Acute Care/Ambulatory Aids

Question 1

What is another name for the acute phase of healing?

Answer 1

Inflammatory phase

Question 2

What is the purpose of the acute phase of healing?

Answer 2

1 Defend against foreign intruders
2 remove damaged tissue and debris
3 immobilize area

Question 3

What is the acronym associated with acute treatment?

Answer 3

Protect
Rest
Ice
Compress
Elevate
Support
(PRICES)

Question 4

In what direction should wrapping for compression occur?

Answer 4

Distal to proximal

Question 5

What is the purpose of intermittent compression?

Answer 5

Reduction of acute or chronic edema

Question 6

What is the most common form of intermittent compression treatment?

Answer 6

Intermittent sequential graded compression (3 compartments: distal, intermediate, and proximal)

Question 7

Intermittent compression can also be combined with what other therapy?

Answer 7

Cooling

Question 8

How does elevation help with the acute phase?

Answer 8

Gravity augments the lymph flow

Question 9

How long does it generally take for elevation above heart level to aid with edema reduction?

Answer 9

20 minutes

Question 10

What are ways in which the “S” component of the acronym “PRICES” can be used for the acute phase?

Answer 10

Support: nutritional, education, referral for emotional support, bracing/taping/crutches/etc.

Question 11

What is a consequence with bracing for acute conditions?

Answer 11

Inhibition of muscle action

Question 12

When the integrity of a joint is not severely compromised is it better to be weight bearing or non-weightbearing?

Answer 12

Weight bearing

Question 13

What are the measurements for fitting crutches?

Answer 13

6” from outer margin of shoe, 2” in front of shoe, 2” below axilla

Question 14

At what degree should the elbow be flexed when appropriately fitting for crutches?

Answer 14

30 degrees

Question 15

What is crutch palsy?

Answer 15

Temporary or permanent paralysis due to pressure on axillary nerve and vessels

Question 16

What is the gait called with crutches when the affected foot is fully elevated?

Answer 16

Tripod gait (non-weight bearing)

Question 17

Which form of the tripod gait is easier and requires less coordination?

Answer 17

Swing-to gait by bringing the foot to the crutches

Question 18

Which form of the tripod gait is faster and requires more coordination?

Answer 18

Swing-through gait by the foot landing in front of the crutches

Question 19

What is another name for the form of the tripod gait that has partial weight bearing?

Answer 19

Four-point gait

Question 20

What is the four-point gait?

Answer 20

Affected leg and crutches move forward together

Question 21

What are the two gait options for using crutches up and down the stairs?

Answer 21

Tripod gait or handrail gait

Question 22

Which gait is preferred and considered safer when using crutches up and down stairs?

Answer 22

Handrail gait

Question 23

When using the handrail stair gait with crutches, in which hand should both of the crutches go?

Answer 23

On the affected limb side

Question 24

When going UP the stairs with crutches, which leg goes first?

Answer 24

Good leg

Question 25

When going DOWN the stairs with crutches, which leg goes first?

Answer 25

Bad leg (crutches go down first)

Question 26

How long should a cane be for an individual?

Answer 26

Up to the superior aspect of the greater trochanter of the femur

Question 27

On which side does the cane go?

Answer 27

OPPOSITE of the side of involvement (moves with involved side)