Discharge planning Flashcards
HEP pressure relief for people with SCI:
C4 and higher
dependent, unless in power tilt in space WC
HEP pressure relief for people with SCI:
C5
hook, lean forward or to side
*no sensation in butt, so need to train with landmarks
HEP pressure relief for people with SCI: C6
hook, lean forward or to side
have wrist extensors to help with hooking
HEP pressure relief for people with SCI: C7
hook and lean, or WC push up if triceps are strong enough
HEP pressure relief for people with SCI: T1-T12
WC push up
how long should patients unweight? clinical guidelines
2 min q 30 min
What are laws for newly built or renovated buildings under the ADA-1990?
- Tenants with disabilities have right to modify rental properties at own expense
- Physical barriers in older buildings must be removed if reasonably possible
- All features of complex need to be accessible to and usable by people with disabilities.
do ADA standards for buildings apply for private homes?
no
A ___ inch doorway is sufficiently wide if WC can go through straight on, unless person has to turn/enter at angle
30 inch
what are considerations for doorways/doors
- doorway width
- direction door opens
- if door is a blockage
- limited hand function –> lever style door handle
- may need to remove indoor thresholds
- figure out exterior door threshold issue
ideally, person using WC can access sink, stove and counter surfaces -____
straight on
*consider height of cabinets, drawers, type of fridge
what type of fridge/freezer is easiest for people in WCs to use
french door fridges
handicapped toilets are generally ___ taller
2 inches
standard toilets are lower than WC seats!
C4 and higher have what mm group?
traps
fully dependent, power tilt in space WC
C5 will have what mm groups?
biceps, deltoids (hook and lean)
*partial rotator cuff, rhomboids, teres, serratus, biceps, deltoids
no hand, no triceps, no lats, no wrist
since C5 have no ___ innervation, what can they not do too much to weight shift?
lean too forward (no wrist)
If someone is ASIA A, how will they know if they are unweighted?
training: if fingertips are at a certain landmark, then patient will know this is how far to go to unweight isch tubs
C6 will have ___ innervation, allowing further lean forward
wrist
patients with limited hand function can benefit from ___ handles
lever style
