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Aging Adult > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

4 facts from orders section

A

WB status, activity restrictions, PT orders, vital sign parameters (can we titrate oxygen)

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2
Q

3 facts from physician/nursing notes

A

PMHx, HPI (history of present illness), social history

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3
Q

what do we know from the medical record

A

imaging, labs, surgery, medications

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4
Q

normal MAP

A

70-100

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5
Q

unstable MAP

A

60-65

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6
Q

normal PWP

A

8-10 mm HG

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7
Q

how much leg flexion with arterial line

A

strictly less than 90

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8
Q

Don’t put BP cuff over what

A

IV line or fistula

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9
Q

head of bed angle for ng tube

A

30 degrees

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10
Q

types of open drains

A

Penrose, Foley, Malecot

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11
Q

types of closed drains

A

Hemovac or JP drain (Jackson-Pratt)

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12
Q

minimum o2 saturation

A

88%, goal is 90-92%

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13
Q

how long to wait between BP attempts

A

3-5 minutes

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14
Q

ECG rhyme

A

R (W/G), L (B/R), Center (B 4 ICS), don’t put electrodes over pacemaker

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15
Q

Summarize the goal of the APTA’s Core Competencies for Entry Level Practice in Acute Care Physical Therapy

A

entry-level acute care PT, guided by sound acute care clinical decision-making, will be able to assist patients with achieving their optimal heath outcomes as part of physical therapy best practice in acute care

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16
Q

5 domains involved in the APTA’s Core Competencies

A

1 – Clinical Decision-Making (an integral component of all of the sections); 2 – Communication; 3 – Safety; 4 – Patient Management; and 5 – Discharge Planning

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17
Q

3 components required of a clinician in the acute care environment according to the APTA’s Core Competencies for Entry Level Practice in Acute Care

A

Safety, skills, D/C planning

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18
Q

scalene nerve blocks can inhibit the action of what

A

the diaphram

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19
Q

how should we breathe with COPD patients

A

pursed lip breathing

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20
Q

how to calculate MAP

A

MAP = SBP + 2 DBP / 3

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21
Q

calculate pulse pressure

A

SBP - DBP

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22
Q

how is oxygen handled

A

titrate but do not discontinue

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23
Q

line that monitors blood gas

A

swan ganz

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24
Q

5 stages of the transtheoretical model

A

precontemplation, contemplation, preparation, action, maintenance

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25
Q

% of those with mild cog impairment who get dementia

A

10-15%

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26
Q

3 most common types of dementia

A

Alzheimer’s, Lewy, Vascular

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27
Q

etiology of AD

A

buildup of amyloid protien => plaques

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28
Q

stages of AD

A

1- nothing, 2-very mild/typical aging, 3-noticeable deficit, 4-mild dementia (detect in interview), 5-mod assistance required, 6-forgets name of caretaker, 7-severe dementia, incontinence

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29
Q

delirium

A

rapid change in mental state,

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30
Q

what is sundowning

A

symptoms of dementia get worse at the end of the day

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31
Q

items in mini-cog

A

3 item recall, clock draw, 0-2 positive for dementia, 3-5 negative for dementia

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32
Q

MoCA

A

Includes tests for executive function, naming, memory, attention, language, abstraction, delayed recall, and orientation

Scores > 26 = Normal

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33
Q

MMSE

A

11 questions to assess:
*
Orientation, registration, attention, calculation, recall, language, and visual construct
*
Scoring
*
24-30: no impairment
*
18-24: mild impairment
*
0-17: severe impairment

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34
Q

best practice for dementia

A

massed, constant, blocked, cannot transfer, no mental practice,

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35
Q

score for geriatric depression scale

A

Score greater than 11, need referral or follow up
*
0
10 normal, 11 20 mild depressive, 21 30 severe depressive

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36
Q

what type of joint is the GH joint

A

ball and socket, covered by hyaline cartilage

37
Q

what is the angle of scaption

A

30 degrees from straight side (HH in retroversion, scapula in anteroversion)

38
Q

how many bands of the GH ligament

A

3 (superior, middle, inferior)

39
Q

joint type of SC

A

saddle

40
Q

for shoulder flexion which way does proximal end of clavicle move

A

inferiorly

41
Q

AC joint type

A

plane synovial joint

42
Q

2 parts of the coracoclavicular ligament

A

trapezoid and conoid

43
Q

resting position

A

55 AB, 30 AD from horizontal

44
Q

CPP for GH

A

full abduction and lateral rotation

45
Q

GH capsular pattern

A

ER > ABD > IR

46
Q

landmark for superior angle of scapula, inferior, spine

A

T2, T7-T9, T4

47
Q

motion from GH vs. scapula

A

2/3 GH, 1/3 Scapula

48
Q

innervation of serratus anterior

A

long thoracic nerve

49
Q

how is the GH joint stabilized

A

balance, convacity/compression, adhesion/cohesion, capsule/ligaments

50
Q

are outcome measures used enough

A

NOPE

51
Q

high risk for a DVT

A

3-8 points

52
Q

most likely direction for a shoulder dislocation

A

anterior 90%

53
Q

Type 1 v. Type 2 AC pathology

A

sprained vs. torn AC lig, CC normal

54
Q

type 3 vs. T4 AC pathology

A

disruption of AC and CC; p. displacement into Trap

55
Q

type 5 AC pathology

A

rupture of delto-trapezoid fascia

56
Q

type 6 AC pathology

A

clavicle displaced into conjoined tendon

57
Q

where does a painful arc often occur

A

170-180 abduction

58
Q

test item cluster for AC joint

A

crossbody, resisted extension (horizontal crossover), O’Brien’s

59
Q

which types of AC pathology are rare

A

4-6, immobilize for up to 6 weeks

60
Q

common position of arm for AC injury

A

adduction, landing on arm

61
Q

classifications of instability

A

traumatic, atraumatic, acquired

62
Q

subluxation v. dislocation

A

subluxation will auto-reduce

63
Q

4 types of shoulder dislocations

A

Hill-Sachs, Boney Bankart, Labral Tear, Axial nerve injury

64
Q

location of bankart lesion

A

anterior gelnoid, reverse is posterior glenoid

65
Q

what is a Hill-Sachs lesion

A

compression fracture, humeral head as a result of anterior dislocation (posterolateral humerus, reverse is anteromedial humerus)

66
Q

which muslce is a slap lesion associated with

A

biceps tendon (anterior dislocation)

67
Q

conditions which cause atraumatic instability

A

Ehler’s danlos syndrome and Marfan’s

68
Q

test item cluster for anterior instability

A

relocation, surprise, apprehension

69
Q

test item cluster for posterior instability

A

jerk

70
Q

labral tear

A

kim test, biceps load test

71
Q

risks for recurring instability

A

young age, men, less risk with having a fracture such as a bony bankart or greater tubercle

72
Q

phase of recovery from SH dislocation with intervention

A

acute: PROM, intermediate: AROM (AB to 90), advanced: full ROM, sport specific: return to sport activities

73
Q

will using large muscles make smaller not rotator cuff muscles not work

A

NOPE

74
Q

mobilization direction for shoulder internal rotation

A

posterior

75
Q

mobilization direction for shoulder external rotation

A

anterior

76
Q

mobilization direction for shoulder abduction

A

inferior

77
Q

mobilization direction for SH adduction

A

superior

78
Q

dynamic constraints to GH mobility

A

rotator cuff muscles, scapular stabilizers

79
Q

precautions with reverse SH arthroplasty

A

no hand behind back, no extension past neutral

80
Q

key words for elder abuse

A

intention to act, failure to act, trust, harm to older adult

81
Q

types of abuse

A

physical, emotional, sexual, financhial, verbal, neglect/abandonment

82
Q

where to report elder abuse

A

adult protective services

83
Q

three components of a good death

A

people, location, pain

84
Q

physiological signs of death

A

confusion, restlessness, more time sleeping, less eating, fatigue, irregular HR, loss of BP, rapid breathing/apnea, cool distal extremities, irregular bowel/bladder

85
Q

what covers hospice

A

Medicare Part A (terminal condition, less than 6 months, no longer seeking treatment)

86
Q

what is rehabilitation light

A

1-2x/week, slow progression

87
Q

rehab in reverse

A

PRN, assistive devices, bed mobility, education

88
Q

skilled maintenance

A

help with ambulation or transfers

89
Q

what are advanced directives

A

legal, desires in event of death, appoints power of attorney (medical) - makes decisions if patient can’t, do not resuscitate orders

Aging Adult (3 decks)

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