Oce Part 1 Flashcards

Question

Respiratory interventions

Answer 1

Teach db techniques to enhance ventilation Functional mob to prevent deconditioning Arom for les to prevent dvt Incentive spirimetwr to increase the e expansion in the lobes Educate the pt on surg precautions Educate the pt on the importance to adhere the exercises Plb to promote o2 saturation

Answer 2

Heel slides Cycling

Answer 3

Quad set Qor Seated knee ext Mini squat Single leg squat Glute bridges Nmes eletrical stimulation

Answer 4

Gait retraining Transfer training bed chair Stairs practice

Answer 5

I would explain to the patient that the nature of our session would be to perform an assessment where I would be asking some questions and performing some tests. 1 would explain that the risk of the assessment is that some tests may exacerbate their symptoms, but l would talk through those tests before they were performed and let the patient know if alternate options exist. • I would explain that the benefit of the assessment is that I can form a clinical impression and determine if PT is recommended and, if so, the plan for treatment. • I would provide the patient with the opportunity to ask questions and receive answers about the proposed plan.

Answer 6

Lower extremity functional scale Self reported questionnaire (adls,balance,coordination,mobility,life participation,rom, strength

Answer 7

Upper extremity functional scale index

Answer 8

Knee to wall test

Answer 9

Hand dynamometry

Answer 10

Disability arm shoulder hand (DASH)

Answer 11

Hip injury and osteoarthritis outcone score

Answer 12

Knee injury and osteoarthritis outcome score

Answer 13

Roland morris disability questionarie Oswestey disability index

Answer 14

Neck disability index

Answer 15

Numeric pain rating scale Visual analogue scale

Answer 16

Mc guill pain questionarie

Answer 17

Goniometry

Answer 18

Functional movements

Answer 19

- Past Medical History - History of Present Illness • Social History • Red Flags Questions (cancer questions and mandatory questions) • Goals

Answer 20

- information related to past medical historyis important as it can determine if there are additional co-morbidities that could impact physiatherapy intervention. For example, the patient is attending physiotherapy for treatment of mobility-related issues due to Parkinson's. Their past medical history includes hypertension and severe bilateral knee OA. The activities included in treatment would need to be modifies to accommodate the patient's bilateral knee OA and it would also be important to monitor the patient's blood pressure to ensure safe participation in physiotherapy.

Answer 21

S:dizziness, shaking, sweating, confusion, and weakness. Pre-Exercise Screening: Assess the patient’s blood sugar levels before exercise to ensure it is within a safe range. If the blood sugar is too low, physical activity should be avoided until the levels stabilize. Monitor Symptoms: Keep track of the patient's responses during physical therapy. If any signs of hypoglycemia (e.g., dizziness, sweating, shaking) appear, the exercise session should be stopped immediately. Provide Immediate Care: If a patient shows signs of hypoglycemia during exercise, stop the activity, and provide quick sugar intake, such as glucose tablets, fruit juice, or sugary drinks to raise blood sugar levels. Adjust Intensity and Duration: Plan exercise sessions that are moderate in intensity and of shorter duration to avoid sudden drops in blood sugar levels Patient Education: Educate the patient on recognizing hypoglycemia symptoms and the importance of always having fast-acting sugar available. Post-Exercise Monitoring: Ensure the patient’s blood glucose levels are monitored after exercise to prevent post-exercise hypoglycemia.

Answer 22

S:Hyperglycemia can cause fatigue, increased thirst, frequent urination, and, if unmanaged, can lead to serious complications. M: Pre-Exercise Screening: Monitor blood glucose levels before physical therapy. If the glucose levels are too high (e.g., above 250 mg/dL), physical activity might be contraindicated due to the risk of worsening hyperglycemia or causing ketone buildup. Monitor Symptoms: Be alert to symptoms like excessive thirst, fatigue, or dry mouth. If the patient exhibits signs of hyperglycemia, the physiotherapist should adjust the intensity and duration of exercise accordingly. Moderate Intensity Exercise: Encourage low-to-moderate intensity exercise. Exercise helps to lower blood glucose levels by improving insulin sensitivity, but intense exercise should be avoided if blood sugar is extremely high, as it may worsen the condition. Hydration: Ensure the patient is well-hydrated, as hyperglycemia can lead to dehydration. Advise them to drink water before, during, and after exercise. Post-Exercise Monitoring: Monitor the patient's response after the session to ensure that their glucose levels do not rise further. Educate patients with hyperglycemia on the importance of monitoring their blood sugar levels regularly and making adjustments to their medication or food intake as needed in collaboration with their healthcare provider.

Answer 23

Communication with Other Healthcare Providers: Physiotherapists should communicate with the patient's medical team, including endocrinologists, to tailor exercise programs based on the patient's medical needs. Exercise Plan Adaptation: Ensure that the patient’s exercise program is individualized, considering their specific needs and the severity of their blood sugar fluctuations. Consistency and Monitoring: Regular blood sugar monitoring and consistency in exercise routines are key to managing both hypoglycemia and hyperglycemia effectively.

Answer 24

Social determinants of health (SDH) refer to the conditions in which people are born, grow, live, work, and age. These factors significantly influence health outcomes and include economic stability, education, social and community context, health care access, and the physical environment

Answer 25

1. Economic Stability: Impact on Access: Limited financial resources may prevent patients from seeking physiotherapy services, adhering to treatment plans, or affording necessary equipment for rehabilitation. Treatment Adherence: Patients facing financial difficulties might struggle to attend regular therapy sessions or afford home exercise programs

Answer 26

Review roles and responsibilities of pt and pta Verify the pta knowledge Learn about the pta experience and ensure it’s adequate Watch the pta perform the assigned task Provide education and training to fill any gaps identified

Answer 27

Thank you so much for your offer but I am able to accept gifts or money from pts. It’s a rule I follow according to the physio code of ethichs to make sure everything stays fair and professional. I appreciate your kindness and understanding.

Answer 28

Take resonable steps to correct the errors Document the finding,what action was taken and the outcome.

Answer 29

Fees for assessments, re ax and tx Fees for other services and products Fees for administrative tasks Late payment penalties or interest charges Charges for cancellations or missed appointments

Answer 30

BEFORE providing care, the PTS must ensure that the pts have a clear information about the fees and that they understand. This includes: All fess that might apply to the pt How bills or accounts for services are calculates Any financial policies that might affect the pt Methods of payment that are accepted.

Answer 31

The pt is told what services are covered, the cost of EACH service and the total cost The pt has the option to buy one service at a time The pt has the option to receive a refubd for unused services The fee for each service appears accurately on the billing.

Answer 32

The pts must review the advertisement placed by others on their behaf ti ensure they meet the college requirements. If they do not, pts must take resonable steps to correct it and DOCUMENT the steps taken

Answer 33

It must not state or imply a guarantee of tx results It must not state or imply that a pt service os better than the other pt service

Answer 34

It may include emailing or calling the person who placed the advertisement and informing her about your PROFESSIONAL OBLIGATION to the college. Ask for the content of the advertisement to be changed Document all of it

Answer 35

Recognize the breach Correct inappropriate behavior Document actions in the pts record

Answer 36

No romantic relationship w pts unless: One year has passed since discharge Power of imbalance no longer exists Pt is no longer dependent on the physiotherapist

Answer 37

Pts must report if they SUSPECT sexual abuse by a regulated professional Report to the professional college of the health care professional involved

Answer 38

May lead to disciplinary action by the college

Answer 39

Full disclosure: inform the pt and others involved Alternative: make pts aeare of options Document: clearly document how the conflict eas handled

Answer 40

The physio code of ethics requires me to always act in the pts best interest. This included not providing unnecessary treatment. I cant continue sessions that aren’t clinically needed bc it will go against out code of ethics. I should only provide care that is necessary for the pts recovery. I can’t justify seeing them for more sessions if they don’t need it

Answer 41

U made great progress and reached your goal. Based on that improvement u don’t need more sessions at this point. As a physio, follow a standard of care that ensures we only provide tx that are necessary for your recovery. Since u did so well, continue with further sessions wouldn’t ve in your best interests.

Answer 42

1- if the pt request to discontinue the tx 2- alternative services are arranged or the pt is given a chance to arrange alternative care 3- physio is unable to provide care that meets standards due to lack of resources 4- pt fails to pay for services within a reasonable tune after all attempts to facilitate payment have failed 5-pt does not cooperate with or comply w the tx plan,make the services inefectivo 6- pt is abusive( physically, emotionally or sexually) or has reasonable grounds to believe they may become abusive 7- a progressional boundary is breached and all reasonable steps were made to manage the behavior

Answer 43

Household 10-20m Community - mais de 20m

Answer 44

Improve flexibility and decrease stiffness Improve posture Increase blood flow circulation Improve flexibility Promote relaxation Help w pain management

Answer 45

12-15 steps

Answer 46

2-6wks 3-6 months

Answer 47

improve muscle function and support the joints, helping to reduce the risk of joint deformities and pain.

Answer 48

Increase rom Increase strength Increase function Decrease pain Decrease swelling Increase client knowledge about the condition

Answer 49

Decrease sob Increase function Increase general mobility Increase activity tolerance Increase or maintain chest expansion Facilitate effective cough Optimize gas exchange Educate about energy conservation

Answer 50

Increase indep w bed mobility/transfers/ambulation Educate pt on surgery precautions Reduce the risk of infection /contractures

Answer 51

Ice Heat Tens Gentle mobilization grade 1-2 Rest (avoid aggravating acts) Postural correction

Answer 52

Rest Ice Compression Elevation Us non thermal Arom

Answer 53

Arom/prom Stretching Mobilization 3-4 Heat Us thermal

Answer 54

Deep diafragma breathing ( not copd pt) Frequent breaks Plb Secretion clerabce technique (acbt)

Answer 55

Balance period of rest and activity Do not exercise to the point of fatigye Educate about energy conservation

Answer 56

Frequent positions changes Sitting upright w back support Adjustable chair w back support Proper design of work station Bend knees when ligfiting Avoid twisting movs

Answer 57

Educate re condition Educate about specific things not to do Adaptation of home\work Take frequent breaks Assistive devices or special devices for function

Answer 58

Meausre tape

Answer 59

Mmt using oxford scale Dynamometer

Answer 60

Goals/Expectations: “What do you expect from this session/interaction?” “What are your goals or what are you hoping to achieve?” "What would you like to do, that you cannot do right now?" - Addressing an individual's goals and expectations are important for compliance and ‘buy-in’ and to align with individual-centred care.

Answer 61

Management Implications: - Immediate pain control. - Prevention of further tissue damage/sensitization (acute injury). - Reassurance and other ‘active’ management advice.

Answer 62

Management Implications - gradual restoration of functional capacity - continued pain control as needed to create a therapeutic window to get active

Answer 63

Management Implications - Manage immediate symptoms as per acute/sub=acute disorders . - Investigation of potential factors contributing to the recurrent/episodic nature of the disorder for long term solutions. - Reinforce active management

Answer 64

Implications - Ensure there is not missed or associated serious pathology that continues to contribute to the chronicity of the disorder. - Investigation of potential factors contributing to the chronic nature of the disorder for long term management.

Answer 65

- Moving early/staying active important; active management vs passive. - May respond to simple analgesia, ice or other modalities.

Answer 66

Wear gloves: When you have open or healing wounds, or skin infections. When in contact with blood or body fluids, secretions, excretions or non-intact skin. When in contact with surfaces or articles contaminated with blood or body fluids.

Answer 67

Does not provide a physiotherapy service when the patient’s condition indicates that commencing or continuing the physiotherapy service is not warranted or is contraindicated