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PT Exam - 1 > Intro and Exam of Acute Care (pt 2)- Class 4 > Flashcards

Intro and Exam of Acute Care (pt 2)- Class 4 Flashcards

1
Q

what are chosen tests and measures determined by

A

info gathered during the history and systems review

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2
Q

common tests and measures (1)

A

aerobic capacity and endurance

anthropometric characteristics

arousal. attention and cognition

assistive and adaptive devices

circulation

CN and peripheral nerve integrity

environmental, home and work barriers

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3
Q

common tests and measure (2)

A

gait, locomotion and balance

integ integrity

motor fxn

muscle performance

orthotic, protective and supportive devices and prosthetic requirements

pain

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4
Q

aerobic capacity and endurance may be examined through

A

assessment of vital sign responses in

bed mobility

trasnfers

ambulation

toileting

bathing

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5
Q

structured tests of aerobic capacity and endurance

A

6 minute walk test

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6
Q

6 minute walk test

A

we keep tack of distance (in steps)

good for prediction of pt outcomes

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7
Q

what is it difficult to do for the 6 minute walk test

A

find space for it

count steps

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8
Q

when should we record vital signs

A

prior to therapy

determine the physiologic responses as the therapy session proceeds

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9
Q

anthropometric characteristics

A

measurements of body dimensions

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10
Q

albumin is a

A

blood plasma protein

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11
Q

what does anthropometric characteristics include

A

results of lab testing

including serum albumin

prealbumin

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12
Q

serum album and prealbumin are measurements of

A

nutritional status

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13
Q

what are prealbumin and serum albumin decreased w/

A

acute/chronic infections and inflammation

cirrhosis/liver dz

nephrotic syndrome

Chrohns

burns

malnutrition

thyroid dz

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14
Q

liver dz –> dz/dyfxn may result in changes in

A

mental status

behavior

MS pain

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15
Q

those w/ liver dz are at an increased risk of

A

infection

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16
Q

what occurs w/ liver dz

A

fluid shifts and changes in vascular status

change in blood ammonia and urea levels

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17
Q

fluid shifts and changes in vascular status

A

heart will try and compensate –> must monitor vital signs

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18
Q

change in blood ammonia and urea levels

A

impair peripheral nerve fxn –> causing numbness and tingling

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19
Q

edema can be d/t –> anthropometric characteristics

A

CHF

nutritional deficits

liver +/or renal dysfxn

fluid overload

inactivity

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20
Q

what is edema most likely going to be from

A

inactivity

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21
Q

how should edema be assesed

A

girth or volumetric measurements

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22
Q

obesity is associated w/ –>anthropometric characteristics

A

DM

coronary heart dz

hypothyroidism

other metabolic dz processes

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23
Q

on its own, obesity can

A

limit pts mobility

leading to abnormalities in the integ and CV systems

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24
Q

Cachexia can occur with

A

long standing dz

impaired nutrition status

associated w/ poor outcomes

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25
Q

nutritional dysfxn can lead to

A

muscle wasting

reduced respiratory and peripheral muscle strength and endurance

increased rate of infection

increased mortality

reduced pulmonary fxn

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26
Q

arousal, attention and cognition information

A

can impact interventions chosen

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27
Q

if pt is unable to safely perform ADLS or iADLs –>arousal, attention and cognition

A

d/c plan may be influenced

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28
Q

cognition

A

act of process of knowing

29
Q

what does cognition include

A

awareness

memory

judgement

30
Q

how is cognition assessed

A

mental status exam

31
Q

arousal

A

a state of responsiveness to stimulation or action of physiologic readiness for activity

32
Q

how can we assess orientation

A

asking the pt their name, current location, month/day/year and reason for admission

33
Q

how can we challenge short term memory

A

asking pt to repeat our name

34
Q

mental status fxn may

A

fluctuate throughout hospitalization

35
Q

why might mental status fluctuate

A

meds

sleep deprivation

depression

etc.

36
Q

we must asses –> assistive adaptive devices

A

pt’s safety

37
Q

we must determine –> assistive adaptive devices

A

if the use of the device “enables” or “disables” task completion

38
Q

circulation

A

HR, BP

palpation

description of edema and pulses

39
Q

CN and peripheral nerve integrity

A

abnormalities identified in the systems review will lead to specific testing

40
Q

environmental, home and work barriers

A

refers to the physical impediments that keep pts from fxning optimally in their surroundings

41
Q

when is environmental, home and work barriers gathered

A

history

42
Q

once environmental, home and work barriers are determined, the PT will provide

A

pt/family education on modification to the d/c environment that will enhance pt safety and mobility

43
Q

gait assessment includes

A

observational gait analysis as well as specific tests

44
Q

gait tests

A

timed get up and go

6 min walk test

45
Q

timed get up and go = TGUG –> normal

A

less than 10 s

46
Q

timed get up and go = TGUG –> moderate risk

A

in b/w 10-30 s

at risk of falling

may need to use other tests

47
Q

timed get up and go = TGUG –> high risk of falling

A

over 30 s

48
Q

balance tests

A

ber balance

rhomberg

fxnal reach

49
Q

fxnal reach

A

6 inches of more is normal/safe

50
Q

berg balance

A

<45 is a risk for falling

51
Q

tinetti test

A

2 parts

balance and gait test

52
Q

tinetti –> low risk of falls

A

score of 25-28

53
Q

tinetti –> medium risk of falls

A

score of 19-24

54
Q

tinetti –> high risk for falls

A

score of less than 19

55
Q

gait and balance test results will give the PT

A

objective info

regarding fall risk and for prescription of assistive devices

critical for d/c plan

56
Q

integ integrity

A

exam of sensation

incisions

bony prominences

pressure points

indwelling lines

57
Q

motor fxn includes

A

tests of dexterity and coordination

rapid alternating movements

accuracy of movements

58
Q

fxnal tests may include

A

buttoning a shirt

tying shoes

59
Q

muscle performance

A

MMT

60
Q

what should muscle performance include

A

fxnal tests

seated transfers, stair climbing, self-care activities, physical performance tests, time activity tests

61
Q

orthotic, protective and supportive devices and prosthetic requirements

A

equipment used to support or protect weak or ineffective joints or muscles and serve to enhance performance

62
Q

orthotic devices include

A

braces

casts

shoe inserts

splints

63
Q

protective devices

A

braces

cushions

helmets

64
Q

supportive devices

A

compression garments

abdominal binders

neck collars

serial casts

slings

65
Q

prosthetic requirements

A

biomechanical elements necessitated by the loss of a body part

66
Q

prosthesis

A

artificial device used to replace a missing part of the body

67
Q

when is a prosthesis usually prescribed

A

in the future

after hospital stay

68
Q

what might we need to evaluate

A

previously prescribed prosthetic

PT Exam - 1 (15 decks)

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