Community Rehab Flashcards
When did physiotherapy start to become a thing?
1930’s
What determines the level of care needed for the patient?
- age
- physical limitations
- medical needs
- mental health
- family’s wishes
What is the right to live at risk?
patients have the right to refuse service if they are able to understand the treatment and pros and cons
What is community care? (both mental and physical rehab)
- Rehab
- rec programs
- home support services
- home nursing care
- assisted living
**What is the difference between hospital and home/community care?
HOSPITAL: predictable environment.
- Focus is individual client
- direct supervision.
- Lots of resources and equipment
HOME: unpredictable environment
- indirect supervision,
- location requires planning and going mostly
- distraction in home (ex. pets)
- equipment has to be compact and portable ; and you need to be able to improvise from what is available in the house
- you have to be adaptable and creative
What is the goal of community rehab?
- ongoing rehab to maximize patient’s functional independence (abilities) in a safe way
- exercises must be view and implemented to address a FUNCTIONAL goal
- promote participation at home and in the community
?What do some community Physiotherapies patients need?
-ORTHOPEDIC: may include total joint replacements, neck and back injuries, fractures
- CARDIAC: post myocardial infarct
- NEUROLOGICAL: may include stroke, brain injury, or parkinsons
- CHEST PHYSIO: ie Bronchectasis
- FRAIL ELDERLY: poor balance, endurance, limited Functional tolerance
What are some examples of Functional ROM? (DEGREES)
- 65-70: HIP FLEXION and FULL EXTENSION of the hip required to climb or descend stairs
- 105-110 of KNEE FLEXION: needed to climb/ descend stairs
- 55-60: ELBOW FLEXION in midrange require to drink from a cup
- 15: ANKLE DORSIFLEXION required to ambulate with s normal gait pattern
What exercises are done, to work on stability and balance?
*What is initiated in the joints for stabilization?
- exercises with a stable base
- working on proximal muscle groups;provide background of stability
- closed chain exercises; weight bearing activities for stability
*Proprioceptors (GTO/muscle spindle) in joint
1=position centre
2=movement centre
What is endurance?
-the ability to perform low intensity functional activities over a prolonged period
(a gradual progressive exercise program help build endurance)
What are some features of frailty in elderly?
- nutrition deficient
- dependance
- prolonged bed rest
- pressure ulcers
- gait disorders
- generalized weakness
- extreme old age
What are the TA’s responsibilities with community work?
- treatment is removed from the facility
- indirect supervision
- communication plan with therapist (frequency)
- discuss parameters with PT (what you are able to progress/adjust in treatment)
- report changes in conditions/status
What are some examples of other community based services
- adult day programs
- recreational programs
- home support sevices
- home care nursing
- assisted living
- support groups
What are adult day programs for ?
- structured program with activities
- often meals are provided
- respite for family
What types of meal programs are there at Adult day programs?
-meals on wheels
What 2 condition causes pain and hinders functional activities?
What are some exercises for each?
- Hypomobility: not enough mobility
- flexing
- Hypermobility: too much mobility (torn MCL the knee wants to buckle; brace would be worn)
- strengthening
?What are some support groups and clubs?
- Post polio support group meets regularly @ Parkinson Rec Centre (info and resources, education and support
- Coronary Exercise Club @ Capital New SPirts Centre: rehab exercise program for those who have cardiac problems or ar at risk of developing cardiac problems
PRIVATE PRACTICE:
In what year was it allowed to visit a physio without referral in BC?
2001 BC
WHat do all physio treatment first start with? (3)
- thorough assessment
- physical diagnosis
- treatment plan
What are common conditions treated in private clinics?
- low back pain
- whiplash
- sports injuries
- rotator cuff injuries
- hip brusitis
- work related injuries
What is manual therapy?
- specialized hands-on physical treatment used by physiotherapists to treat musculoskeletal pain
- series of graduate courses
- not delegated to the PTA
Common sports injuries?
- ACL in soccer
- hamstrings in hockey
** Important to design sports-specific training programs for athletes
What degrees does the knee flexion have to be in order to be FUNCTIONAL?
120 degrees
What are three rotator muscles?
- Supraspinatous
- infraspinatous
- teres minor
