day sixteen: evaluation of the hands

Question 1

name two questionnaires for pain assessments:

Answer 1

McGill pain questionnaire

Schultz pain assessment

Question 2

name two rating scales:

Answer 2

berbal analog scale: VeAS: pain perception

visual analog: VAS

Question 3

important observations:

Answer 3

attitude of the hand at rest
skin
temperature

Question 4

two neurological deficits postures:

Answer 4

claw hand

wrist drop

Question 5

external devices:

Answer 5

percutaneous pins
external fixators
splints/slings/braces

Question 6

name three power grips:

Answer 6

cylindrical grip
hook grip
spherical grip

Question 7

precision grip: pinch grips:

Answer 7

2 pt pad to pad pinch 
3 jaw chuck 
lateral key pinch
tip to tip pinch 
pen/pencil tripod grasp

Question 8

cylindrical grip:

Answer 8

a more equally divided pressure across palmer surface
stability weakens with increased girth of object
the heavier the object the more ulnar deviation of the wrist

Question 9

hook grip

Answer 9

partially gravity dependent
main control provided by the finger nerves the thumb
not a particularly strong grip, but may be sustained for long period of time

Question 10

spherical grip

Answer 10

similar to the cylindrical
equals strength applied across the object’s surface
control is reduced with increased object size

Question 11

pad to pad pinch

Answer 11

3 jaw chuck

Question 12

lateral key pinch

Answer 12

thumb is more adducted and less rotated

least precise grip

Question 13

lateral prehension

Answer 13

when an object is held between two adjacent fingers

Question 14

tip pinch the most ______

Answer 14

precise

Question 15

tip pinch is also called

Answer 15

tip to tip prehension or 2 point tip pinch

Question 16

inability to perform tip pinch indicative of

Answer 16

anterior interosseous nerve injury

Question 17

how do you assess vascular circulation:

Answer 17

Allen’s Test

or the fingernails blanch test

Question 18

list two ways you would do an edema assessment?

Answer 18

circumferential assessment

volumetric assessment

Question 19

circumferential measurement def:

Answer 19

utilize tape measure with centimeters

document landmark and measurement

Question 20

volumetric measurement

Answer 20

measures changes in mass b use of water displacement
bilateral comparison
short term goal to decrease edema 10-15mL

Question 21

where are veins mostly

Answer 21

the dorsum of the hand

Question 22

nerve assessments:

Answer 22

two point discrimination
moving two point discrimination
semmes Weinstein monofilaments
moberg / dellon pick up test