static balance, but is unable to move without loss of balance

A

FAIR static, and POOR dynamic

20
Q

what is the balance grade of a pt that requires Min/Mod A to maintain posture and is unable to accept challenges or move without loss of balance?

A

POOR

21
Q

A 68 year old female 6 months post CVA presents to therapy with a referral for “Balance Disturbance.” During initial evaluation, she is able to maintain standing with a straight cane and can turn her head in various directions. She is unable to reach down to tie her shoes.

A

FAIR for dynamic and static

22
Q

what is the FIM score of pt that requires either Min A or CG?

A

FIM 4

23
Q

amb FIM 7

A

150 ft Ind

24
Q

Amb FIM 6

A

150 with assistive device

25
Q

Amb FIM 5

A

150 ft with S

26
Q

Amb FIM 5E

A

50 ft household Amb with increased time

27
Q

Amb FIM 4

A

150 ft with Min A or CG

28
Q

Amb FIM 3

A

150 ft with Mod A

29
Q

Amb FIM 2

A

50 ft with Max A

30
Q

Amb FIM 1

A

less than 50 ft Max A or

Assist x 2 required

31
Q

Stair FIM 7

A

12-14 steps Ind

32
Q

Stair FIM 6

A

12-14 steps with assitive device

33
Q

Stair FIM 5

A
  • 12-14 steps with S
  • 4-6 steps Ind
34
Q

Stair FIM 4

A

12-14 steps with Min A

35
Q

Stair FIM 3

A

12-14 steps with Mod A

36
Q

Stair FIM 2

A

4-6 steps with A

37
Q

Stair FIM 1

A

A x 2 required

less than 4-6 steps with A

38
Q
A
39
Q

You are working with a patient who as suffered a Cerebral Vascular Accident. The patient requires assistance to position the lower extremities for transfer from bed to chair. He is able to ambulate 75 feet with CG and can negotiate 8 stairs with Min A.

FIM scores and levels of A:

A
  • Txfr: Min A / FIM 4
  • Amb: CG / FIM 2
  • Stairs: Min A / FIM 2