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OCTA 226 > Midterm > Flashcards

Midterm Flashcards

1
Q

Biomechanical Practice Model

A

applied to people with LROM, decreased muscle strength and/or endurance, intact CNS
Focus is on performance skills in motor and sensory areas and regaining skills in areas of occupation

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2
Q

Biomechanical Treatment

A

Prevention and maintenance- body mechanics, joint protection techniques, splints, positioning.
Restoration-increase ROM, muscle strength, endurance and stability.
Compensation

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3
Q

Rehabilitation Model

A

Using compensation to regain independence

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4
Q

Rehabilitation Treatment

A 
Use of adaptive equipment
Home/work modifications
Positioning or use of wheelchair
Use of splints 
Energy conservation techniques
Joint/body protection techniques
Ergonomics
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5
Q

Sensorimotor Model

A

Uses Neurophysiological mechanisms to normalize muscle tone and elicit more normal motor responses.
Considers: Reflex Integration, Recapitulation of otogenic development

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6
Q

Levels of Assistance

A

Dependent 100
Max Assist 75
Mod Assist 50
Min Assist 25

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7
Q

Posterolateral Hip Precautions

A

NO Hip Flexion greater than 90 degrees
NO Internal Rotation
NO Adduction (crossing legs or feet)

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8
Q

Anterolateral Hip Precautions

A

NO External rotation
NO Abduction
NO Extension

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9
Q

Golden Period for UE Prosthetic Fitting What are the benefits?

A

First 30 days of amputation
Decreased edema and post-op and phantom pain
Accelerated wound healing
Decrease hospital stay
Increase prosthetic use and acceptance
Improved psychological adjustment and rehabilitation

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10
Q

Treatment Interventions for LE Amputees

A 
ADL’s 
Positioning,Dynamic balance, and UE strengthening 
Driving
Prevocational and vocational activities
Leisure education
Community reintegration
Family education
Home assesment and program
Durable medical equipment for the home
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11
Q

Pursed Lip Breathing

A

Used during the difficult part of any activity, such as bending, lifting or stair climbing
Prolongs exhalation to slow the breathing rate
Relieves shortness of breath
Causes general relaxation

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12
Q

Diaphragmatic Breathing

A

Intended for pts with pulmonary disease who may have trouble using the diaphragm effectively during breathing
Strengthen the diaphragm
Decrease the work of breathing by slowing your breathing rate
Decrease oxygen demand
Use less effort and energy to breathe

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13
Q

4 Ps of Energy Conservation

A

Planning
Pacing
Prioritizing
Positioning

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14
Q

Initial Precautions/Contraindications for Pulmonary Disease

A

Watch for dyspnea and or tachycardia and cyanosis
Avoid chills and drafts
Avoid exposure to fumes, smoke or other irritants
Avoid excessive fatigue
Administer oxygen as prescribed
Be aware of the side effects of drugs

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15
Q

Changeable Cardiac Risk Factors

A

cholesterol lvls, cigarette smoking, inactive lifestyle, b/p

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16
Q

Unchangeable Cardiac Risk Factors

A

heredity, gender, age

17
Q

Contributing Cardiac Risk Factors

A

diabetes, stress, obesity

18
Q

Superficial Epidermis

A

1st degree burn
1-5 days healing
No therapy consult

19
Q

Superficial Dermis

A

2nd degree burn
superficial partial-thickness burn
7-14 days healing
OT: ROM, mobility

20
Q

Deep Reticular Dermis

A

2nd degree burn
deep partial-thickness
21 days healing
OT: swelling, ROM, mobility, participation in ADLs

21
Q

Subcutaneous Tissue

A

3rd degree burn
full thickness
healing time varies
OT: ROM, wound healing, survival

22
Q

Muscle, Tendon, Bone

A

formerly 4th degree burn
full thickness burn
healing time varies

23
Q

OT Priorities for Burn Pt in Acute Phase

A 
first 72 hours
ROM exercise
Active, active-assist, or prolonged stretching
Edema management
Splinting
Surgical/Post-op treatments
24
Q

OT Priorities for Burn Pt in Rehabilitation Phase

A 
ROM  exercises
Active and composite stretches 
Active exercises involving multiple joints (stretching overhead while ambulating)
Edema management
Fitting for vascular garments
Splinting to prevent scar contracture
Burn prevention education
Assessment of physical tolerance and work skills
25
Q

Transfers for Hip Replacement

A

Sitting
1 Extend operated leg forward 2 reach back for armrest and sit slowly
Standing
1 Extend operated knee forward 2 push from armrest
Support with nonoperated leg
Posterolateral Approach
Do not lean forward when sitting to prevent hip flexion.

26
Q

Positioning for Hip Replacement

A

Supine with abduction wedge or pillow

If side sleeping, sleep on operated side. If not, sleep with wedge or pillow

27
Q

Positioning for TKR

A

Supine with leg slightly elevated via balanced suspension or pillows with or without knee stabilizer

28
Q

Edema Management Interventions

A

Elevation (extremity above heart lvl)
Retrograde Massage (manually push fluid proximal to distal)
Pressure Wraps
Active/Passive Range of Motion

29
Q

Positioning for AKA

A

Avoid placing pillows beneath the knee of the transtibial amputee and under the stump of the transfemoral amputee.

OCTA 226 (2 decks)

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