PCP Exam Review Flashcards Preview

05 - Tests and Measurements > PCP Exam Review > Flashcards

Flashcards in PCP Exam Review Deck (39):
0

How to document error in SOAP note

Draw a single line through the error and initial and date.

1

Short term goal

Individual, segmented steps towards a long term goal

2

Long term goal

Functional capacities a pt will achieve by discharge from PT

3

SOAP

Subjective, objective, assessment, plan

4

Subjective

Refers to info the pt, family member, caretaker, or other healthcare providers report

5

Objective

Verifiable data - tests or measurements which can be reproducible (someone else can perform same tests and obtain same results) - includes observations and interventions

6

Assessment

Professional opinions; assess quality of exercise; progress towards goals

Summary of subjective and objective

7

Plan

What will be done over the next session(s); specific about progressing patient to goal

8

Goal criteria: Detailed

ABCDFT
Audience, Behavior, Conditions, Degree, Function, Time

9

Goal Setting - Simplified

Pt Centered - one task per goal
Functional
Measurable - include time frame

10

ADs - most stable to least stable

Parallel bars
Walker
Hemiwalker
Axillary crutches
Loftstrand crutches
Two canes
One cane (LBQC, SBQC, Straight)

11

Types of walkers

Standard walker
Rolling Walker
Stair climbing walker - angled handles
Ring walker - trunk support (infants)
Reciprocal walker - children
Reverse walker - pediatrics
Platform walker - PWB, NWB of UE

12

AD - least to most coordination

Parallel bars
Walker
One cane
Two canes
Axillary crutches
Loftstrand crutches - need good UB control

13

Adjusting crutches

- Stand with crutches 6" lat, 2" ant to toes
- 2 finger width btwn top of crutches and axilla
- elbow flexion 20-30 degrees
- adjust Axillary area first

14

Adjust cane/walker

- hand grip level with pts ulnar styloid process
- elbow flexed 20-30 degrees

15

Weight bearing status

FWB - Full weight bearing
PWB - Partial weight bearing
NWB - Non weight bearing
WBAT - Weight bearing as tolerated
TTWB - Toe touch weight bearing

16

Gait Patterns

Two point
Three point
Four point
Swing to
Swing through

17

2-point gait

- Move 1 AD and 1 LE simultaneously, then other AD and other LE simultaneously
- Move 2 ADs simultaneously, then 1 or both LEs simultaneously
- Walker and NWB: Move walker forward as balance on uninvolved LE, then shift weight into walker and move forward on uninvolved LE

18

3-point Gait

- Move crutches/cane forward, then involved leg even with crutch/cane tip, then uninvolved LE forward to or past tips
- Walker: walker, involved LE, uninvolved LE

19

4-point gait

- 1 AD, 1 LE, other AD, other LE
- can do with crutches

20

Swing to

Move AD forward, bring both LE to same point as AD

21

Swing through

Move AD, then bring both LE beyond tips

22

Loftstrand crutches - how to fit

Handgrip at Ulnar Styloid
Cuff inferior to elbow

23

Purpose of using ADs

- provides support
- improves balance
- redistributed weight bearing
- increases BOS - larger BOS for pt COG to shift without LOB

24

Tilt table

Device user to help pt adjust to positional changes and BP response - use especially for people with orthostatic hypotension
- helps re accommodate to upright position without dizziness

25

Types of w/c

Manual - pt moves themselves
Power - battery powered
Standard
Transport - smaller wheels, designed for small distance

26

Frame variations of w/c

Folding - cross bars under seat
Rigid - no cross bars, lower back

27

Reclining w/c

Reclining - seat to back changes as reclines
Tilt in space - maintains same seat to back angle in tilted position

28

Pelvic Belt

Keeps pt angled at 90 degrees in w/c to allow for active anterior tilt

29

Forward approach (w/c)

Patient faces forward when descending curb - normally SCI
-w/c usually has camber wheels
- do "wheelie" to tilt chair back and gently roll wheels off curb

30

Normal w/c depth, height

Seat depth - 16"
Seat width - 18"
Seat height - 20"
Avg width rim to rim - 26"

31

Measuring seat depth

- pt sits 90-90
- posterior pelvis to popliteal fossa
- subtract 2-3"

If depth too deep
Promotes sacral sitting/slouching
If depth too shallow
Discomfort, does not support thigh well

32

Measuring seat width

- pt in alignment
- widest aspect of hips/thigh
- add 2" (1" for each side)

If too wide
Hard to propel, can't reach wheels, may bounce side to side
If too narrow
Difficult to transfer in/out of w/c
Skin breakdown

33

Measure back height

- pt in alignment
- vertically from seat to inferior angle of scapula
- Add cushion height

If too high
Restrict UE movements
If too low
Improve mobility, but not enough trunk stability

34

Measuring armrest

- Upper arm against side of chest, elbow flexed to 90 degrees
- Seat to pt forearm
- add cushion

If too high
Difficulty moving because arm too high
If too low
Promotes slouching

35

Measuring legrest

- leg straight
- Popliteal fossa to sole of heel
- subtract cushioning

If too long
Promoted slouching/sacral sitting
If too short
Posterior tilt, increased pressure on ischial tuberosity and coccyx

36

Measuring footplate

Horizontal distance from calcaneus to base of 1st metatarsal

If too large
Interfere with chair maneuverability
If too short
Foot goes into plantar flexion

37

ADA

- American Disabilities Act
- Eliminates discrimination against those with disabilities

38

ADA Measurements

Door width - no less than 32"
Toilet - 17-19" ht
Ramp - 1" rise: 1 foot ramp run (1:12 ratio)
Turn radius for w/c: min of 60" for 180 degree turn