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Flashcards in Week 2 Deck (26)
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1

Extrinsic trauma

external accident or injury, assault or domestic violence
-occurs when a force or load is exerted against the body

2

Intrinsic trauma

Occurring within the body
-can occur secondary to extrinsic trauma
-ex. MVA results in intrinsic trauma that is masked while more severe extrinsic trauma resolves
-ex. cancer

3

Abuse vs. assault

Abuse: physical, mental, sexual, neglect, exploitation
Assault: physical, sexual, psychological attack including verbal, emotional or economic abuse

4

Does screening for domestic violence put victims at an increased risk for more violence later?

NO!
But REPORTING abuse can.

5

Partner violence screen

Quick 3 question screening tool.
Easiest to use
Positive if even 1 question is a "yes"

6

Pediatric abuse S/S

-fx of rib, tib/fib, radius/ulna and clavicle are more likely to be associated with abuse then accidental trauma in those 18 months = rib fx is highly indicative of abuse

7

Elder Justice Act of 2003

Requires all neglect or assault in long term care facilities be reported in all states

8

Documentation of abuse

-can take photos of visible trauma on a child without parental consent
-written permission needed for adults

9

Single most important tool in screening for medical disease??

Client interview!!
80% of the info needed to clarify symptoms is given during this time

10

Risk factors for illiteracy

>55
education level
living below the poverty line
ethnic or racial minority
history of immigration to the US
receiving gov't assistance
lower paying jobs

11

Red flag behaviors for illiteracy

-misspelling words
-incomplete intake forms
-asking no questions
-missing appts

12

S/S that predominate in the elderly no matter what the underlying disease

-acute confusion
-depression
-falling
-incontinence
-syncope
*abrupt change or sudden decline is NOT normal aging

13

Heart disease and gender

Women more likely to die from heart disease than men

14

Ethnicity and health outcomes

Ethnicity is a risk factor
-underserved populations such as non-caucasians are at higher risk for illness/death

15

Self assessment and morbidity/mortality

-it is a reliable predictor of morbidity and mortality
-PT should consider it a red flag if a pt rates health as "poor"

16

4 symptoms of alcoholism

-craving
-loss of control
-physical dependence
-tolerance

17

S/S alcohol withdrawal

-agitation
-irritability
-headache
-insomnia
-hallucinations
-anorexia
-nausea/vomiting
-diarrhea
-LOB
-incoordination
-seizures
-delirium
-tremors
-motor hyperactivity
-tachycardia
-HTN

18

Normalization

-asking a question in away that lets the person know you find a behavior normal or understandable under the circumstances

19

Symptom assumption

-phrasing a question to assume a certain behavior already occurs and that the therapist will not be shocked by your answers

20

Transitioning

A way of using client's previous answers to start a question

21

Cocaine/amphetamines

-affect CV system like stress
-sharp rise in BP
-rapid, irregular HR
-seizures

22

Tobacco

-causes vasoconstriction
-delays wound healing
-stimulates hr
-narrows BVs
-increases air flow obstruction
-reduce o2 to heart and organs
-increase risk for blood clost
-increased bp
-vascular resistance
-linked with disc degeneration and herniation

23

Caffeine

-stimulant
-toxic amounts can cause nervousness, irritability, agitation, sensory disturbances, tachypnea, heart palpitations, nausea, urinary frequency, diarrhea, fatigue
-increased perception of pain

24

Artifical sweeteners

-generalized joint pain
-myalgias
-fatigue
-head ache

25

5 most common factors in falls

-vision/hearing
-balance
-BP regulation
-meds/substances
-elder assault

26

Red flag risk factors for LOB and injuries from falls

-medications (including psychotropics like tranquilizers and antidepressants), zoloft, prozac, paxil, celexa
-monitor closely for dizziness, drowsiness, orthostatic hypotension
-diureticx