Week 4

Question 1

What is a transfer?

Answer 1

A change in position: lying to sitting, sitting to standing, etc
or
A change in location: bed to wheelchair, bed to commode, chair to chair, etc

Question 2

What should you consider when working with a patient?

Answer 2

• precautions/restrictions: weight bearing precautions, movement restrictions
• pain/anxiety: expect pain post surgery, anxiety from falling or may be afraid they might fall again, therefore they might need encouragement
• medical status: other issues they may have such as diabetes

Question 3

What should you prepare for in advance to seeing a patient?

Answer 3

• what do I do if something goes wrong: have a backup plan
• resting places in appropriate positions: have a chair in the room/hall
• follow with a wheelchair: usually family members or another staff member
• oxygen equipment: make sure they can still use it when doing

Question 4

What are 4 things you should remember when working with a patient post surgery?

*** important

Answer 4

1. Discuss WB and movement restrictions before starting
2. Position yourself on the operated side
3. Support the operated leg for a moderate assist
4. Cue the patient to stick their leg out before standing/sitting

Question 5

What should you do after a transfer?

Answer 5

Inform nurse

Ensure patient is comfortable/safe: check pressure points (bone under skin, smooth out surface)

Closing: recap, get feedback, check in, next steps

Document

Question 6

Oxford orthopedic surgery

Answer 6

Partial knee replacement (usually in the younger population)

Question 7

TKR orthopedic surgery

Answer 7

Total knee replacement

–> all three parts

Question 8

ACL repair orthopedic surgery

Answer 8

Anterior cruciate ligament

–> ligament in knee

Question 9

Hemiarthroplasty orthopedic surgery

Answer 9

half joint in hip

–> usually in younger population

Question 10

THR orthopedic surgery

Answer 10

Total hip replacement

–> all of the hip

Question 11

ORIF orthopedic surgery

Answer 11

Open reduction with internal fixation

–> cut you open, put bone back in place, use plate or screw to screw everything back together

Question 12

BKA orthopedic surgery

Answer 12

Below knee amputation

Question 13

AKA orthopedic surgery

Answer 13

Above knee amputation

Question 14

RC repair

Answer 14

Rotator cuff repair

Question 15

Most common fracture

Answer 15

Neck of femur / Femoral neck fracture

Question 16

What is a femoral neck fracture

Answer 16

• usually PWB - WB precautions
• NO movement restrictions (they can move it how they want)
• double trauma (patient breaking hip, then surgery following) causing increase in pain they were not prepared for
• other issues that led to it (deconditioned, balance issues, weakness)
• not a same day surgery

Question 17

What kind of weight bearing is recommended with a hip fracture?

Answer 17

PWB - usually younger patients

WBAT - used cement in replacement

–> sometimes there an extra day

Question 18

Precautions for posterior THR

Answer 18

1) No hip flexion beyond 90 degrees: don’t bend over (as this prevents dislocation/can pop out the back)

2) No hip adduction past midline: don’t cross your legs

3) No hip internal rotation (avoid twisting your hip)

–> approximately 6-12 weeks

Question 19

Precautions for anterior THR

Answer 19

1. No hip external rotation
2. No hip extension
3. No bridging

–> approximately 6-12 weeks

Question 20

Hip and ankle fracture (ORIF/open reduction internal fixation)

Answer 20

Hip ORIF: no hip precautions

Ankle ORIF: will have an aircast or plaster cast

–> usually PWB, toe touch weight bearing (TTWB), or non weight bearing (NWB)

Question 21

Why would you use an air cast as opposed to a regular cast?

Answer 21

for walking/increased mobility

Can also take foot out

Question 22

What’s something you need to talk to the nursing staff about?

Answer 22

Pain

–> patient is going to be in pain so you want to coordinate with nurses so they have pain. meds 30 mins before treatment/session

Question 23

What is Vaso-vagel?

Answer 23

Fainting

• often brief (loss of consciousness)
• occurs when sudden change in HR/BP
• may vomit after

Question 24

What is delirium?

Answer 24

Acute confusion

Usually due to
1) Infection - coloured discharge at incision site, warmth and redness blistering, general fever

2) Medication

Question 25

What is DVT?

Answer 25

Deep vein thrombosis - blood clot

• calf pain, excessive swelling, hot to touch, red, tender, pain with dorsiflexion

Pulmonary embolus - blood clot in the lungs