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Flashcards in OMM for Hospitalized pts Deck (15):

What are the osteopathic ABCs that are addressed with OMM?



What are the three essential characteristics of OMM for the inpatient?

OMM must be:
-Beneficial to pt
-Beneficial to hospital


What are the three logical steps of choosing an OMM treatment?

1. Resolve tissue strain
2. Allow tissues to lengthen (or stretch them)
3. Allow bones to move


What are the four major components of a VS reflex?

1. Two or more spinal segments show SDs within autonomic reflex area
2. Deep confluent muscle retraction
3. Resistant to segmental joint motion
4. Skin and SQ changes c/w acuity/reflex


What are the three major appropriate techniques to treat inpatients?

-Myofascial release


What is the major reason that bedridden pts develop LE edema?

Cannot rely on muscular contraction to augment venous and lymphatic return


What dysfunction of the LE in particular, becomes important with bedridden pts? Why?

-Fibular head dysfunction

-Impediments of V/L return from the LE


What dysfunctions of the hips are important with inpatients? Why?

-Innominate rotations
-Increased fascial resistance, preventing adequate return from the pelvis


What are the 7 major reasons for using OMM on in-pts?

-balance autonomics
-Improve respiration
-Improve circulation
-Decreased long term wear and tear on organs
-Improve organ function
-Assist in recovery
-Relieve pain


What are the five factors relating to OMM treatment, that the condition of the patient dictates?

-Length of exam
-Positions used
-Length of treatment


What is the general way to treat in-pts with OMM?

Centrally to peripherally, beginning with the cervical spine, and progressing downward


How often should you treat in-pts? Why?

Either once a day, or in small doses throughout the day

Avoid stressing the patient


What happens to the body with tissue trauma 2/2 surgery that causes decreased venous and lymphatic return?

Increased SNS reflexes


True or false: inpatients often have "stuck" bones that need to be moved with OMT to increase venous and lymphatic return

False--bones do not get stuck, rather the tissues around them can become strained


If an inpatient has a heart-related issue, what should be avoided?

Any techniques that cause a valsalva effect