Final review Flashcards

1
Q

What represents the wound healing phase Hemostasis?

A

Fibrin clot forms and signals immune response to begin.

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2
Q

If a wound appears stringy, adherent, and yellow, what type of tissue is it?

A

Slough

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3
Q

Factors that affect wound healing

A
  • Past medical history or comorbidities like Diabetes
  • Location of the wound & the impact of pressure/movement
  • Bacterial load
  • Blood supply
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4
Q

What phase of wound healing is OT treatment most effective?

A

Remodeling/Maturation

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5
Q

At what times during an OT tx session should you be monitoring vital signs?

A
  • Upon initial evaluation
  • During tx for a client w/ a recent cardiac exacerbation/dx
  • Client c/o chest pain, dizziness, shortness of breath, etc.
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6
Q

Which precautions were established to protect healthcare works and clients from diseases?

A

Universal/Standard precautions

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7
Q

Which form of exercise should be performed with a client who has a history of a cardiac condition?

A

eccentric

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8
Q

Which BP represents the pressure of the heart during active contraction (pumping action)?

A

Systolic BP

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9
Q

Precautions that are used for diseases and germs that are spread through saliva?

A

Droplet precautions

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10
Q

Apnea

A

low or pausing respiratory rate

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11
Q

Type of injury that causes localized ischemia to the skin for a period of time

A

Pressure injury

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12
Q

Type of debridement that uses chemical agents to remove dead/devitalized tissue

A

enzymatic

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13
Q

BP that represents hypertension

A

140/90

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14
Q

Contraindications to BP

A
  • masectomy
  • av fistual
  • hemiparetic arm
  • recent injury, fracture (fx) or wound
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15
Q

Maintain SBP and HR within _ and DBP within _ mmHg resting w/cardiac events , hx of surgery

A

within 20 and 10

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16
Q

SOAP Note: “ 25 min in tx pt’s room. BADL training to use AE to increase (I) donning socks”

A

Objective

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17
Q

Part of SOAP note that includes the OT’s professional judgement and interpretation

A

Assessment

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18
Q

Diagnostic and standardized tx info represents which type of professional reasoning

A

Scientific

19
Q

RA present in the digits, what orthosis do you use and what position are the digitis in ?

A

Hand-Based MCP Ulnar Deviation Restriction; MCPs Neutral

20
Q

Which form of reasoning speculates and responds to changing and future conditions (combines all)

A

Conditional

21
Q

Which level of reasoning does an OT adjust rules and procedures to individualized tx (2-3 years)?

A

Competent reasoning

22
Q

Some ways to develop clinical reasoning?

A
  • Reflect upon impact a dx has had on a client

- Learn about the reasoning process

23
Q

What type of orthosis is commonly used with a wrist fx?

A

Volar/Circumferential Wrist Immobilization

24
Q

RA in the entire wrist and hand what orthosis is used and what position are these placed in?

A
  • 5-10 degrees ulnar deviation

- 10 degrees wrist extension

25
Q

Deformity pattern of the hand which burns are present?

A

Wrist Flexion, MCP Hyperextension, IP Flexion

26
Q

Orthosis for DeQuervain’s

A

Articular Wrist & Thumb Volar Immobilization Orthosis

27
Q

Orthotic position for carpal tunnel

A

Wrist in NEUTRAL

28
Q

Serial Static Orthosis

A
  • Holds tissue at end range

- Can be adjusted over time

29
Q

Human tissue in general will respond to what type of tension more favorably?

A

-Non-elastic/Static tension

30
Q

For digits in extension, the digits should line up towards the….

A

Capitate

31
Q

An orthosis is…

A

A rigid or semi-rigid device that can be custom or pre-fabricated

32
Q

Correct order of the 6 steps of clarifying an orthosis

A

Art/non-art, location, direction, purpose, type, # joints

A.L.D.P.T.J (Ali, Likes, Doing, Pilates, Till, Joy)

33
Q

Why wouldn’t you use two points of pressure for an orthosis?

A

Two points would not have enough stability

34
Q

For an acute injury, the OT would need to place the kinesio tape in what direction and tension ?

A

Insertion to origin, 15-25% stretch

35
Q

SOAP Note: “I can’t believe how hard this is.”

A

Subjective

36
Q

SOAP Note: “Client required frequent repetition of directions.”

A

Assessment

37
Q

Tackypenia

A
  • greater than 18 breaths per minute

- increased respiratory rate beyond normal range

38
Q

Normal systolic and diastolic BP

A
Systolic= 90-120
Diastolic= 60-80
39
Q

Donning PPE order

A

Donning: Hand hygiene, gown, resp. protection, goggles, gloves

40
Q

Doffing PPE order

A

Doffing: Gloves, goggles, gown, resp. protection, hand hygiene

41
Q

Traditional nomenclature related to the purpose of mobilization

A
  • Dynamic

- Static Progressive

42
Q

How large should the width of a digit trough be?

A

50% cirumference

43
Q

Orthosis for scaphoid fracture

A

Volar/circumferential wrist and thumb immobilization

44
Q

Proper positioning for burns of the wrist/hand

A
  • Wrist 10°
  • MCPs 70°
  • IPs 0°
  • Thumb wide web space/abduction