GBS/PPS Flashcards
A rare autoimmune disease with no known cure, no established treatment, requiring a long period of recovery, no clear cause Acute, Inflammatory disorder in which the body’s immune system attacks the peripheral nervous system Damage to the myelin sheath prevents nerve conduction that leads to muscle weakness, pain, and/or paralysis of the entire body
A
PPS
B GBS C MS D HD
B
GBS
rapid progressive weakness of bil extremities goes \_\_\_\_\_ to \_\_\_\_\_ A proximal to distal B volar to dorsal
C
distal to promimal
D
dorsal to volar
C
distal to promimal
\_\_\_\_\_\_\_\_ if progresses may impact breathing, speaking, swallowing, blood pressure, and/ or heart rate A nerve impulses B bradykinesia
C
demyelination
D
nerve conduction
C
demyelination
This phase begins with the client’s first conclusive symptoms and lasts until there is no further decline in physical status this phase may last up to 4 weeks. what stage is this
A initial/acute phase B plateau phase C recovery phase D starting phase
A
initial/acute phase
this phase begins with the client’s physical state stabilizes, with no further deterioration of physical status and no evidence of physical recovery. the stage generally lasts a few weeks, during this phase physical state remains unchanged.
A
initial/acute phase
B plateau phase C recovery phase D starting phase
B
plateau phase
this phase is that period when the client slowly begins to recover physical abilities and symptoms gradually decrease. this stage can last over 6 months to 2 years depending on extent of paralysis. complete \_\_\_\_\_ is possible, but most experience long-term residual deficits A initial/acute phase B plateau phase
C
recovery phase
D
starting phase
C
recovery phase
PROM, positioning, splinting to prevent contractures/deformity passive activites ex. watching t.v. address anxiety, fear, or panic what phase are these strategies used in
A
plateau phase
B initial/acute phase C starting phase D recovery phase
B
initial/acute phase
prevent mm belly tenderness, fatigue, and further damage to nerves address proximal joints first as they recover than move distally introduce activities as they are able to tolerate them, just right challenge, opportunities for success AE, compensatory strategies, energy conservation, joint protection lifestyle redesign A plateau phase B initial/acute phase C starting phase
D
recovery phase
D
recovery phase
CASE STUDY QUESTION: 72 y/o single, retired Caucasian. High school diploma, single family home with dog. Admitted to ER with swelling and pain in B LE and B hands, coccyx wound, and difficulty ambulating. Treated with hemoglobin and IV immunoglobulin. After 18 days pt d/c’d to SNF for skilled rehab. Received daily PT and OT. D/c’d after 1 month w/c level, I ADLs and IADLs. Moved to senior housing. Eval: Occupational profile, depression scale (poor), FIM, Home hazards, Community integration What would proper goals be for treatment with this client
A
improve emotional state, create safe home environment, improve communication technology, promote mobility and function, and enhance social participation
B
PROM, leisure activities (gardening), improve cognitive functioning, provide community support resources
C
patient/caregiver education, home modifications, compensatory strategies
D
improve energy conservation techniques, improve cognitive functioning, compensatory strategies
A
improve emotional state, create safe home environment, improve communication technology, promote mobility and function, and enhance social participation
increasing length of time since acute postpolio infection presence of permanent residual impairment after recovery from the acute illness being female A factors that increase risk of ALS B factors that increase risk of GBS
C
factors that increase risk of PPS
D
factors that increase risk of MS
C
factors that increase risk of PPS
1)Previous paralysis due to polio 2) Period of partial or complete recovery 3) Gradual or sudden onset of progressive muscle weakness or fatigue 4) New difficulties with breathing and swallowing 5) A year or more of the above symptoms 6) Other causes have been ruled out
A 6 criteria to diagnose PPS B 6 criteria of prognosis of PPS C 6 criteria to diagnose GBS D 6 criteria of prognosis of PPS
A
6 criteria to diagnose PPS
\_\_\_\_\_\_\_ is found to be the debilitating symptoms of PPS A poor cognition B mm weakness
C
fatigue
D
incontinence
C
fatigue
______ ______ with periods of _______ , during the advancement of PPS (plateaus)
A
fast progression/instability
B slow progression/stability C poor ADL function/ mm weakness D mm atrophy/ depression
B
slow progression/stability
is PPS life threatening
A no B yes C maybe D idk
A
no
What is the most common evaluation technique with PPS after occupational profile? A COPE B EEDS C SF-36
D
COPM
D
COPM
