Review four- MOBILITY Flashcards

1
Q

crutches can cause __ if used incorrectly

A

nerve damage

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2
Q

how to measure crutches

A

2-3in below axillary fold to a few inch in front of or lateral to the foot

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3
Q

when properly place crutches elbow flexion is __ degrees

A

30 degrees

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4
Q

2pt gait

A

move crutch and opposite foot together

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5
Q

3pt gait

A

move 2 crutches and bad leg together

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6
Q

4pt gait

A

move everything sep; 1 crutch, opp leg, other crutch other leg

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7
Q

swing through is

A

non weight baring ex:amputation

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8
Q

even number gaits should be used when

A

even number of legs are messed up; weakness evenly distributed

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9
Q

odd number gait (3) when weakness is

A

odd; one bad leg

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10
Q

2pt is for ___ weakness

A

mild

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11
Q

4pt is for ___ weakness

A

severe

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12
Q

Gait for early RA

A

2pt

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13
Q

stairs w crutches

A

up w the good down w the bad

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14
Q

upstairs

A

lead w good foot, then crutch

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15
Q

downstairs

A

bad leg, then crutch

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16
Q

canes should be held on

A

strong side

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17
Q

walkers

A

pick up, set down, walk to; slow

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18
Q

neurotic pts are

A

nonpsychotic in touch w reality

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19
Q

psychotic pts dont think they are

A

sick

20
Q

Delusion is

A

false, fixed idea or belief; no sensory components

21
Q

paranoid delusion

A

out to get you

22
Q

grandeous delusion

A

thinking youre superior; God

23
Q

somatic delusion

A

false belief about body; super powers, worms in skin

24
Q

Hallucinations are

A

false, fixed sensory experience; 5 senses

25
Q

auditory hallucination

A

hearing things

26
Q

there are __ types of delusions

A

3

27
Q

there are __ types of hallucinations

A

5

28
Q

gustatory hallucinations

A

taste

29
Q

olfactory hallucinations

A

smell

30
Q

visual hallucinations

A

seeing things

31
Q

tactile hallucinations

A

feeling things

32
Q

illusions are

A

the misinterpretation of reality; sensory experience; referent in reality

33
Q

illusions are interpreted from

A

reality; ex- hears nurses talking but thinks they are hearing demons

34
Q

delusions, hallucinations, and illusions make a patient

A

psychotic

35
Q

3 types of psychosis

A

functional
dementia
dellerium

36
Q

functional psychosis

A

can function in everyday life but psychotic

37
Q

psychosis of dementia

A

brain damage

38
Q

dellerium

A

temporary, sudden, dramatic loss of reality; chem imbal

39
Q

4 steps to bring a functional psychotic to reality

A
  1. acknowledge feelings “you seem upset”
  2. present reality “i know this is real to you, but “
  3. set a limit”__ is off limits in our conversations”
  4. enforce limits (not punishments) “i see you are too ill to stay reality based, so our convo is over”
40
Q

How to deal w dementia

A
  1. acknowledge their feelings

2. redirect/orient to reality; person, place, time

41
Q

dellerium is acute and

A

secondary;temporary

ex: psychotic due to med reaction, high on uppers, downer withdrawl, postop psychosis, utis

42
Q

dellerium tx

A

remove underlying cause

  1. acknowledge feelings
  2. reassure its temporary/safety
43
Q

personality disorders ABN

A

antisocial, borderline, narcassistic

set limits

44
Q

loosening of association

A
  1. flight of ideas
  2. word salad
  3. neologism; making up words
45
Q

neologism is

A

making up words