Impairments in SCI and Implications for Therapy Flashcards
Sensory loss increases the risk of _____, resulting in pressure sores or decubitus ulcers.
skin breakdown
Sensory loss increases the risk of skin breakdown, resulting in ___ or _____
pressure sores or decubitus ulcers.
- Orthostatic hypotension can be addressed by positioning the client
in supine and elevating the feet above the heart
Therapists should use caution when transferring a client from __ to ___ to avoid a rapid drop in blood pressure.
Supine to sitting
Having the client ____ to allow time for the blood pressure to adjust minimizes the risk of orthostatic hypotension
move slowly
Autonomic dysreflexia may be addressed by
standing the client up, loosening restrictive
clothing or devices, and checking the catheter for obstruction
Spasticity may, if increasingly severe, be addressed through medical intervention such as
botox injections
Spasticity also may lead to ______. Attention to bed and wheelchair positioning is essential to prevent this
contractures,
________ may be controlled through proper positioning in bed and the wheelchair and maintenance of the client’s joint ROM.
Heterotopic ossification
Monitoring ___ regularly is important to identify heterotopic ossification
ROM
Heterotropic ossification may be controlled through (2 things)
proper positioning in bed and the wheelchair and maintenance of the client’s joint ROM.
Deep vein thrombosis is the formation of a _____, most often in the lower extremity, abdominal area, or pelvic area.
blood clot
Deep vein thrombosis is the formation of a blood clot, most often in the ___, ___, or ____ area
lower extremity, abdominal area, or pelvic area.
______ for asymmetry of lower-extremity
color, size, or temperature is essential for identifying deep vein thrombosis
Visual skin inspection
Bowel and bladder function is affected for all injuries at and above the __ to ___ level.
S2–S5
Visual skin inspection for asymmetry of lower-extremity
___, _____, or _____ is essential for identifying deep vein thrombosis
color, size, or temperature
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
new routines and habits
Establishing new routines and habits for bowel and bladder elimination is essential to minimize _____ and decrease the occurrence of autonomic dysreflexia.
risk of infection
Establishing new routines and habits for bowel and bladder elimination is essential to minimize risk of infection and decrease the occurrence of ______
autonomic dysreflexia.
____ typically establishes the bowel and bladder routine with guidance from the physician.
Nursing
Nursing typically establishes the bowel and bladder routine with guidance from the ______.
physician
Occupational therapy is essential to support (5 things)
new skill and habit acquisition for transfers, clothing management, safety with task performance, bowel elimination, and catheter care
_____ 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
- 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).
Temperature
Pain from SCI may be ____ , such as with muscle overuse, or neuropathic, such as with nerve damage.
nociceptive
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
neuropathic
Neuropathic pain often causes ____ sensations ____ the level of injury.
noxious
below
Neuropathic pain often occurs with ____ injuries
Gun-shot
T or F, SCI can alter a person’s sexual drive or desire for physical and emotional intimacy.
F
SCI effects on sexual function in men,
erections and ejaculations are often affected, potentially compromising fertility.
SCI effects of sexual function in women
menstruation usually ceases for weeks to months after injury, although no changes occur in fertility.
Problems with mobility, functional dependency, altered body image, and additional medical conditions may interfere with the client’s physical and psychological sexual functioning.
Know that
