DME lecture Flashcards
DME =QOL
durable medical equipment=quality of life
_________________ can equal an increased quality of life for
patients who suffer from disease or injury. These are devices that can ease a patient’s suffering physically and emotionally.
Durable Medical Equipment
DME(durable medical equipment) defined
can withstand ______________ use
primarily and customarily used to serve a ____________ purpose
not useful to a person in the absence of an illness or injury
appropriate for use in the _________
Expected to last at least 3 years
All requirements of the definition must be met before an item can be considered to be DME
repeated
medical
home
What Could Go Wrong?
Just about anything you can imagine and then some
- Injury
- Disease
- Infection
- Surgery
Injury
Repetitive motion -
Exercise induced, work related
Trauma - accidents, recovery from surgery, sports related
Disease, Infection, Surgery
Diease:
Cardiovascular: Stroke, TIA, heart attack
Neuromuscular issues: Multiple Sclerosis, Muscular Dystrophy
Diabetes Mellitus and it’s complications: Amputations, stroke, neuropathies
Cancer: amputations, bowel resections
Infection
Post surgical, opportunistic, post trauma, acquired organism
Surgery
Knee or hip replacement, carpal tunnel, back
Ostomy Care
___________: a mouth-like opening. An incised opening that
is kept open for drainage or other purposes, such as
the opening in the abdominal wall for colostomy,
ureterostomy and ileostomy
Stomas are necessary for either feeding or eliminating
Stome
___________-opening into the small intestine through abdomen
Ileostomy
________- opening into the colon through abdomen
Colostomy
_________- surgically created opening to drain urine
Urostomy
______________
Shoe inserts, heel cups
Foot pain, knee pain, back pain, plantar fasciitis, arthritis
Issues of spinal alignment
Due to exercise, standing for long periods of time, flat feet
Orthotics
Orthotics used for supinated or _____________ feet
pronated
_____________________
Help to support areas of the torso due to injury or exertion
Back pain
Broken ribs – coughing, exercise, accident
Rest and recuperation are often the only solution
Abdominal Supports & Rib belts
Wrist Splints
Supports for stabilization of wrist and lower forearm for injury due to:
_____________ – characterized by tingling, numbness, weakness,
feeling of “electrical shock” upon movement; caused by pressure on the median nerve; splint at night
Sprains
Strains
Broken bones
Carpal Tunnel
______________
Needed for support due to injury:
_________arm, collar bone
__________ of shoulder
Sprains or strains
Post surgical
Immobilization for comfort and optimal healing position
Slings
broken arm
dislocations
Braces for Extremities
Elbow
Wrist
Knee
Ankle
Provide rigid support for these areas while injured area heals
_____________ – gives support and also gives sense of warmth that enhances freedom of movement
Neoprene
Cervical Collars
Soft,sizes,fit
Used after what?
car accident
Sometimes you do need to use durable medical equipment to have quality of life
DME can put pts back to activities of daily living
DME is not a one-time thing
Adult diapers are NOT DME
Injury ex: if someone is operating a heavy machinery or doing a construction job, lifting a lot they might have a work related injury might need a backbrace
Someone could need a neckbrace if they have whiplash
If someone has amputations they might need a device like a prothesis
With a knee replacement pt might need DME for a short amount of time because they get better they go through physical therapy and they graduate from their devices
___________–>step on a pad and it will see where the pressure is on your foot or what might be needed; it will let you know which color to buy in order to correct issue they sense w/ your feet and its FREE use of machine
Dr. Scholl’s machine
You can have a whole orthotic and you can have half of one and you can have a heel cup that can be useful for a heel spur so a bone spur in the heel and it will take some of the pressure off and that area may be healed but it would definitely would reduce the pain for the patient so it can correct some orthotics