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CFS > Acute Care, Bed Mobility, Sleep Positioning > Flashcards

Acute Care, Bed Mobility, Sleep Positioning Flashcards

1
Q

When teaching a patient self care in the initial treatment stages and prior to discharge the goal is to promote:

A

Self responsibility

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2
Q

The five acute care steps are:

A 
Find a position of comfort
Apply Ice
Take and Anti-Inflammatory
Follow the PUP Principle
Avoid Known Aggravating Activities
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3
Q

The Position of Comfort is trained using the principles of positioning to ensure that the patient is ________ appropriately and that all regions of the body have no ___________ which could aggravate symptoms

A

Supported

Load or Torsional Force

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4
Q

An efficient position of comfort is a position that __________ the pain and allows for a __________ after an upright position is assumed

A

Decreases or Centralizes Pain

Maintenance of this decrease or centralization of pain

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5
Q

Positions of comfort can include ______, ________, __________, or ___________ positions

A

Sitting
Supine
Sidelying
Reclined

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6
Q

To position in a position of comfort these three steps must be taken:

A

Position in a mid range, loose-packed, tissue tension, pain-free position
Support all areas of suspension, or unsupported areas
Support from proximal to distal

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7
Q

This has been shown through clinical studies to be the most effective form of application of a modality if a patient is willing to perform it:

A

Ice Massage

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8
Q

Heat is used more in cases of __________ Ice is used more in cases of ____________

A

Stiffness

Pain

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9
Q

Patients should stop taking asprin or motrin if they experience any _________ or ___________

A

Stomach Discomfort

Ringing in the Ears

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10
Q

Do not recommend asprin or motrin if the patient has any history of _________ or ____________

A

Ulcers

Bleeding Disorders

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11
Q

A patient needs to be instructed that pain is an indication of ___________

A

Tissue damage

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12
Q

A ___________ position is necessary in the initial healing stages to reduce the stress on the damaged tissues.

A

Non-Weight Bearing

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13
Q

A controlled increase of appropriate stress to the damaged tissues can actually _________ healing

A

Promote

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14
Q

The key to using the PUP principle is to train the patient to __________

A

Listen to their body and heed the warning of pain

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15
Q

The patient should _______________ whenever the patient feels an onset of the pain related to the damaged tissues

A

Return to the position of comfort immediately

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16
Q

As ___________ occurs the amount of time one can be upright between rest periods will increase

A

Healing

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17
Q

The therapist needs to help the patient identify the activities which are a part of their routine and can be directly related to ___________

A

Increased pain or symptoms

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18
Q

In situations where the activities that the patient do cannot be avoided the goal is to discuss with the patient how to _____________ until the acute phase of their episode is over

A

Modify the activity

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19
Q

Encourage the patient that it is his/her responsibility to _________. It is the therapist’s responsibility to ________

A

Get pain free

Facilitate the process.

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20
Q

The patient needs to keep accurate records of ________ and ________ so as to assist the therapist in making the right decisions about the course of treatment.

A

Aggravating activities

The course of the pain

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21
Q

Sleeping surfaces should offer _______ and be easily ______

A

Support

Accessible

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22
Q

If it is determined that the patient may need a new mattress, be sure to instruct the patient to:

A

First sample a firmer surface by making a mat on the floor and sleeping there one or two nights
Sample a softer surface by adding a foam topper to an existing mattress.
Test the mattress at a mattress store once knowing if the mattress needs to be firmer or softer.

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23
Q

The patient should test a new mattress for at least _________ or ____________ on each of several new mattresses before deciding on the right mattress

A

30-45 minutes

A time equal to the length of the time before pain comes at night

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24
Q

When testing mattresses the patient should take their own _________

A

Pillow

25
Q

Down and Down/Feather pillows offer a more ____________ with less _______ allowing the neck to fully relax

A

Conforming support

Pushing back

26
Q

Foam pillows offer more ___________ for areas such as the ____________

A

Support

Legs, hips, and arms or for the broad shouldered patient

27
Q

If a patient complains that there are too many pillows, they should be encouraged that:

A

More pillows are needed during the healing phase and most likely only one or two will be needed when the patient is fully recovered.

28
Q

If a patient complains that they move all night they should be taught how to

A

Move in bed with the supports and pillows as an exercise, such as log rolling and bed mobility exercise

29
Q

During training for sleep emphasize the the importance of the principle of ___________ and discuss the difference between a __________

A

Unloading

Support and a fulcrum

30
Q

A support is:

A

A towel, pillow, piece of foam, or any other structure or object which can be placed externally to the body and be used to unload the weight of a particular body part from proximal tissues.

31
Q

A support should not alter the ___________, just unload the weight of a body part and reduce the stress of associated structures

A

Alignment.

32
Q

A fulcrum is:

A

A pillow, towel, piece of foam, or any other structure which alters the alignment of the body to emphasize a movement in one direction or another.

33
Q

A fulcrum may be useful if placed on a particular part of the body to __________

A

Increase range of motion

34
Q

To make the use of a fulcrum more specific you should consider the _________ and _________ of the fulcrum

A

Specificity

Placement

35
Q

For kinesthetic comparative training the patient is put into their existing preferred position ________ and ______

A

First and after treatment

36
Q

The patient is placed into a new position and asked to ____________ then they are put into their original position and asked to ____________

A

Note proprioceptive and kinesthetic changes

Verbally describe the changes

37
Q

The physiological principle behind KCT technique is _________

A

Accommodation.

38
Q

It is more effective to use KCT to teach a new position because the patient will recognize the ______

A

Differences

39
Q

The three principles of positioning are:

A

Position in a mid-range, loose-pack, tissue tension, pain-free position
Support all areas of suspension, or unsupported areas
Support from proximal to distal.

40
Q

When laying in side-lying a _______ is placed under the waist to keep the __________ in a loose packed position

A

Folded towel

Lumbar spine

41
Q

Pillows are used to reduce the force of __________ in the cervical spine

A

Lateral shear

42
Q

When positioning in side lying too much weight on the lower shoulder is often a sign that there is insufficient support at the ___________

A

Head and neck.

43
Q

When laying in supine pillows should support from the ____________ down to the __________ if possible to support the lumbar spine and pelvis

A

Ischial Tuberosities

Ankles

44
Q

A ___________ can be used instead of a pillow when laying in supine to support the head during exercise classes or beach lounging

A

Scrunched towel.

45
Q

The 11 acute care exercises and 1 bonus exercise are:

A 
Log rolling
Functional Hip Release
Diaphragmatic Exercise
Hands and Knees
Supine over Prop
Pelvic clock
Lateral shear in side-lying
Prone knee bend, unilateral and bilateral
Prone press up segmentally
Extension in standing
Extension with distraction and flexion with distraction
Bonus: bracing
46
Q

__________ is used to train mobility in bed and should be practiced every night before going to sleep to encourage an automatic, appropriate rolling response while sleeping

A

Functional rolling.

47
Q

__________ is a feldenkrais based exercise that focuses on motor control and results in increased ROM as well as better awareness of the hip joint

A

Functional Hip Release

48
Q

Hands and knees is modified to focus on isolated segments of dysfunction through __________

A

Weight shift.

49
Q

These two exercises can be performed over a prop to progress the supine over prop exercise

A

Diaphragmatic breathing or pelvic clock.

50
Q

This exercise should be taught very early on in the course of treatment

A

Basic Bracing

51
Q

Always reinforce the ________________ of the patient for their home program

A

Self responsibility role.

52
Q

The patient should be taught to ___________ to assume hook lying when they are in the acute stage of their condition

A

Press their feet into the table

53
Q

Principles of mobility in bed are there to encourage patients to improve their______

A

ACE

54
Q

The five activities taught to an acute patient for bed mobility include:

A 
Assisted Rolling
Self Assisted Bridging
Up From Sidelying
Up From Supine
Up From Prone
55
Q

In assisted rolling the leg on the ______ side of the roll is pressed into the mat

A

same

56
Q

in assisted rolling the leg on the _______ side of the roll is brought to the chest to push into for the roll

A

opposite

57
Q

The hand on the ________ side as the raised leg is used to assist rolling and is placed on the _______ of the raised knee

A

same, outside

58
Q

When rolling from sidelying to supine the patient places the ______ hand on the _________ of the knee

A

upper hand, medial side of the knee

59
Q

When self assisting bridging the patient _______ his or her thighs and pushes ______ while squeezing the ______

A

tractions, out, gluts

CFS (5 decks)

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