Evaluation Flashcards
MD Referral
Does it indicate purpose, frequency or when to wear splint.
Clinical Protocols.
MD/Therapist preferences.
Medical Chart
Date of injury and Tx so far.
Precautions,
Xrays or Medical Records.
Occupational Profile
Hand dominance.
Interest in occupations.
When/Where splint is worn.
Support System.
Motivation
Does the pt. wear splint.
Cosmetic considerations.
Hx of splinting or preferences.
Cognition
Answer questions.
Follow instructions.
Capable of telling you if it hurts.
Skin Integrity
Sensation (does it hurt or not).
Tone
Pt. with increased tone does best with hard even pressure.
High Tone pt. should not use a dynamic splint.
Vascular Status
Poor circulation = avoid strapping
ROM
Assessment: (especially if goal is to increase ROM)
May not be able to measure acute injury’s.
Strength
Unable to assess in acute fracture.
Important if LTG is to reduce pain and inflammation.
Function
Specific things pt. needs to do with the splint on.
Allow for motion where it needs to occur.
Hand Posture
Arm swing.
Guarding indicated pain
Normal positioning is slight wrist extension and ulnar deviation.
Wound Healing
Granulation.
Stages of healing.
Can the wound be covered.
Reimbursement
Evaluate the payment ability and insurance approval needed.
