Chunk One Flashcards
WH: inflammatory phase:
initial stage of wound healing that includes:
- clot formation
- blood vessel dilation allowing neutrophils and monocytes to initiate debridement and attack bacteria
- changes in skin color, temperature, pan, swelling and function
WH: proliferation phase:
second stage of wound healing that begins by day three after injury:
- wound revasculariation
- scab formation
- wound re-epithialization (new skin layer)
- fibroblasts initiating contraction
- erythema and beginning of scar formation
WH: Maturation phase:
final phase of wound healing that may continue for months or years that includes:
- collagen remodeling
- scar softens while its tensile strength increases
erythema lessons
debridement
a procedure performed to facilitate wound helaing and involves removal of damaged or nonviable tissue
types of debridement include:
surgical
mechanical chemical
autolytic
surgical debridement
a type of debridemet that involves surgically removing damaged or nonviable tissue with a sharp instrument
mechanical debridement
a type of debridemtnt that involves actively removing damaged or nonviable tissue
types of mechanical debridement include:
hydrotherapy
wet-to-dry dressings
- wound irrigation followed by suction
chemical debridement
type of debridement that uses fast acting enzymes to slough nonviable tissue form a wound
autolytic debridement
type of debridement that uses the body’s own enzymes to breakdown nonviable tissue
alginate dressing
primary wound care dressing that can absorb large quantities of exudate
transparent film dressing
semi-occlusive wound care dressing that can be used as a primary or secondary dressing and act as a waterproof barrier
hydrogel sheet dressing
wound care dressing that hydrates the wound and promotes autoytic debridement
scar management
technique best used six to 12 weeks after wound closure to minimize the risk of adhesions, contracture, hypertrophy or hypersensitivity
scare management interventiosn include:
mobilization orthoses ie applying submaximal stretch
massage: graded bivration , manual
compression ie: gloves tublar gauze
densitization: graded touching, textures
ROM : active and passive
thermal modalities : ultrasound moist heat
conduction
transfer of energy between two connected surfaces of contrasting temperatures
examples of conduction include:
paraffin wax
cryotherapy
hot pack
convection
transfer of energy from a circulating source in contact with a body part:
ie: fluidotherapy
whirlpool
evaporation
physiological response resulting from the topical applicaitn of a vapocoolant
ie:
cold spray
cooling cream
electrotherapeutic physical agent modalities
PAM that require esential knowledge of electrical principles electrode selctiona and placement indications and contraindications,
ie: of electroherapeutic PAM:
NMES: neuromuscular
FES: functional
TENS; transcutaneous
Hot pack:
superficial, moist heat, conduction modality
precautions to hot pack
overheating of the client
localized burns to the body part being treated
discomfort from the weight of the pack
hot pack is recommended
for use as an adjunct to other occupation-based interventions
fluidotherapy
superficial, dry heat, convection modality that involves inserting a distal extremity into a thermostatically controlled machine of circulating particles, typically used for
desensitization
edema and pain reduction
improving ROM
paraffin therapy
superficial, conduction, heat modality that involves use of thermostatically controlled, warmed wax and mineral oil, method used:
immersion
dip immersion
pouring
cryotherapy
superficial conduction cold modality that may be used to address
spasticity
pain edema
NMES stands for
neuromuscular electrical stimulation
NMES is
a type of physical agent modality that provides electrical stimulation to a peripheral nerve
potential uses:
- strengthen a muscle
- increase ROM
- decrease spasms
- manage edema
FES stands for
functional electrical stimulation
FES is
form of electrotherapy to: maintain muscle mass gain ROM facilitate voluntary movement manage spasticity
TENS is
for of electrotherapy used as a component of a comprehensive pain management program techniques of application include:
subsensory
sensory
motor
TENS stands for
transcutaneous electrical nerve stimulation
ultrasound US
mechanical acoustic modality that uses energy conversation to influence:
tissue length
pain
inflammation
tissue healing
social competence
mastery of a complex interaction of social, cognitive, emotional, and behavioral skills needed for social adaptation, includes demonstration of effective:
interpersonal communication
social communication
social skills
play space
designated social or physical environment designed for children to foster
exploration
development
socialization
ABA: applied behavior analysis
therapeutic approach used to enhance school function, positive behaviors, and socialization through intensive therapy consisting of reinforcement and daily structure
least restrictive environment
academic context allowing students with disabilities to receive their education and all academic and related services in the same setting as children who do not have disabilities
behavioral modification
an intervention strategy used to shape behavior; typically associated with providing a combination of positive or negative reinforcement
reality orientation
intervention method used for persons with cognitive impairment that includes routines and consistent reminder of
time date and weather
current location
familiar names
roles of people in their support network
temperament
behavioral attributes of a personality that influence social interactions in nine areas; activity level, rhythmicity, approach or withdrawal attention span threshold of response distractibility adaptability intensity of response and quality of mood
activity pacing
energy conversation technique that includes
integrating regular rest breaks into daily activities establishing daily habits and routines
maintaining adequate sleep hygiene
activity planning
energy conservation technique that involves looking ahead days, weeks or months to develop a strategy for organizing and scheduling tasks based on occupational roles, priorities, task demands and expected energy expenditure levels and includes time for rest and recovery
activity modfiications
adaptations to activities or tools to:
promote a lifestyle change
facilitate independence
reduce injury or health related risk
just right challenge
top-down task analysis approach that involves identifying client centered activities that
are meaningful and contextually relevant
provide the greatest opportunity for success
maintain motivation and arousal
task simplification
method of grading activity to allow the capacity of the client to match activity demands, may involve:
breaking an activity into smaller parts
eliminating steps of an activity
modifying objects used during the activity
incremental gradation of occupation
gradual increase or decrease in activity and/or environmental demands to optimize a client’s performance, typically started form where the client will be successful
client educatino
collaborative client-centered teaching approach used to advise a client on:
plan of care and goals
resources
discharge planning
home programs
includes assessing the ability to carry out health care recommendations
automaticity
ability to perform activities using an automatic response or habit, involves less attention to details of the procedural steps
linking a new activity with an environment
generalization of skill
ability to transfer a newly learned skill across a variety of contexts and activities facilitated by
maintaining client motivation
contextually relevant practice
direct exposure to a task
home program
set of recommended activities provided to support carryover of skills learned in a therapeutic setting to the natural environment
