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OCTY2210 MS Exam > Lecture 1 > Flashcards

Lecture 1 Flashcards

1
Q

Purpose of frames of references

A

Provide a more narrow view of how to structure interventions within our model of practice

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2
Q

Examples of frames of references: biomechanical

A

Focus on analysing movement required for a task and intervention to improve these person related factors

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3
Q

Examples of frames of references: sensori-motor

A

Approaches focused on insult to nervous system and impairments. Intervention aimed at improving these neurological skills

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4
Q

What is the purpose of acute settings?

A

To understand person’s current level of functioning and make decisions about discharge planning:

  • Can they go home?
  • Should they go to rehab?
  • Should they go to residential care?
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5
Q

Disadvantage of acute settings

A

Time restrictions

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6
Q

Acute vs rehab settings

A

Acute: short time frame; screening tests; one off assessment
Rehab: more time; comprehensive assessment; multiple meeting times over intervention

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7
Q

Acute/ rehab vs community setting

A

Community:

- see clients in homes (what they do in their environments)

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8
Q

Sources of information

A
  • Information about clients, families and their contexts
  • Information about the practice context
  • Information from empirical research
  • Information from clinical experience
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9
Q

What is manual handling?

A

The use of force in lifting, lowering, pushing, pulling, carrying or otherwise moving, holding or restraining any person, animal or thing

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10
Q

What is people handling

A

Any workplace activity where a person is physically moved, supported, or restrained at a workplace

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11
Q

Ways that WRMD occur

A
  1. gradual wear and tear caused by frequent periods of muscular effort involving the same body parts
  2. sudden damage caused by unexpected movements, intense of strenuous activity
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12
Q

Direct risk factors in people handling

A

Directly stress/injure the body

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13
Q

Contributing and modifying factors in people handling

A

affect how the task is done

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14
Q

Direct risk factor examples

A
  1. Forceful exertions
    - place high loads on body tissues
  2. Working structures
    - dynamic or static
    - awkward or neutral
  3. Repetition and duration
    - frequency of repetitive task or action
    - duration
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15
Q

Contributing factor examples

A
  • Work area design
  • Work environment
  • Handling procedures
  • Characteristics of the person (e.g. weight, size, communication, etc.)
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16
Q

Therapist’s role in people handling

A
  • Assess patient prior to handling activity
  • Perform safe handling techniques - back care principles
  • Teach carers and staff safe handling techniques
17
Q

Assessment in people handling

A
  • Initially on admission to the ward or emergency department
  • Pre-activity screening immediately prior to each patient handling activity
  • Re-assessment when patients condition/needs change significantly
18
Q

Assessment in people handling process

A
  • Preparation
  • Assessment (subjective and objective)
  • Determine level of dependency/how much assistance they require (typically conducted by initial physio or nursing assessment)
  • Assessment environment
  • Interpret findings
  • Develop patient handling plan if necessary (typically by nurse and/or physio as part of routine care)
19
Q

What do you need to do in the preparation stage?

A
  1. Review medical chart
  2. Review related assessment
  3. Check bed chart - medications, pain relief
  4. Gather necessary equipment and personnel
  5. Prepare environment and self
20
Q

Subjective assessment details

A
  • Check environment as you approach client
  • Talk to patient to determine
    >pain, ROM, strength
    >mental status, confusion
    >communication concerns
21
Q

Objective assessment details

A
  • DVT check
  • Neurological and respiratory as required
  • Functional assessment
22
Q

Level of dependency: independent

A

Can sit-stand, mobilise (+/- aid), transfer without manual assistance or verbal cues

23
Q

Level of dependency: supervision (stand by assistance) needed

A

visual supervision and/or verbal cues to ambulate/transfer with/without the use of self-help aid

24
Q

Level of dependency: assistance required

A

patient UNDERSTANDS and cooperates; physically able to perform part of the activity but manual assistance require to sit/stand

25
Q

Level of dependency: dependent

A

patient unable to understand, cooperate of physically assist

26
Q

What to assess in the environment

A
  • Path of travel
  • Hazards
  • Hight of bed, bath, shower chair
  • Check equipment - brakes, battery?
  • Doorways, location of furniture
27
Q

Safe handling techniques: BACKS

A 
B: biggest muscles to the work 
A: abdominal muscles are braced 
C: curves of spine are in neutral position 
K: keep the load close to the body 
@: is it Safe?

OCTY2210 MS Exam (7 decks)

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