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Geriatrics Eval > Week 10 > Flashcards

Week 10 Flashcards

1
Q

the deepest muscle layer

A

the pelvic diaphragm

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2
Q

name the 6 core functions of the pelvic diaphragm.

A
  • core-distal connectivity
  • posture
  • balance
  • spinal stability
  • shock absorption
  • continence
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3
Q

name 7 functions of the pelvic floor.

A
  • supports organs - vagina, bladder, rectum, and intestines
  • maintain continence
  • allow elimination
  • stabilize and support joints of hips and pelvis
  • sexuality
  • birthing
  • breathing
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4
Q

name 14 common causes of pelvic floor dysfunction.

A
  • stress and tension
  • childbirth injuries
  • hormonal fluctuations
  • couch potato syndrome
  • surgeries
  • obesity
  • trauma due to accidents, fractures of hips or pelvis, sexual abuse
  • excessive exercise, esp. abdominal crunches
  • neuro conditions
  • pain - low back pain
  • musculoskeletal dysfunction
  • pudendal neuralgia
  • tension myalgia of pelvic floor
  • sexual/emotional abuse
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5
Q

you need both ___ and ___ of the pelvic floor for functional strength.

A

contraction, relaxation

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6
Q

you need both contraction and relaxation of the pelvic floor for ___ ___.

A

functional strength

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7
Q

less active so overall muscle tone and strength decrease

A

couch potato syndrome

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8
Q

infection and inflammation in pelvic cavity

A

pelvic inflammatory disease

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9
Q

chronic vulvar discomfort - burning, irritation, pain with penetration

A

vulvodynia

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10
Q

inability to penetrate the vaginal opening due to spasms

A

vaginismus

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11
Q

painful intercourse

A

dyspareunia

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12
Q

descent of the vaginal wall, uterus, rectal organs

A

prolapse

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13
Q

tissue similar to uterine tissue is found outside the uterus - ovaries/fallopian tubes, bladder, bowel, intestines, colon, appendix, and rectum

A

endometrioses

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14
Q

also known as abdominal separation, happens when rectus abdominus pull apart from their attachment, the linea alba

A

diastasis recti

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15
Q

inflammation of the prostate gland

A

prostatitis

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16
Q

acute infection - fever, chills, pain in lower back and genital area, painful urination

A

acute bacterial prostatitis

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17
Q

recurrent infection - may be caused by incomplete urinary evacuation

A

chronic bacterial prostatitis

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18
Q

typically, due to myofascial pain syndrome or nerve inflammation - 3 months or more of pain in pelvic region

A

chronic nonbacterial prostatitis/chronic pelvic pain syndrome (CPPS)

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19
Q

no genitourinary symptoms, but higher levels of white blood cells

A

asymptomatic inflammatory prostatitis

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20
Q

what percent of men over age 70 have erectile dysfunction?

A

70%

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21
Q

urethral pain, burning, and sensitivity during urination

A

urethral syndrome

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22
Q

irritation of the bladder

A

urgency-frequency syndrome

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23
Q

encompasses a group of symptoms such as abdominal pain, bloating, frequent bowel movements

A

irritable bowel syndrome (IBS)

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24
Q

includes crohn’s disease and ulcerative colitis

A

inflammatory bowel disease (IBD)

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25
what percent of women over 70 gave urinary incontinence?
40-50%
26
what percent of men over the age of 65 have urinary incontinence?
21%
27
- overcomes pelvic and urogenital muscles - large amount of urine is released - sudden strong need to toilet before an individual can reach the bathroom - bladder contracts too frequently and too great an intensity
urge incontinence
28
name 7 causes of incontinence.
- chronic UTI, bladder stones, and polyps - diuretics - atropic vaginitis - diet - caffeine, co2 beverages, alcohol, spicy and tomato based food - neurogenic bladder - SCI, BI - overhydration - medications
29
- dribbling of urine due to an inability to empty bladder | - possible causes: damaged bladder, blocked urethra, nerve damage (diabetes) MS, SCI
overflow incontinence
30
- caused by damaged nerves that can't warn your brain when your bladder is full (bladder contracts without warning) - usually happens to people with severe neurological damage from: SCI, MS, radiation treatment
reflex incontinence
31
symptoms of more than one type of incontinence such as stress and urge incontinence
mixed incontinence
32
incontinence due to a physical or mental impairment such as severe arthritis (inability to unbutton pants quickly)
functional incontinence
33
name a societal effect of incontinence.
institutionalization
34
describe the gold standard in PFD rehabilitation.
combination of physical, environmental, and behavioral aspects
35
describe how an OT may address incontinence with regards to the physical aspect.
may provide preparatory activities to address underlying body structure issues
36
name 3 types of physical preparatory activities that an OT may use to address incontinence.
- manual therapies - therapeutic exercises - strength, flexibility, coordination - biofeedback
37
describe how an OT may address incontinence with regards to the environmental aspect.
- focus on mobility and environmental issues limiting quick, safe access to the bathroom - height of toilet - squatty potty - offer suggestions on garment management for clients dealing with arthritis or incoordination
38
describe how an OT may address incontinence with regards to the behavioral aspect.
- talk with client about modifying their medication schedule. - planning voiding and liquid intake schedules - bladder retraining - collaborating on strategies for engaging in social and leisure activities - relaxation and pain management strategies
39
describe how an OT may address incontinence with regards to the cognitive aspect.
-problem solve effective toilet management strategies such as appropriate environmental adaptations and cueing - ex: red toilet seat in white bathroom
40
name 8 pelvic floor interventions.
- bladder training/timed voiding - biofeedback - pelvic floor exercises - environmental adaptations - clothing adaptations and management - medications - medical devices - surgeries
41
increase intervals between voiding by instructing person to avoid urge - follow a planned time schedule
bladder training/time voiding
42
learn to relax the detrusor muscle and abdominal muscles, while contracting sphincter muscles
biofeedback
43
describe the correct position for opening your bowels.
- knees higher than hips - lean forwards and put elbows on your knees - bulge out your abdomen - straighten your spine
44
name the 4 aspects of the PLISSIT Model.
1. permission 2. limited information 3. specific suggestions 4. intensive therapy
45
open the door to discussion
permission
46
addresses the client's specific concerns - informative, educational approach
limited information
47
provide suggestions specific to the client's situation (tips, directions, and exercises)
specific suggestions
48
refer to pelvic dysfunction specialist
intensive therapy
49
what is the duration of "Easy Does It: An OT Based Pelvic Health Program"
- 8-week program, 1x a week for 1.5 hours | - handouts provided on all of the lessons
50
limitations in daily activities, personal relationships, emotions, sleep/energy, general questions on how bladder performs
kings health questionnaire
51
participants select 2 activities that are important to them and rates their current satisfaction and performance
personal activity scale
52
- pelvic pain - benefit of today's session - how many times did you experience leakage - how would you rate the impact of your leakage on your everyday life - how frequently have you practiced
weekly check-in
53
___ ___ is often connected to pelvic dysfunction.
hip dysfunction
54
the ability to lengthen and shorten
suppleness
55
affect both diaphragms and can exacerbate symptoms
tight abs
56
proximal stability gives us distal coordination and movement
core-distal connectivity
57
pelvic rehab can only help in which 2 stages of prolapse?
stages 1 and 2
58
if you cough, sneeze, or laugh, we feel internal pressure (intra-abdominal pressure) - muscles are weak, can't protect or hold urine in so some drops come out
stress incontinence
59
- bladder starts to contract before it is full and a person starts to leak - aka key in the lock syndrome
urge incontinence
60
bladder starts to contract sooner
overactive bladder

Geriatrics Eval (12 decks)

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