Final review Flashcards
What represents the wound healing phase Hemostasis?
Fibrin clot forms and signals immune response to begin.
If a wound appears stringy, adherent, and yellow, what type of tissue is it?
Slough
Factors that affect wound healing
- Past medical history or comorbidities like Diabetes
- Location of the wound & the impact of pressure/movement
- Bacterial load
- Blood supply
What phase of wound healing is OT treatment most effective?
Remodeling/Maturation
At what times during an OT tx session should you be monitoring vital signs?
- Upon initial evaluation
- During tx for a client w/ a recent cardiac exacerbation/dx
- Client c/o chest pain, dizziness, shortness of breath, etc.
Which precautions were established to protect healthcare works and clients from diseases?
Universal/Standard precautions
Which form of exercise should be performed with a client who has a history of a cardiac condition?
eccentric
Which BP represents the pressure of the heart during active contraction (pumping action)?
Systolic BP
Precautions that are used for diseases and germs that are spread through saliva?
Droplet precautions
Apnea
low or pausing respiratory rate
Type of injury that causes localized ischemia to the skin for a period of time
Pressure injury
Type of debridement that uses chemical agents to remove dead/devitalized tissue
enzymatic
BP that represents hypertension
140/90
Contraindications to BP
- masectomy
- av fistual
- hemiparetic arm
- recent injury, fracture (fx) or wound
Maintain SBP and HR within _ and DBP within _ mmHg resting w/cardiac events , hx of surgery
within 20 and 10
SOAP Note: “ 25 min in tx pt’s room. BADL training to use AE to increase (I) donning socks”
Objective
Part of SOAP note that includes the OT’s professional judgement and interpretation
Assessment
Diagnostic and standardized tx info represents which type of professional reasoning
Scientific
RA present in the digits, what orthosis do you use and what position are the digitis in ?
Hand-Based MCP Ulnar Deviation Restriction; MCPs Neutral
Which form of reasoning speculates and responds to changing and future conditions (combines all)
Conditional
Which level of reasoning does an OT adjust rules and procedures to individualized tx (2-3 years)?
Competent reasoning
Some ways to develop clinical reasoning?
- Reflect upon impact a dx has had on a client
- Learn about the reasoning process
What type of orthosis is commonly used with a wrist fx?
Volar/Circumferential Wrist Immobilization
RA in the entire wrist and hand what orthosis is used and what position are these placed in?
- 5-10 degrees ulnar deviation
- 10 degrees wrist extension
Deformity pattern of the hand which burns are present?
Wrist Flexion, MCP Hyperextension, IP Flexion
Orthosis for DeQuervain’s
Articular Wrist & Thumb Volar Immobilization Orthosis
Orthotic position for carpal tunnel
Wrist in NEUTRAL
Serial Static Orthosis
- Holds tissue at end range
- Can be adjusted over time
Human tissue in general will respond to what type of tension more favorably?
-Non-elastic/Static tension
For digits in extension, the digits should line up towards the….
Capitate
An orthosis is…
A rigid or semi-rigid device that can be custom or pre-fabricated
Correct order of the 6 steps of clarifying an orthosis
Art/non-art, location, direction, purpose, type, # joints
A.L.D.P.T.J (Ali, Likes, Doing, Pilates, Till, Joy)
Why wouldn’t you use two points of pressure for an orthosis?
Two points would not have enough stability
For an acute injury, the OT would need to place the kinesio tape in what direction and tension ?
Insertion to origin, 15-25% stretch
SOAP Note: “I can’t believe how hard this is.”
Subjective
SOAP Note: “Client required frequent repetition of directions.”
Assessment
Tackypenia
- greater than 18 breaths per minute
- increased respiratory rate beyond normal range
Normal systolic and diastolic BP
Systolic= 90-120 Diastolic= 60-80
Donning PPE order
Donning: Hand hygiene, gown, resp. protection, goggles, gloves
Doffing PPE order
Doffing: Gloves, goggles, gown, resp. protection, hand hygiene
Traditional nomenclature related to the purpose of mobilization
- Dynamic
- Static Progressive
How large should the width of a digit trough be?
50% cirumference
Orthosis for scaphoid fracture
Volar/circumferential wrist and thumb immobilization
Proper positioning for burns of the wrist/hand
- Wrist 10°
- MCPs 70°
- IPs 0°
- Thumb wide web space/abduction
