CNS Pathology and Transfers - WK11+12 Flashcards
Often found with persons who are diabetic and most commonly leading to lack of sensation of the feet
peripheral neuropathy
Is cerebral palsy a progressive disorder ?
NO
What factors lead to peripheral neuropathies
diabetes, mechanical compression, ETOH abuse, botulism, GBS, aging
Which brain neoplasm is most deadly?
glioblastoma multiforme
Risk factors of ____________ include: 80% are males, and most commonly occurs at age 18
spinal cord injury
You are instructing your patient in independent squat-pivot transfers. Your patient is a 110-lb. female who is fully alert and oriented, and she plans to return home using a wheelchair for her mobility needs. She will be home alone most of the day and must be able to transfer independently. What advice could you give her ?
transfer from wheelchair to bed with the armrest closest to the bed moved out of the way
In both squat-pivot and standing-pivot transfers, what is the first task that must be accomplished first ?
shifting the patient’s CoM forward over the pivot point
what factor is a requirement for performing independent seated lateral transfers without a transfer board
good trunk control
You have just evaluated your patient, who is recovering from abdominal surgery, and you are preparing to assist the patient from the bed to the bedside chair using a squat-pivot transfer. Your assessment of the patient is that her lower-extremity strength is poor bilaterally. What is the best position to assume for this transfer
in front of the patient, with both of her legs blocked by your legs
Physical assistance with seated lateral transfers is provided most effectively at the ….
hips
Infections of the CNS include
meningitis, and encephalitis
A unique sign/symptom of __________________ is neck stiffness and pain that makes it difficult to touch your chin to your chest
meningitis
give the definition of neuropraxia, axontemesis, and neurotemesis
neuro-:segmental demyelination
axon-: disruption of axon but endoneurium in place
neuro-: disruption of both axon and endoneurium
Autonomic dysreflexia is a concern with spinal cord injuries above the level of ……
T5
___________ is defined as “possession” from paroxysmal electrical abnormality, leading to a loss of consciousness and abnormal motor activity.
epilepsy
What is a modifiable risk factor that doubles the chance of a CVA
tobacco smoke
n order to perform lateral seated transfers, the patient is always required to bear weight through their lower extremities. (T/F)
False
If a patient is able to bear weight safely through at least one LE and has the ability to follow instructions and/or respond to cueing, he or she may be a candidate for employing a _________
pivot transfer technique
During a pivot transfer, the inner (closest to the target surface) foot should be slightly
forward
Patient position for a pivot transfer includes
hips forward, feet back, flexed trunk, hands on armrestss
You choose to perform a bed to chair transfer with a patient who is dependent in their mobility. If you are having difficulty with initiating the pivot, it is advised to try and create controlled momentum by rocking prior to the transfer. ( T/F)
True
Which transfer maneuver is considered to be the most physical stressful to the caregiver
transferring a patient from chair to toilet
Which position creates the greatest risk of injury to the clinician during a lateral supine transfer requiring the assistance of two or more people?
standing beside the patient and bending forward as the patient is moved laterally
The risk of injury during manual dependent transfers is ______________.
greatly magnified
Dependent pivot transfers are used when a patient is _________ to bear _________on the lower extremities and has some voluntary muscle tone of one or both lower extremities.
able to , at least partial
