Lecture 6 Treatments for DOC

Question 1

How is mobilization progressed?

Answer 1

Bed mobility -> sitting -> standing -> functional mobility -> locomotor training

Question 2

When getting patient’s upright what do we need to be aware of?

Answer 2

Vitals, Orthostatic hypotension

Question 3

How can we help patients who are having problems with orthostatic hypotension when transitioning to upright positions

Answer 3

slowily transition to upright position to allow body time to adapt

Question 4

What is organized sensory stimulation

Answer 4

systematic application of stimulation to one or more patient’s senses for purposes of increasing patient responsiveness

Auditory
Tactile
Visual
Olfactory
Gustatory (taste)
KInsthetic
Vestibular

Basically stimulating pt’s senses to try to get them more alert

Question 5

How can PTs manage pressure ulcers?

Answer 5

Positioning devices in bed

Turning/positioning schedule

boots for pressure relief off heel

Question 6

How can PTs help prevention of contractures

Answer 6

positioning

stretching, AAROM

Use of equipment: boots, splints, casting

standing programs

joint mobs as appropriate

Question 7

What care giver education should we provide for patients of rancho level 1, 2 ,3

Answer 7

Keep room calm and quiet

Use short simple commands with calm tone of voice

2-3 visitors in room at a time

allow patient extra time to respond, give rest breaks

orient patient

bring pictures of family members, favorite belongings

engage the person in familar activities

Stimulation techniques

PROM, stretching, positioning

transfer training