Exam 4: Polytrauma Flashcards
3 mechanisms of injury
- MVA: motor vehicle accident
- combat trauma: concussive force, etc.
- blunt injury trauma: violence, falls, nature during extreme weather
polytrauma and energy
activity
mechanism of injury (MOI)
types of energy:
- mechanical
- gravitational
- thermal
- chemical
- electrical
- radiant
polytrauma diagnoses (7)
- injury severity score
- fractures
- intracranial injuries
- internal injuries
- superficial injuries
- nerve injuries
- sensis/ shock
phases of trauma care
prehospital
- EMT, ER trauma team
acute care
- ICU, inpatient medical, inpatient rehab
rehabilitative
- specialized programs, transition programs, home care, outpatient
tracheostomy…
- limits talking, must write
- once extubated, wound must heal
- PROM or AROM in ICU: must watch for ventilator tubing
OT intervention
monitor client safety
- proper equipment and personnel
- follow precautions
- anticipate adverse effects
when to start treatment
when to modify treatment
when to stop treatment
preparatory tasks
- therapeutic exercise
- orthoses
- environmental modifications
- PAMs
- manual therapy techniques
- functional mobility
acute wound causes and factors (6)
- surgical incisions
- traumatic wounds
- blunt trauma wounds
- burns
- amputation (nerve necrosis)
- cancer or cancer treatment wounds
chronic or vascular wounds causes and factors (2)
ulcers
- ischemia
- venous stasis
pressure injuries
______ model for pain
biopsychosocial
psychological factors for pain (6)
- beliefs
- mood
- stress
- coping
- trauma
- childhood experience
social factors for pain (6)
- cultural/ ethnic
- economic
- social support
- spirituality
- stigma
- education
pain assessment (6)
- assessment
- location, intensity, description, is pain expected?
- pain behaviors
- impact on occupations
- subjective scales
- numerical pain rating scale
- standardized scales
- pain, enjoyment of life, and general activity
- other
many, many ways to support pain management (16)
- pain education
- relaxation techniques
- mindfulness
- CBT
- pacing
- PAMs
- virtual reality
- aromatherapy
- muscle tension management
- body mechanics
- positioning
- flare management plan
- graded motor imagery
- physical activity
- socialization
- proactive control
documentation of pain
- description/ quality of pain
- time/ duration of pain
- what makes pain better/ worse
- treatments/ medications used currently or when in pain, and their effectiveness
- effect on occupational performance and QoL
