Ortho, skin, positioning

Question 1

philidalphia cervical collar vs aspen and miami J

Answer 1

Phili.- fl and ex

aspen and miami J - all 3 planes

Question 2

cervical collar

Answer 2

cervical collar

not much restriction in movement

Question 3

cervicothoracic

Answer 3

opening for trache

used for prevention of motion after surgery

Question 4

halo spinal ortho

Answer 4

most restrictive absolute restrictive

Question 5

hyperextension braces

cash - subtype

Answer 5

resists hyper EX

cash = for compression fx

Question 6

TLSO - thoracic and lspine

Answer 6

provides support for all of back

Question 7

walking boot

Answer 7

help stabilize foot - check WB status

Question 8

goals of pt positioning

Answer 8

pt comfort
skin hygiene
joint mob

Question 9

cushion most to least

Answer 9

air –> gel –> foam

Question 10

diabetic foot ulcers offloading gold standard

Answer 10

gold standard = total contact cast

Question 11

PT in wound care

Answer 11

promote healing - cleaning assessment, debridement

edu pt’s

minimize pain

max pt mob and function

Question 12

arterial vs venous insufficiency
pulse
wound bed
other

Answer 12

arterial

• decreased pedal pulse
• intermitten claudication
• full thickness
• • pale, min drain
• shiny, dry

venous

• pulse still present
• edema - worse in dependent position
• irregular shape
• wet wounds
• darken stain of skin

Question 13

diabetic foot ulcer vs pressure
pulse
pain 
location
Wound bed
other

Answer 13

diabetic

• pedal pulse absent / may be present
• ulcers painless w/ decreased temp
• located at pressure points
• pale wound bed min drainage
• trophic changes of foot

pressure injury
- pulse intact
- location pressure sensitive areas
- painful if sensation intact
- varying depth
- varying appearance
stages 1-4

Question 14

superficial wound

Answer 14

Associated with damage to the epithelium alone; heals rapidly through regeneration of the epithelial cells

Question 15

partial thickness

Answer 15

nvolves the dermal layers and is associated with vessel damage

Question 16

full thickness

Answer 16

Involves the subcutaneous fat and deeper; takes the longest time to heal since new connective tissue needs to regen; contraction occurs during healing

Question 17

pressure stage 1

Answer 17

Intact, reddened skin that does not lighten when palpated

Question 18

pressure stage 2

Answer 18

Partial thickness with exposed, viable

dermis; no slough or eschar

Question 19

pressure stage 3

Answer 19

Full-thickness with exposed subQ
○ May include epibole, tunneling, undermining
○ Slough and eschar can be present

Question 20

pressure stage 4

Answer 20

Full-thickness with exposed muscle, tendon, ligament, fascia, cartilage, and/or bone
○ Often with epibole, tunneling, undermining
○ Slough, eschar may be present

Question 21

unstageable

Answer 21

Slough/eschar covers full-thickness

wound, unable to detect depth

Question 22

deep tissue pressure injury

Answer 22

Intact or nonintact skin appearing as non-blanchable red, maroon, or purple in color.

fillled with blood

Question 23

phases of wound healing

4

Answer 23

hemostasis - immediate - clot
inflammation - 10 - 15 mins
proliferation - partial/full thickness
remodeling - partial/full thickness

Question 24

wound assessment components

Answer 24

location
orientation
size - clock method
depth - tunneling undermining
wound bed composition - make it out of 100%
wound edge
drainage
odor
cultures

Question 25

types of debridement
sharp
autolytic
enzymatic
mechanical

Answer 25

sharp - scalpel

autolytic - dressing - natural enzymes

enzymatic - enzymes on dressings

mechanical - pulling off w/ dressing

Question 26

PT considerations for wounds

Answer 26

pain management
ROM strength function mob
edema management
prevention - proper postition