Community Rehab Flashcards

1
Q

When did physiotherapy start to become a thing?

A

1930’s

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2
Q

What determines the level of care needed for the patient?

A
  • age
  • physical limitations
  • medical needs
  • mental health
  • family’s wishes
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3
Q

What is the right to live at risk?

A

patients have the right to refuse service if they are able to understand the treatment and pros and cons

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4
Q

What is community care? (both mental and physical rehab)

A
  • Rehab
  • rec programs
  • home support services
  • home nursing care
  • assisted living
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5
Q

**What is the difference between hospital and home/community care?

A

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
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6
Q

What is the goal of community rehab?

A
  • 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
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7
Q

?What do some community Physiotherapies patients need?

A

-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
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8
Q

What are some examples of Functional ROM? (DEGREES)

A
  • 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
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9
Q

What exercises are done, to work on stability and balance?

*What is initiated in the joints for stabilization?

A
  • 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

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10
Q

What is endurance?

A

-the ability to perform low intensity functional activities over a prolonged period

(a gradual progressive exercise program help build endurance)

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11
Q

What are some features of frailty in elderly?

A
  • nutrition deficient
  • dependance
  • prolonged bed rest
  • pressure ulcers
  • gait disorders
  • generalized weakness
  • extreme old age
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12
Q

What are the TA’s responsibilities with community work?

A
  • 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
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13
Q

What are some examples of other community based services

A
  • adult day programs
  • recreational programs
  • home support sevices
  • home care nursing
  • assisted living
  • support groups
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14
Q

What are adult day programs for ?

A
  • structured program with activities
  • often meals are provided
  • respite for family
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15
Q

What types of meal programs are there at Adult day programs?

A

-meals on wheels

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16
Q

What 2 condition causes pain and hinders functional activities?
What are some exercises for each?

A
  • Hypomobility: not enough mobility
  • flexing
  • Hypermobility: too much mobility (torn MCL the knee wants to buckle; brace would be worn)
  • strengthening
17
Q

?What are some support groups and clubs?

A
  • 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
18
Q

PRIVATE PRACTICE:

In what year was it allowed to visit a physio without referral in BC?

A

2001 BC

19
Q

WHat do all physio treatment first start with? (3)

A
  1. thorough assessment
  2. physical diagnosis
  3. treatment plan
20
Q

What are common conditions treated in private clinics?

A
  • low back pain
  • whiplash
  • sports injuries
  • rotator cuff injuries
  • hip brusitis
  • work related injuries
21
Q

What is manual therapy?

A
  • specialized hands-on physical treatment used by physiotherapists to treat musculoskeletal pain
  • series of graduate courses
  • not delegated to the PTA
22
Q

Common sports injuries?

A
  • ACL in soccer
  • hamstrings in hockey

** Important to design sports-specific training programs for athletes

23
Q

What degrees does the knee flexion have to be in order to be FUNCTIONAL?

A

120 degrees

24
Q

What are three rotator muscles?

A
  • Supraspinatous
  • infraspinatous
  • teres minor