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NBCOT Domain Three Prep > Chunk One > Flashcards

Chunk One Flashcards

1
Q

WH: inflammatory phase:

A

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
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2
Q

WH: proliferation phase:

A

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
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3
Q

WH: Maturation phase:

A

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

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4
Q

debridement

A

a procedure performed to facilitate wound helaing and involves removal of damaged or nonviable tissue

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5
Q

types of debridement include:

A

surgical
mechanical chemical
autolytic

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6
Q

surgical debridement

A

a type of debridemet that involves surgically removing damaged or nonviable tissue with a sharp instrument

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7
Q

mechanical debridement

A

a type of debridemtnt that involves actively removing damaged or nonviable tissue

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8
Q

types of mechanical debridement include:

A

hydrotherapy
wet-to-dry dressings
- wound irrigation followed by suction

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9
Q

chemical debridement

A

type of debridement that uses fast acting enzymes to slough nonviable tissue form a wound

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10
Q

autolytic debridement

A

type of debridement that uses the body’s own enzymes to breakdown nonviable tissue

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11
Q

alginate dressing

A

primary wound care dressing that can absorb large quantities of exudate

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12
Q

transparent film dressing

A

semi-occlusive wound care dressing that can be used as a primary or secondary dressing and act as a waterproof barrier

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13
Q

hydrogel sheet dressing

A

wound care dressing that hydrates the wound and promotes autoytic debridement

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14
Q

scar management

A

technique best used six to 12 weeks after wound closure to minimize the risk of adhesions, contracture, hypertrophy or hypersensitivity

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15
Q

scare management interventiosn include:

A

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

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16
Q

conduction

A

transfer of energy between two connected surfaces of contrasting temperatures

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17
Q

examples of conduction include:

A

paraffin wax
cryotherapy
hot pack

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18
Q

convection

A

transfer of energy from a circulating source in contact with a body part:
ie: fluidotherapy
whirlpool

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19
Q

evaporation

A

physiological response resulting from the topical applicaitn of a vapocoolant
ie:
cold spray
cooling cream

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20
Q

electrotherapeutic physical agent modalities

A

PAM that require esential knowledge of electrical principles electrode selctiona and placement indications and contraindications,

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21
Q

ie: of electroherapeutic PAM:

A

NMES: neuromuscular
FES: functional
TENS; transcutaneous

22
Q

Hot pack:

A

superficial, moist heat, conduction modality

23
Q

precautions to hot pack

A

overheating of the client
localized burns to the body part being treated
discomfort from the weight of the pack

24
Q

hot pack is recommended

A

for use as an adjunct to other occupation-based interventions

25
Q

fluidotherapy

A

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

26
Q

paraffin therapy

A

superficial, conduction, heat modality that involves use of thermostatically controlled, warmed wax and mineral oil, method used:

immersion
dip immersion
pouring

27
Q

cryotherapy

A

superficial conduction cold modality that may be used to address
spasticity
pain edema

28
Q

NMES stands for

A

neuromuscular electrical stimulation

29
Q

NMES is

A

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
30
Q

FES stands for

A

functional electrical stimulation

31
Q

FES is

A 
form of electrotherapy to: 
maintain muscle mass 
gain ROM 
facilitate voluntary movement 
manage spasticity
32
Q

TENS is

A

for of electrotherapy used as a component of a comprehensive pain management program techniques of application include:

subsensory
sensory
motor

33
Q

TENS stands for

A

transcutaneous electrical nerve stimulation

34
Q

ultrasound US

A

mechanical acoustic modality that uses energy conversation to influence:

tissue length
pain
inflammation
tissue healing

35
Q

social competence

A

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

36
Q

play space

A

designated social or physical environment designed for children to foster

exploration
development
socialization

37
Q

ABA: applied behavior analysis

A

therapeutic approach used to enhance school function, positive behaviors, and socialization through intensive therapy consisting of reinforcement and daily structure

38
Q

least restrictive environment

A

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

39
Q

behavioral modification

A

an intervention strategy used to shape behavior; typically associated with providing a combination of positive or negative reinforcement

40
Q

reality orientation

A

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

41
Q

temperament

A

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

42
Q

activity pacing

A

energy conversation technique that includes

integrating regular rest breaks into daily activities establishing daily habits and routines
maintaining adequate sleep hygiene

43
Q

activity planning

A

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

44
Q

activity modfiications

A

adaptations to activities or tools to:

promote a lifestyle change
facilitate independence
reduce injury or health related risk

45
Q

just right challenge

A

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

46
Q

task simplification

A

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

47
Q

incremental gradation of occupation

A

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

48
Q

client educatino

A

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

49
Q

automaticity

A

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

50
Q

generalization of skill

A

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

51
Q

home program

A

set of recommended activities provided to support carryover of skills learned in a therapeutic setting to the natural environment

NBCOT Domain Three Prep (6 decks)

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