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USAHS Methods Practical > Modalities Practical > Flashcards

Modalities Practical Flashcards

1
Q

Cold Pack Use

A

*Use during the acute stage; First 72 hours of injury/accident
-Edema, Post exercise edema and pain, arthritic flare, musculoskeletal conditions. acute bursitis, tendonitis, spasticity, pain (secondary to muscle spasm)
*CBAN (cold, burning, achy, numb)

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2
Q

Cold Pack Time

A

10-20 minutes

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3
Q

Cold Pack Precautions/Contraindications

A

-Cold hypersensitivity (vascular skin reaction, decrease in bp, syncope, severe itching
-Cold Intolerance (pain, numbness, color changes)
-Cryoglobulinema (abnormal proteins in blood, blood in urine)
-Raynauds (vasoconstriction of cold in fingers/toes)
-Regenerating neve
-Circulatory compromise
-Frostbite

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4
Q

Cold Pack Procedure

A

-Get cold pack from freezer
-Check temperature
-Check skin and ask pain
-Explain CBAN (cold, burning, aching, numbness)
-Wrap cold pack in towel or pillow case
-Place on patient
-Set timer
-Give call bell
-Check Skin and ask pain
(might experience erythema)

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5
Q

Heat Pack Use

A

*Last option to thermal ultrasound bc not skilled
(158-167F, Hydrocullator)
-Decrease pain
-Increase blood flow (vasodilate)
-Increase oxygen to site
-Increase collagen
-Decrease muscle spasm
-Immediate comfort
-Good for increasing tissue extensibility using Cuban tape for stretch

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6
Q

Heat Pack Time

A

15-20 min

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7
Q

Heat Pack Precautions/Contraindications

A

-Open wounds
-Infections
-Impaired sesnation
-Cancer
-Heart problems/Medications
-Poor thermal regulations

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8
Q

Heat Pack Procedure

A

-Wash hands
-Check skin and sensation
-Obtain sheets (trifold_
-Pick out correct Terry cloth cover
-Check temp of hydrocullator
-Grab tongs and obtain hot pack
-Place on Terry cloth and wrap
-Tri fold sheet and place hot pack in (6 layers total)
-Place on area
-Set timer
-Place call bell to side

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9
Q

Ultrasound Time

A

8 min

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10
Q

Ultrasound Precautions/Contraindications

A

-Pregnancy
-Pacemaker
-Metal in area
-Heart conditions/medications
-Infection
-Cancer

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11
Q

Pulsed Ultrasound Use

A

(nonthermal)
-Decrease edema
-Increase healing time
-TIssue regeneration
-Promotes repair
-Increase collagen
-Increase circulation
-Decrease pain

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12
Q

Pulsed Ultrasound Procedure

A

-Wash hands
-Check skin pre and pist
-Check for infection and/or wounds
-Set clients arm on towel
-Turn on ultrasound
-Click Ultrasound > Clinical procedure > Acute > Superficial > 1 mHZ (5cm); 3mHZ (2-3cm) > 8 min
-Squeeze gel on affected area
-Take head and place in gel in contact with skin
-Use other hand to toggle knob to read 5 watts per cm2
-Massage in gel until beeps, do not remove nozzle until beeping noise
-Set nozzle in holder and wipe clients arm with towel
-Sterilize nozzle with alcohol pad
-Check skin
(.5-1.0W/cm2)

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13
Q

Continuous Ultrasound Use

A

*First option unless contraindicated
-Increase blood flow
-Increase metabolic rate
-Increase oxygen
-Increase pain threshold
-Increase extensibility

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14
Q

Continuous Ultrasound Procedure

A

-Wash hands
-Check skin pre and post
-Check for infection and/or wounds
-Set clients arm on towel
-Turn on ultrasound
-Click “ultrasound” > “clinical procedure” > Chronic > Superficial > 1 MHZ > 8 minutes
-Squeeze ample gel on affected area
-Take ultrasound head, insert head in gel and in contact with the skin
-With other free hand, toggle knob to read 1.5 watts per cm2
-Massage in gel until beeps, do not remove nozzle until beeping noise
-Set nozzle in holder and wipe clients arm with towel
-Sterilize nozzle with alcohol pad
-Check skin
(1.5-2.0W/cm2)

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15
Q

Fluidotherapy Use

A

-After acute phase
-Hypersensitivity
-Decrease edema
-Desensitization
-Increase ROM

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16
Q

Fluidotherapy Time and Temp

A

15-20 min; 112-118°F (lecture said 105-118)

17
Q

Fluidotherapy Precautions

A

-Allergic to corn
-Open wounds
-Heart conditions/Medications
-Infection
-Cancer
-Acute inflammation
-Cognition

18
Q

Fluidotherapy Procedure

A

-Wash hands
-Remove jewlery
-Check Sensation
-Check Skin
-Undo velcro and place client hand inside and close velcro ABOVE elbow
-Push Preheat button > Pulse = 0 > Temp in range > Blower start then slowly increase > Start
-Remove client hand
-Close velcro
-Check skin
-Tell client to wash hands

19
Q

Paraffin Use

A

(Mineral oil and paraffin)
-After acute phase
-Increase ROM
-Provides heat to smaller joints and harder to reach places

20
Q

Paraffin Precautions/Contraindications

A

-Impaired sensation
-Heart conditions/Medications
-Open wounds
-Active Infection
-Cancer

21
Q

Paraffin Time/Temperature

A

15-20 minutes; 116-130 (lecture says 118-135)

22
Q

Paraffin Procedure

A

-Wash hands
-Remove jewelry
-Check temp
-Test sensation
-Check skin
-Explain not to touch sides or bottom
-Allow them to touch with one finger first
-At least 6 dips
-Wrap in plastic
-BENNY WRAP
-Check skin
-Wash hands

23
Q

Cold Pack Diagnoses

A

-Acute injury inflammation (3d/72hrs or before
-Edema
-Post exercise edema and pain
-Arthritic flare
-Musculoskeletal conditions
-Acute bursitis or tendonitis
-Spactisity
-Pain secondary to muscle spasm
-Acute pain/Chronic pain
-Acute swelling
-Trigger points
-Muscle guarding/Spasm
-Muscle strain
-Ligament strain
-Contusion
-Muscle soreness

24
Q

Pulsed Ultrasound Diagnoses

A

-Acute injuries (non-thermal only)
-Bone healing (non-thermal only)
-Fracture healing time
-Colles fracture
-Surgical incisions
-Tendon healing
-Improve ROM
-Facilitate scar maturation

25
Q

Heat Pack Diagnoses

A

-Stiff joints
-Subcutaneous adhesions
-Contractures
-Chronic arthritis
-Subacute/chronuc inflammation
-Cumulative trauma
-Neuromas
-Symathetic Nervous System disorders
-Muscle spasms
-Shoulder impingement

26
Q

Continuous Ultrasound Diagnoses

A

-Epicondylitis (improve ROM/extensibility)
-Elbow/Wrist sprain
-Spasticity
-Sub-acute (non) and chronic soft tissue inflammation
-Joint contractures
-Muscle spasm
-Neuroma
-Loosen scar tissue
-Trigger points
-Tissue repair (soft tissue injuries)
-Pain
-Bursitis

27
Q

Fluidotherapy Diagnoses

A

Hand and Wrist
-Hypersensitivity (scars, allodynia, hyperalgesia)
-Arthritis
-Edema (if ROM is done simultaneously)

28
Q

Paraffin Diagnoses

A

Hand and Wrist
-Scarring
-ROM deficits
-Arthritis
-Contractures

29
Q

REMEMBER

A

-Body mechanics
-Make them wash hands before and after
-Check sensation in 3 places (except ultrasound?)
-Check skin pre and post
-Leave call bell and timer
-Educate about redness (subsides within 20 min)

30
Q

Example SOAP Note

A

S: Client reports pain at 4/10. “I can’t reach overhead like I need to.” Client post treatment reports pain at 2/10
O: Moist hot pack applied to shoulder with patient seated and arm resting on table for 15 minutes with 6 layers. Moist hot pack followed by manual stretching and education of wall slides as part of HEP. Skin intact pre and post treatment.
A: Client tolerated the treatment session well and was able to demonstrate understanding of HEP after instruction. Client pain levels improved by the end of session and he was able to tolerate HEP instruction without increased discomfort.
P: Upgrade HEP to include scapular stabilization and overhead reach ergonomics.
-Lexi R. Vitale, OTS

USAHS Methods Practical (1 decks)

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