Chapter 32 Flashcards

Exercise / Activity Needs

1
Q

abduction

A

move away from midline

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2
Q

adduction

A

move toward midline

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3
Q

ambulation

A

act of walking

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4
Q

atrophy

A

decrease in size / wasting of tissue

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5
Q

muscle atrophy

A

decrease in muscle size

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6
Q

bed rest

A

restricting to bed / limiting activity for health reasons

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7
Q

contracture

A

decreased motion / stiffness of joints by shortening (contraction) of muscle; deformed / fixed into position
- cannot stretch

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8
Q

deconditioning

A

loss of muscle strength due to inactivity

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9
Q

dorsiflexion

A

bending toes / foot toward body

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10
Q

extension

A

straightening of part away from body

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11
Q

external rotation

A

turning joint outward

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12
Q

flexion

A

bending a body part toward body

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13
Q

footdrop

A

permanent plantar flexion; foot falls down at ankle

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14
Q

hyperextension

A

excessive straightening of part away from body

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15
Q

immobility

A

inability to move

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16
Q

internal rotation

A

turning joint inward

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17
Q

mobility

A

person’s ability to move

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18
Q

opposition

A

touching thumb to each finger

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19
Q

orthotic devices

A

device to support / promote motion / correct deformity of muscle

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20
Q

plantar flexion

A

bending foot down toward ankle (away from body)

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21
Q

postural (orthostatic) hypotension

A

low BP when person stands up

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22
Q

pronation

A

turning joint downward

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23
Q

range of motion (ROM)

A

movement of joint to fullest extent w/o pain

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24
Q

ADL

A

activities of daily living

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25
rotation
turning joint
26
supination
turning joint upward
27
common reasons to order bed rest ?
- reduce oxygen needs / pain / swelling - promote healing
28
types of bed rest ?
may be called different depending on agency; - strict (complete) bed rest - bed rest - bed rest w/ commode privileges - bed rest w/ bathroom privileges
29
strict (complete) bed rest
everything is done for all ADL in bed for person
30
bed rest
person able to perform some ADL
31
bed rest w/ commode privileges
commode is used to eliminate at bedside
32
bed rest w/ bathroom privileges
bathroom is used to eliminate
33
possible complication due to immobility ?
- pressure injuries - constipation - UTI, kidney stones - blood clots - pneumonia - contracture - atrophy - postural hypotension
34
common sites of contracture ?
- fingers / wrists - elbows - toes / ankles - knees - hips - neck / spine
35
what can happen during postural (orthostatic) hypotension ?
- dizziness / weakness - seeing spots - syncope (fainting)
36
progression stages to increasing mobility
slowly change positions / give time to adjust 1) supine to fowlers 2) fowlers to dangling 3) dangling to standing 4) standing to walking / sitting in chair
37
active ROM excerices
person does ROM themselves
38
passive ROM (PROM) excercises
you move the joints for them - support part being excercised at all times
39
active-assistive ROM excercies
person does ROM w/ your help
40
what will you ask when doing ROM exercises ?
- if joint cannot move further / more - joint pain / discomfort - person needs to stop / rest
41
how often / when are ROM exercises done ?
at least 2 days; bedrest may need more
42
goal of ROM excercises
- increase ROM - prevent loss / further decay of ROM
43
how to assist ROM of shoulder ? (7)
support by holding wrist and elbow - flexion; arms straight forward / above head - extension; arm down - hyperextension; arm behind body (in chair / standing) - abduction; straight arm away from body - adduction; straight arm toward body - internal rotation; elbow same lvl as shoulder, rotate fingers pointing down - external rotation; elbow same lvl as shoulder, fingers point up repeat each 5x / number times on care plan
44
how to assist ROM of elbow ? (2)
support by holding wrist and elbow - flexion; bend arm, same side shoulder touched - extension; straighten arm - repeat each 5x / number of times on care plan
45
how to assist ROM of forearm ? (2)
support by holding wrist and elbows - pronation; rotate forearm so palm down - supination; rotate forearm so palm is up repeat each 5x / number of times in care plan
46
how to assist ROM of wrist ? (5)
support by holding wrist w/ both hands - flexion; bend hand down - extension; straight hand w/ arm - hyperextension; bend hand back - radial flexion (deviation); hand toward thumb - ulnar flexion (deviation); hand toward pinky repeat each 5x / number of times in care plan
47
how to assist ROM of thumb ? (5)
support by holding hand and thumb - abduction; move thumb away from fingers vertically - adduction; move thumb toward fingers vertically - opposition; touch each fingertip w/ thumb - flexion; thumb toward hand horizontally - extension; thumb away from hand horizontally repeat each 5x / number of times in care plan
48
how to assist ROM of fingers ? (4)
support by holding fingers - abduction; spread fingers apart - adduction; bring fingers together - flexion; make a fist - extension; straighten fingers straight w/ arm repeat each 5x / number of times in care plan
49
how to assist ROM of hip ? (7)
support under knee and ankle - flexion; raise leg - extension; straighten leg - hyperextension; leg behind body - abduction; leg away from body sideways - adduction; leg toward other leg sideways - internal rotation; turn leg inward - external rotation; turn leg outward repeat each 5x / number of times in care plan
50
how to assist ROM of knee ? (2)
support under knee and ankle - flexion; bend knee - extension; straighten knee repeat each 5x / number of times in care plan
51
how to assist ROM of ankle ? (2)
support under foot and ankle - dorsiflexion; pull foot upward, push down heel - plantar flexion; turn foot downward / point toes repeat each 5x / number of times in care plan
52
how to assist ROM of foot ? (2)
support foot and ankle - pronation; turn outside foot up, inside foot down - supination; turn outside foot down, inside foot up repeat each 5x / number of times in care plan
53
how should canes be used ?
- held on strong side - goes forward w/ weak side - held 6-10in away from strong side
54
how should walkers be used ?
- pushed 6-8in in front of feet - never pushed w/ person sitting down on walker - never used to push self up (can tip)
55
when are crutches used / how to use them properly ?
used when cannot use 1 or both legs; - replace / dry worn down / wet crutch tips - tighten all bolts - wear fitted clothing and street shoes
56
foot board
board at foot of bed planted against soles of feet - prevent footdrop
57
bed cradle
cradle over persons feet - prevent pressure on toes / feet - prevent footdrop
58
trochanter roll
bath blanket / towel folded tightly to desired length - prevent legs from turning outward
59
hip abduction wedge
placed between hips to keep them apart - common after hip replacement surgery
60
hand roll / grip
prevents contractures of thumb, fingers, wrist
61
finger cushion
like hand roll / grip - prevents contractures of thumb, fingers, wrist - fingers are separated
62
splint
keeps boy part in normal position
63
brace
applied over ankle, knee, back - supports weak body part - prevent / correct deformity - prevents joint movement
64
ankle-foot orthosis (AFOs)
supports / maintain alignment of foot and ankle - worn w/ socks and shoes - prevent footdrop - common after stroke
65
what should you do when applying any positioning device (AFOs, trochanter / hand roll, etc.) ?
keep all skin / bony prominences in contact w/ device clean / dry