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Rehab Eval > Misc. for midterm > Flashcards

Misc. for midterm Flashcards

(56 cards)

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1
Q

an injury at what level results in a flaccid/areflexive bladder?

A

below T12

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2
Q

does voluntary urination occur with a flaccid bladder?

A

no

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3
Q

how does urination occur with a flaccid bladder?

A

through supra pubic pressure or cathetorization

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4
Q

an injury at what level results in a spastic bladder?

A

any injury above T12

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5
Q
  • involuntary loss of urine with local stress/pressure
  • hypermobility and displacement of urethra during exertion
  • weakness pelvis floor mm
A

stress incontinence

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6
Q
  • involuntary loss of urine associated with strong desire to void
  • often involuntary and hyper reflexive detrusor
A

urge incontinence

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7
Q
  • involuntary loss of urine when intra vesicular pressure exceeds maximal urethral pressure, absence of detrusor activity
  • bladder distension with absence of absence of detrusor mm activity
A

overflow incontinence

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8
Q
  • coordinated activity between the detrusor muscle and the external sphincter may be affected
  • lesions that affect the micturition center in the brainstem or impair communication with center
  • instead of relaxing during micturition, the external sphincter becomes more constricted which can lead to increasing pressure and back up into the kidneys
A

detrusor sphincter dyssynergy

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9
Q

what occurs to the bladder initially following a SCI?

A
  • all reflexes are depressed including micturition due to spinal shock
  • bladder is atonic and cannot contract
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10
Q

how long does the period of spinal shock/atonic bladder last?

A

1-2 months

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11
Q

breathing strongly out of mouth while holding your nose closed

A

vasalva’s maneuver

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12
Q

name the 4 types of program evaluation.

A
  • formative
  • process
  • impact
  • outcomes
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13
Q
  • used when programs are in newly developed stages
  • when determining what programs need to be used - for programs before broader use (such as in other departments or parts of a system)
A

formative program evals.

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14
Q
  • for operation of program components - does it work as designed?
  • this is for currently running programs to determine whether they work and how they were designed to work
A

process program evals.

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15
Q
  • measures effectiveness of program
  • may be used to determine whether stroke rehab program really helps people be more independent from the time they are admitted in hospital to the time they are discharged
A

impact program evals.

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16
Q

-short and long-term results of program

A

outcomes program evals.

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17
Q

where the power comes from for the chair

A

drive location

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18
Q

___ ___ is related to how powerful the chair is and where the power wheel lies in relation to the person/seat.

A

drive location

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19
Q
  • good for slippery services and obstacles

- overkill for indoors or in tight spaces - will rip up carpet over time

A

front wheel powered w/c

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20
Q
  • has casters in the front and in the back
  • the power/main wheel lies where the center of the person typically is
  • great compromise
A

mid wheel powered w/c

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21
Q
  • where the motor attaches to the wheels and where the turning occurs
  • works good for flat or even terrain
  • not good for slick surfaces or rough terrain
A

rear wheel powered w/c

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22
Q

t/f - there are brakes on powerchairs.

A

false - you let go of acceleration and it slows down

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23
Q

how we have done rolls with pts. who are hemiparetic

Study These Flashcards
A

segmental roll

24
Q

roll that usually requires 2 or more people

25
the moment you pt your hands on a patient, it becomes __ __.
min A
26
the moment you need 2+ people to transfer, it becomes __ __.
max A
27
you can get a stage 1 ulcer in how many minutes?
15 minutes
28
an open wound ulcer equals which stage?
stage 2
29
what does the inner cannula attach to?
the ventilator
30
erection becomes ____ after SCI.
reflexive
31
tetraplegia involves impairment or loss of motor and sensory function in the ____ segments of the spinal cord.
cervical
32
paraplegia involves impairment or loss of motor and/or sensory function in which segments of the spinal cord?
-thoracic, lumbar, or sacral
33
where does heterotopic ossification occur most often?
hip joint
34
FIM is not meant to be used as an ___.
eval
35
what is someone's score on the FIM if they use AT or adaptive equipment?
6
36
what is someone's score on the FIM if they are fully independent?
7
37
where do we measure pelvic obliquity from?
measure from ASIS (not iliac spine!)
38
why do we do a supine position assessment for w/c selection?
to assess the actual potential to achieve optimal seated position
39
why do we perform a seated position assessment for w/c selection?
to see what happens when you add gravity
40
___ ___ usually goes hand in hand with posterior pelvic tilt?
lumbar flexion
41
if the lower and upper thighs are not aligned in a seated position, it indicates what?
IR/ER at the hip
42
if ___ ___ is a fixed deformity, you will need to get a foot rest that accommodates that.
plantar flexion
43
the lower the backrest, the ___ the trunk control the person has.
stronger
44
around what age is when you could start thinking about getting a powered mobility chair for a child?
2 y/o
45
what is the only flexibility aspect of a low end (k0003) w/c?
arm rests
46
what does recline alter?
only the back rest angle of the trunk to the thigh changes
47
how must the pelvis be in order to recline?
posterior pelvic tilt
48
what moves in a tilt in space position?
seat and back rest both move in that position
49
name 2 benefits of tilt in space.
- keeps pt. in their optimal position. | - better for pressure relief than recline
50
if someone has low tone how should their w/c cushion be?
should have more contour
51
if someone has high tone how should their w/c cushion be?
don't need as much of a contour
52
softness of a cushion provides less ___ ___.
postural control
53
side that they curve to
concave side
54
on the concave side (lateral supports), you want to support ___ the point of impact.
above
55
on the convex side (lateral supports), you want to support ___ the point of impact.
below
56
a fish scale is only used for what?
pull doors

Rehab Eval (13 decks)

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