Impairments in SCI and Implications for Therapy

Question 1

Sensory loss increases the risk of _____, resulting in pressure sores or decubitus ulcers.

Answer 1

skin breakdown

Question 2

Sensory loss increases the risk of skin breakdown, resulting in ___ or _____

Answer 2

pressure sores or decubitus ulcers.

Question 3

3. Orthostatic hypotension can be addressed by positioning the client

Answer 3

in supine and elevating the feet above the heart

Question 4

Therapists should use caution when transferring a client from __ to ___ to avoid a rapid drop in blood pressure.

Answer 4

Supine to sitting

Question 5

Having the client ____ to allow time for the blood pressure to adjust minimizes the risk of orthostatic hypotension

Answer 5

move slowly

Question 6

Autonomic dysreflexia may be addressed by

Answer 6

standing the client up, loosening restrictive

clothing or devices, and checking the catheter for obstruction

Question 7

Spasticity may, if increasingly severe, be addressed through medical intervention such as

Answer 7

botox injections

Question 8

Spasticity also may lead to ______. Attention to bed and wheelchair positioning is essential to prevent this

Answer 8

contractures,

Question 9

________ may be controlled through proper positioning in bed and the wheelchair and maintenance of the client’s joint ROM.

Answer 9

Heterotopic ossification

Question 10

Monitoring ___ regularly is important to identify heterotopic ossification

Answer 10

ROM

Question 11

Heterotropic ossification may be controlled through (2 things)

Answer 11

proper positioning in bed and the wheelchair and maintenance of the client’s joint ROM.

Question 12

Deep vein thrombosis is the formation of a _____, most often in the lower extremity, abdominal area, or pelvic area.

Answer 12

blood clot

Question 13

Deep vein thrombosis is the formation of a blood clot, most often in the ___, ___, or ____ area

Answer 13

lower extremity, abdominal area, or pelvic area.

Question 14

______ for asymmetry of lower-extremity

color, size, or temperature is essential for identifying deep vein thrombosis

Answer 14

Visual skin inspection

Question 15

Bowel and bladder function is affected for all injuries at and above the __ to ___ level.

Answer 15

S2–S5

Question 16

Visual skin inspection for asymmetry of lower-extremity

___, _____, or _____ is essential for identifying deep vein thrombosis

Answer 16

color, size, or temperature

Question 17

Establishing _____ for bowel and bladder elimination is essential to minimize risk of infection and decrease the occurrence of autonomic dysreflexia.

Occupational therapy is essential to support new skill and habit acquisition for transfers, clothing man-
agement, safety with task performance, and bowel elimination and catheter care

Answer 17

new routines and habits

Question 18

Establishing new routines and habits for bowel and bladder elimination is essential to minimize _____ and decrease the occurrence of autonomic dysreflexia.

Answer 18

risk of infection

Question 19

Establishing new routines and habits for bowel and bladder elimination is essential to minimize risk of infection and decrease the occurrence of ______

Answer 19

autonomic dysreflexia.

Question 20

____ typically establishes the bowel and bladder routine with guidance from the physician.

Answer 20

Nursing

Question 21

Nursing typically establishes the bowel and bladder routine with guidance from the ______.

Answer 21

physician

Question 22

Occupational therapy is essential to support (5 things)

Answer 22

new skill and habit acquisition for transfers, clothing management, safety with task performance, bowel elimination, and catheter care

Question 23

_____ regulation is often affected by SCI, and clients need to be aware of skin exposure to sun and severe temperatures

Pain may be nociceptive, such as with muscle overuse, or neuropathic, such as with nerve damage that causes noxious sensations below the level of injury, as often occurs with gun-shot injuries

11. Fatigue is affected by multiple factors, including physiological, psychological, and environ-
    mental. Fatigue can affect functional outcomes; addressing sleep disturbances, medication

side effects, and optimal awake hours for therapy can be useful (Atkins, 2014, pp. 1178–
1179).

Answer 23

Temperature

Question 24

Pain from SCI may be ____ , such as with muscle overuse, or neuropathic, such as with nerve damage.

Answer 24

nociceptive

Question 25

Pain may be nociceptive, such as with muscle overuse, or ____ such as with nerve damage that causes noxious sensations below the level of injury, as often occurs with gun-shot injuries

Answer 25

neuropathic

Question 26

Neuropathic pain often causes ____ sensations ____ the level of injury.

Answer 26

noxious

below

Question 27

Neuropathic pain often occurs with ____ injuries

Answer 27

Gun-shot

Question 28

T or F, SCI can alter a person’s sexual drive or desire for physical and emotional intimacy.

Answer 28

F

Question 29

SCI effects on sexual function in men,

Answer 29

erections and ejaculations are often affected, potentially compromising fertility.

Question 30

SCI effects of sexual function in women

Answer 30

menstruation usually ceases for weeks to months after injury, although no changes occur in fertility.

Question 31

Problems with mobility, functional dependency, altered body image, and additional medical conditions may interfere with the client’s physical and psychological sexual functioning.

Answer 31

Know that