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Rehab Questions Flashcards

(40 cards)

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1
Q

Four main fields of health sciences

A

1)prevention
2)treatment
3)rehabilitation
4)chronic care

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2
Q

Definition of rehabilitation

A

Organised services provided by the society to disabled people so they can take place in the society again

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3
Q

Components of the comprehensive rehabilitation

A

“MESV”
Medical, Educational, Social measurements, Vocational
Active participation of the disabled person in this process is essential

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4
Q

Definition and most frequent types of disability

A

Definition= a condition when the abilities of a person do not meet the average society and it results in limitations and participation restrictions.

Types= vision, movement, hearing, thinking, remembering, learning, communicating, mental health, social relationship

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5
Q

What are the main differences between acute care and rehabilitation

A

Acute care= short time, passive patients, saves life, emergency dept/hospital
Rehab=longer periods, active patients, improve quality of life, rehab center

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6
Q

What does functional approach mean

A

A certain condition can be caused by multiple reasons, for rehabilitation what is important is the condition itself not the reason.
Example= hemiparesis by stoke, brain trauma, tumor, ms

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7
Q

Teamwork in rehabilitation

A

Medical doctor
Pyschologist
Neuropsychologist
Social worker
Hydrotherapist
physiotherapist
Occupational therapist
Orthopedic technician
Music therapist
Speech therapist
Relatives
Nurse

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8
Q

Types of rehabilitation depending on their implementation

A

1) acute-at the active care ex-stroke center, traumatology dept
2)post acute- rehabilitation center
3) rehabilitation in chronic conditions -rheumatological disease

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9
Q

Criteria of admission to a rehabilitation programme

A

-indication
-performability of the program
-current status
-achievable goal
-the achievements

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10
Q

What is functioning and disability and how can it be influenced?

A

Disability= includes those who have long term physical mental intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on equal basis with others.
Impairments, activity limitations and participation restrictions

Functioning= integrity of body funtions and structures including the realisation of activities and social participation

Functioning and disability are the result of both interaction between health condition of a person and both personal and environmental factors

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11
Q

When is a rehabilitation assessment needed, what are its goals, and who is doing it?

A

When there is a disability affecting the quality of life of the patient and its self care
The goal is to incorporate the person in the society again, improve its activity, diminish its physical limitations or reduce environmental obstecals for him or her
Rehabilitation centers and multidisciplinary teams

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12
Q

Levels of mobility and mobilization

A

FAC Functional ambulation category
2 minute walk test
Timed up and go test
Standing balance
Barthel index
Functional independence measure
International classifiction of functioning disability and health ICF

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13
Q

What do we examine during rehabilitation assessment besides body structures

A

Clinical history
Clinical examination
Functional status
Quality of life

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14
Q

Methods for measuring muscle strength

A

Hand squeeze test
Pronator
Group muscle resistance activity (british medical research council 0-5)
Mingazzini test
Barte test
Stand on the heels and toes
Dtrs

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15
Q

What is ICF and what do we use it for?

A

International classification of functioning
Classification of health related states and a tool for making a portrait of the persons overall state of health

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16
Q

What do we mean by self-care in rehabilitation medicine? What factors are we looking at?

A

Eating
Showering
Mobilisation
Family life
Social activities
Leisure
Working
Financial care

ADL activities of daily living
Bathing ambulation toilet eating dressing transfers

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17
Q

What do we mean by social participation

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A

Family
Work place
Sexual activity
Learning activity
Interaction with others

18
Q

What kind of factors affect disability

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A

Dynamic i teractions btw health condition of the patient and both personal and environmental factors
Age motivation etc

19
Q

What do we mean by quality of life?

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A

Broad concepts that affect global life satisfaction, good health, adequete housing, employment, personal and family safety,interpersonal relationships, education, education and leisure pursuits
In relation to health care the term is applied specifically to those life concerns affected by illness and health

20
Q

What are the most common places for pressure ulcers (bedsores, decubitus ulcers)?

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A

Localised areas of damage to the skin and or soft tissue usually over the boney prominences as a result of pressure / pressure in combination with shear
Ex=sacrum calceneous ischium
Lesions are related to immobility

21
Q

Most common consequences of spinal cord injury

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A

Flaccid areflexix paralysis
Paraplegia tetraplegia
Areflexia
Bilateral diaphragm paralysis
Anesthesia
Autonomic dysfunction
Neurogenic shock
Loss of bladder control
Loss of bowel control
Bulbocavernous reflex
Priapism

22
Q

Alternatives for urethral catheterisation

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A

Intermitten catheterisation
Bed side bladder us
External condom catheter
Suprapubic catheter

23
Q

Methods of thrombosis prophylaxis

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A

Mechanical methods- intermitten pneumatic compression, graduated compression stockings, veneous foot pump
Pharmacotherapy-lmwh fondaparinux , oral agents

24
Q

What is monoparesis, hemiparesis, paraparesis, tetraparesis/plegia

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A

Mono - One limb Motor Insufficiency
Hemi - One side ( arm and leg) Motor Insufficiency
Pa ra - Both arms / legs motor insufficiency
Te t r a - All 4 limbs paralysis .

25
What are the differences between a standard and an active wheelchair
Active Wheelchair Is designed to be an extension of the body ( for good upper body a trunk strength) - It Is also lighter than the St . Manual Wheelchair - Setup to allow an energy effluent date - Can go further and faster
26
Most common causes of spinal cord injury?
48% Motor vehicle accidents 14%Other causes 16% falls 12% Violence 10% Sport accidents
27
What is occupational therapy (ergotherapy
Focuses on fine motor skill activities to develop , recover / maintain meaningful activities In ppl with mental health Problems , disabilities , Injuries / Impairment .
28
What are orthoses? What are their characteristic
Correction , fixing , supporting , offloading , limiting range of motion , repairing / Improving function of remaining body part . • Application is temporary / Permanent . Traditional substances : steel , aluminum , tether , Wood > UP to date substances : Special metal alloys , carbon , fiberglass , etc .
29
What are prostheses? What are their characteristics
*Amputated limbs or other body Parts replacement devices VL: manipulation and tactile requirements are less met by the prosthesis) LL : Standing , Walking * Modern raw materials ( lightweight metals , Silicon , heat stable materials , hydraulic joints ) * consists of a socket and prefabricated component *Low dynamics Vs high dynamics
30
What are the different types of rehabilitation services?
Basic rehabilitation Traumatic brain injury and spinal cord (neuromuscular rehab) Pulmonological rehabilitation Cardiac rehab Children rehab
31
What characterizes proper rehabilitation care and what conditions are necessary for it?
Rehabilitation center with proper facilities Trained and professional rehabilitation team Cooperating parents Family support Targetted rehabilitation plan Proper follow up
32
Consequences of stroke
Lack of motivation mental slowness Cognitive disorders Hemineglect (tactile visual space) Speech disorder Emotional and behavioral distress
33
Why do we have to rehabilitate someone after stroke
1) Helping the spontaneous recovery 2)Adaptation to disability ( Physical , Psychological , social ) 3) Reach the Max . possible Independence 4) Prevent 2ndary complications 5) Improve quality of life
34
What are secondary complications, and how do we prevent them?
Contractures Pressure ulcers Infections
35
Team members involved in stroke rehabilitation and their tasks?
Patient Nurse Physio therapist and assistant Egotherspist Conductor Doctor Pyschologist Speech therapist Rhythm therapist Social worker Othopedic technician Caring family member
36
What are the characteristics of an arthrosis, and what kind of functional limitations do they cause?
Degeneration , degradation and destruction of articular cartilage , accompanied by an inflammatory and reparative process (osteophyte formation , Subchondralbonb Sclerosis ) Causing : Painful joint stiffness , local inflammation , dysfunction (range of motion of the joint decreases, joint instability, difficulty moving) **standing ability decreases , walking speed and distance decreases , dexterity deteriorates , sleep disorder (night pain)
37
What is the importance and the task of rehabilitation in arthrosis
Pain relief medication or non medical Physiotherapy program mobility development stretching strengthening hands on and hands off threapy Toolbar of physiotherapy wraps cryotherapy thermotherapy balneotherapy electrotherapy us etc Education teaching energy saving movements pain management diet Rehabilitation surgeries in arthrosis - joint retaining surgeries , implantation of joint prosthesis, soft tissue surgeries, arthrodesis, decompression surgeries
38
What is mono-, poly- and multitrauma? What are their rehabilitation needs?
Mono- injury to one region of body, rehabilitation when multimorbidity, disabled patient, complications Multi-injury to more than one body regions , wout sirs , often recommended rehab Poly- life threatening, injury to at least 2 body regions, rehab is obligatory
39
Musculoskeletal complications in a polytraumatized patient
Muscle atrophy Contracture Refracture Delayed union Nonunion fractures (pseudo arthrosis) Mechanical complications Septical complications
40
How is the rehabilitation of a total hip arthroplasty and a fractured hip different
Rehabilitation principles are similar but in total hip replacement we have the opportunity to carry out prehab Pt guided exercise before the hip replacement for pain and functional outcomes

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