Assesments/ Tx Flashcards by Chanelle Rice

Goni?
Dynamometer?
Volumeter?
What do these test for

ROM
Strength
Edema

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Barthel

Assess I in ADL
Observation of performance
Good predictor for LOS

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2 ways to describe edema

Pitting

Brawny

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For sensation, SCI is assessed how?

Peripheral injury?

SCI- proximal to distal

Peripheral- distal to proximal

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What is the order of return?

Localized touch, pain, light touch, moving touch

Pain
Moving
Light
Localized

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Name 4 coordination and dexterity assessments

Purdue pegboard
Minnesota rate of manipulation
Nine hole peg
Jebson hand function
Oconnor tweezer

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Isometrics are contraindicated for what diagnoses?

HTN

Cardiovascular

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3 edema Tx’s

Elevate
Retrograde massage
Compression garments
Cold packs
Contrast bath

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Name 3 scar management Tx’s

Early mobilization: ROM
Massage: circles and friction
Compression
Scar pad
Splinting

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Which PAM is good for desensitization

Fluidotherapy

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Name 4 energy conserv or work simp Tx’s

Short rest periods
Balance work tasks
Gather ALL items 1st
Carry ALL items in trip
Eliminate unnecessary steps
Sit and work
Adaptive equipment
Electrical appliances
Rest

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Name 3 joint protection methods

Use strongest joints for tasks
Avoid holding joints too long
Be cautious of pain
Avoid deformity positions

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Name 3 body mechanic principles

Keep object close to body
Broad base of support
Bend at knees and hips
Back straight
Lift with legs
Breathe 
Dont rotate trunk

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What splint to use?
Brachial plexus injury
Median nerve injury
C6 C7
Cubital tunnel syndrome

Flail arm splint.
Oppenens or Cbar splint.
Tendonesis.
Elbow 30• flexed

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What splint to use?
Flexor tendon
Swan neck
Spasticity
Muscle weakness: ALS, SCI, GB

Dorsal blocking
Silver ring or buttonhole.
Cone.
BFO or deltoid sling.

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Name 3 general PAM contraindications

Cancer
Pacemaker
Pregnancy
Cognitive decline
Sensory impairment
Vascular impairment

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What is whirlpool used for?

Contrast bath?

Wound debridement and cleaning

Edema control

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What is cryotherapy used for?

Ultrasound?

Pain relieve, edema control, abnormal tone.

Pain relieve, inflammation, tissue extensibility, decrease adhesions.

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AMPS

population

Assessment of motor and process skills.
Assess ADL task performance
3yrs plus

ACL

For psych brain injury and dementia patients. 3 progressive leather lacing stitches.

Rivermead perceptual assessment battery

Population

16yrs and up

Visual perceptual deficits. Utilizes deficit specific tasks in isolation from ADL’s

MMSE

Mini mental state exam/ folstein.

30point questionnaire. Screen for cognitive impairment and dementia.

Amsler grid assess?

Snellen chart assess?

Central field

Visual acuity

Confrontation testing assess?

Peripheral vision

Name an environmental modification for bed mobility

Light bedding/ sheets Changing mattress firmness Height if bed Bed rails

What medication is used during iontophoresis?

Dexamethasone

Self awareness of deficits interview

Gives insight on pt's ability to set realistic goals to aid Tx planning

Cognitive assessment of Minnesota

Overview of cognitive performance; evaluates extent of deficits

Rivermead behavioral test

Evals memory needed to complete ADLs using verbal and visual skills

Cognistat neurobehavioral cognitive status

Assess 10 areas of cognition

Work values inventory

Assess the value the client places on work, to identify the clients motivation to participate

Worker role interview

Assess psychosocial n environmental factors to Provides info to facilitate the clients return to work

An effective strategy for deficits in orientation?

Visual cues

Restraint reduction

Assessment of behaviors that result in agitation restlessness n wandering

Name 3 Tx's for wandering

``` Activity of interest Redirect Camouflage doors n exits with mirrors Signs wallpaper or blinds Tape on floors at end of hall Locks or velcro doors Alarms Rearrange furniture ```

Name 2 adaptive equipments for toilet hygiene

``` Grab bars Commode Inspection mirror Toilet paper holder Raised toilet seat ```

Name 2 adaptive equipments for grooming

``` Universal cuff Built up Long handled Angled Holders Electric toothbrush ```

Name 2 adaptive equipments for bathing

``` Grab bars Tub bench Handheld head Antiscald valves Long handled sponge Soap on a rope ```

Name 2 adaptive equipments for dressing

``` Reacher dressing stick Shoe horn Velcro Front opening closures Elastic laces Button hook Sock aid Ring zipper ```

Name 2 adaptive equipments for feeding

``` Adapted nipples Scoop dish Plate guard Non slip place mat Swivel utensils Rocker knife Adapted cups straws ```

List 2 Tx options for sexual expression interventions

``` Manage pain/stiffness, warm bath Positioning alternatives Adaptive equipment Energy conservation, time sex Catheter care Hygiene care ``` Handouts, groups, counseling

Name 2 adaptive equipments for cooking

``` Knob turners Stabilizers Cutting board Non skid mat Electric opener Step stool utility cart ```

Tx options for work/ergonomics

``` Adapted computers Typing aids Conditioning exercises Reasonable accommodations Pre retirement planning Avoid static repetitive awkward forceful positions ```

Work hardening vs work conditioning

Hard- interdisciplinary, focus on productivity, safety, tolerance, behaviors, CARF accredited Condition- 1 discipline, focus on flexibility, strength, movement, endurance, NO accreditation

``` Teal work activities are used. Participants are considered employees with support. Job coaches are used. Reasonable accommodation. Accreditation not required. Describes what?? ```

Sheltered workshop Supported employment TEP