ADL Exam 2 Flashcards
Acromion Process
under clavical
Epicondyles
connection for tendons and ligamnets
Greater trochanter
outer hip bone
Condyles
connection to other bone
Malleoli
ankle bone
Anterior Superior iliac spine (ASIS)
boney hip
Contracture
permanet shortnening of muscle
Ischial tuberosities
end or point of ischium
Calcanei
Heels
Edema
accumulation of fluid in tissue
Dermatomes
the striping pattern in which sensory neurons are arranged.
Decubitus Ulcer
pressure injury
pressure injury in supine
Occipital tuberosity
Spine and inferior angle of scapulae
Posterior iliac crest
Spinous Processes
Sacrum
Ishium
Medial epicondyle
Posterior calcanei
Inferior
away from midline
Posterior
back
Iliac crest
top of hip bone or asis
Ishium
ass bone
Pressure places in prone
Forehead
Lateral ear
Anterior acromion process
Anterior superior iliac spine (ASIS)
Sternum
Anterior head of humerus
Tips of toes
Patella
Anterior
front
Pressure places in sidelying
Lateral ear
Lateral ribs
Lateral acromion process
Lateral head of humerus
Medial/ lateral epicondyles
Greater trochanter
Medial/ lateral malleoli
Medial/lateral condyles of femur
5th metatarsal
Pressure places in sitting
Ischial tuberosities
Scapular and cerebral processes
Sacrum
Medial epicondyle of humerus
Calcanei
Soft Tissue Contractures Supine
Hip and knee flexors
Ankle plantar flexors
Shoulder extensors, adductors, and internal rotators
Hip external rotators
Soft Tissue Contractures Prone
Ankle plantar flexors
Shoulder extensors, adductors, and internal/external rotators
Neck rotators
Soft Tissue Contractures Side Lying
Hip and knee flexors
Hip adductors and internal rotators
Shoulder adductors and internal rotators
Soft Tissue Contractures Sitting
Hip and knee flexors
Hip adductors and internal rotators
Shoulder adductors, internal rotators, and extensors.
Why should you do proper positioning?
Prevents injury, pressure, and Contractures.
pt comfort
Provides support and stability
Access to areas to be treated
Promotes efficient function of body systems
Why should you do proper draping?
modesty
warmth
access to areas to be treated
protects clothing from being soiled
Transtibial Amputation
below the knee
Transfemoral Amputation
above the knee
How should burn patients be positioned?
Uncomfortably.
How should you treat a flaccid extremity?
Protect and suport
How should you treat an extremity with increase tone?
Opposite of the position of tone
positioning for transtibial amputation
hip and knee extension, avoid sitting for long
areas where 25% of all pressure injuries are found
patella
ischium
sacrum
heels
contracture risk of transfemoral amputation
hip flexion, hip abduction, hip external rotation
positioning after a stroke
opposite of muscle tone, protect flaccid extermity
contradictions of postierior THA
No bending over 90 degrees, no internal femur rotation, no adduction
contradictions of anterior THA
no external femur rotation, no hyperextension
reasons for draping
modesty
warmth
access to extermity
protects clothing
when skin is red and does not blanch
re-position
notify nurse and supervising PT
document
pillow used for THA
hip abduction pillow, limits hip adduction
Maximal assist
can only do 25 to 49%
moderate assist
can only do 50 to 74%
minimal assist
can do 75% or more
FIM
Functional independence measure
Contradiction of bed mobility for stoke pt
avoid pulling on involved extermity
ADA door handles
48-34 inches off the ground
ADA ramps
1/12 or 8%, 36 inches wide
ADA wheelchair turning radius
60in
Title 1 of ADA
employment
Title 2 of ADA
access to government places
title 3 of ada
access to public
title 4 of ada
telecomunications
title 5 of ada
CC on federal funded TV
ada doorways
32 min 36 recomened
ada outlets
18 in from floor
ada light switches
48in from floor, one hand
hemiplegia
paralysis on one side of body
ipsilateral
same side as effected side
contralateral
opposite as effected side
FIM levels
1-dependant
7-independant
micurate
to urinate
CVC
Central venous cath
Hct
Hematocrit
Hgb
hemoglobin
INR
internal nationalized ratio
ORIF
open reduction internal fixator
Stryker wedge turing frame
supine to prone
can cause friction or sheering
can cause contractures
250 or under
clinitron
Air suspended beads
for people with wounds or high risk to get wounds
can cause dehydration
punctured easily
rotorest bed
Rocks left to right
not good for people post-cardio surgery, bronchospasms, intracranial hypertension
Low air loss
Ballons can be filled to pt needs
Swan ganz
Pulmonary artery cath
Pulmonary artery cath
measures oxygen flow
ICP
Intracranial pressure monitor
HOB should be a minimum of _ for a pt with a ICP
30 degrees
Hickman
in and out
Hemocratin measures what and does what
carries oxygen and measures blood loss, anemia, bone marrow suppression
Hemoglobin measures what
blood loss, fluid balance, number of RBC
INR
internal nationalized ratio
INR measures what
blood clotting and coagulation
Contradictions to therapy
LOW oxygen- below 60
LOW hct
LOW hgb
LOW potassium