Exam 3 Cont: All About PAMS Flashcards
AOTA def. of PAMS + regulatory guidelines
preparatory method to facilitate accomplishing goals
- vary with each state
- must demonstrate competence
beneficence
demonstrate concern for well-being/ safety of clients
- make sure you are performing all services within your own competence/ role/ scope of practice to promote well-being
veracity
provide comprehensive, accurate and objective info when representing the profession
- remain truthful about credentials, competence, and disclose all errors/ adverse events to app. people
nonmaleficence
refrain from actions that cause harm
- do not inflict harm or injury to recipients of OT services, students, research participants, or employees
PAMS contribute to pain relief:
- inflammation phase
- proliferative/ fibroblastic phase
- early remodeling/ maturation
all things hot packs
- heat pack or hydrocollator pack
application - 6-8 layers between pack and skin
- 20 mins
hot packs precautions
- conditions with diminished sensation
- monitor respiration, BP, and skin color
hot packs contraindications
- significant circulation impairment
- acute inflammatory phase of healing
- tumors/ cancer
- DVT
- bleeding conditions
- poor thermal regulation
- impaired cognition
- RA
hot packs safety considerations
- monitoring water temp/ level
- water spillage
- tongs to prevent thermal burns
all things fluidotherapy
closed unit containing finely ground cellulose particles
- air speed/ rate can be adjusted
application
- 100-118 if heat is desired
- continuous circulation vs. pulse
fluidotherapy precautions
- dependent position can increase edema
- conditions with diminished sensation
- place folded sheet over top to prevent dust emission and breathing issues
fluidotherapy contraindications
- impaired or absent sensation (with heat)
- poor thermoregulation
- open wounds
- infections/ contagious diseases
- tumor/ cancer
- acute inflammation/ edema
fluidotherapy safety considerations
- preheated to the therapeutic temp prior to use
- spilled cellulose materials on floor may create a fall risk
- clients should wash and dry body parts being treated
- medium needs to be replaced periodically
- adhere to the US FDA safety standards
all things paraffin
- melted wax & mineral oil in 6:1 or 7:1 ratio
application - 115-134 (126 hands)
- dip body part into melted wax repeatedly
- wrap in plastic or waxed paper
- cover with towel or mitt
paraffin precautions
- clean/ dry hands
- discard used paraffin
- avoid touching bottom/ sides of unit
paraffin contraindications
- open wounds
- skin infections
- sensory loss
- peripheral vascular disease
paraffin safety considerations
- monitor temp of wax
- clients CAN use at home
all things cryotherapy
- use of cold for therapeutic benefit
application - ice/cold pack, ice massage
- apply to limb
- 15-20 mins
cryotherapy precautions
- some rheumatoid conditions
- paroxysmal cold hemoglobinuria with renal
dysfunction & secondary hypertension - very young/ old clients
- hx of frostbite in area
- coma
cryotherapy contraindications
- cold allergies/ insufficiencies
- impaired circulation
- peripheral vascular disease
- open wounds
- local infection
cryotherapy safety considerations
- caution with follow-up activities due to analgesia/ numbness
- adhere to FDA safety standards
all things ice bath
- ice bath or slush mixture in bucket/ sink
application - 50-60 degrees
- 10-15 mins
ice bath precautions
- very uncomfortable
- repeated immersion prolongs painful stage
- dependent position increases risk of swelling
ice bath contraindications
- cardiac or respiratory system involvement
- open wounds
- circulatory insufficiency
- cold allergies or sensitivities
- local infection
ice bath safety considerations
be mindful of contraindications as cold temp and sensory changes may shock a compromised system
all things contrast bath
- alternating immersion into containers of heated water and cold water
application - heated water (105-110)
- cold water (50-60)
- 3-4 min heated, 1-2 min cold, 20-30 min total
contrast bath precautions
may increase edema due to dependent position
contrast bath contraindications
- acute injuries
- hypersensitivity to cold
- same as those related to cold/heat applications
documentation & billing codes: essential info in modality note
- area of the body treated
- client’s physiological and subjective response
- specific treatment parameters related to the modality
contrast bath safety considerations
water spillage
