Integ PT Exam Patient Exam - Class 3 Flashcards
pt assessment
vascular assessment
sensation
skin condition
pitting edema assessment
MS assessment
vascular assessment
pule palpation
dopplers
special vascular tests
special vascular tests
arterial v. venous
pulses should be assesed
bilaterally
femoral
popliteal
DP/PT
pulse grading
0 = absent
1+= barley perceptible
2+= diminished
3+= normal
4+= stronger than normal, bounding, possible aneurysm
sensation –> asses for
light touch
proprioception
protective sensation
asses skin condition –> trophic skin changes
presence of hair
skin moisture/turgor
shininess of skin
nail condition
skin color
MS structure
foot and WB mechanics
are there any foot deformities
footwear and gait assessment
arterial doppler
asses relative flow of blood
how does the arterial doppler work
movement of blood cells causes shift in signal frequency
will be audible
how should normal sound –> arterial doppler
pulsatile
pulse volume recordings
used w/ arterial doppler
one can visualize waveforms of segmental pressures at different sites of the extremity
what do pulse volume recordings asses
site of blockage
ankle/brachial index
detects and quantifies arterial dz
ABI ratio
systolic pressure of posterior tibial artery to brachial artery
what can ABI determine
treatment course of action
ABI >1
no arterial occlusion dz
pathological if diabetic
ABI 0.8-1.0
minimal sxs
intermittent claudication
ABI 0.5-0.8
ischemic rest pain
ABI <0.5
tissue necrosis
tests for arterial involvement
Rubor of dependency
Venous filling time
Capillary refill time
Arterial doppler
tests for venous involvement
Venous doppler
Trendelenberg test
Cuff test
Percussion test
documentation –> progress note
SOAP
subjective –> PN
Any specific complaints, pain, tolerance to dressing, last dressing change, meals, their praise of their PT’s
objective –> PN
how pt is left
interventions
How patient is received, family presence, premedication given, dressing integrity, wound conditions
assessment
Patient’s tolerance to treatment, wound progress/regress, dressing efficacy, functional difficulties, patient compliance
goals, discharge options
goals
fxnal
HEP
pt/family education
wound
time
wound –> goals
Dimensions and depth
Tunneling and undermined areas
Wound bed (granulation tissue, necrotic tissue)
Wound edges (epithelialization)
time –> goals
≈ Eight weeks + (any complications / hindrances / risk factors
