Approach to hospitalized and post-surg patients

Question 1

Goals of OMT in hospitalized patient

Answer 1

promote homeostasis and pts ability to cope with disease, sleep, ambulation, eating, defecation, pain relief, relieve congestion

Question 2

Indications for hospital OMT

Answer 2

post op ileus, constipation, penumonia, atelactasis, difficulty feeding, chest wall pain

Question 3

Contraindications for hospital OMT

Answer 3

any treatment technique that would involve direct manipulation of surgical sites

Question 4

Frequency and dosage of OMT

Answer 4

sicker the pt the less the dose, allow time for pt to respond to treatment

Question 5

Protocol for “appropriate touch?

Answer 5

what, where, why, ask and document

Question 6

Supine OMM for chest pain

Answer 6

suboccipital MFR, thoracic inlet release, T-spine soft tissue, rib raising

Question 7

OMM for pneumonia

Answer 7

suboccipital release, cervical soft tissue C3-5, rib raising, abdominal diaphragm release, thoracic pump and pedal pump

Question 8

When to not use thoracic pump with recoil?

Answer 8

if pt has COPD