Module 3 Flashcards

1
Q

ID impairments, ID additional needs, measure recovery of function, create realistic goals, aid in appropriate discharge planning, assess the effectiveness of interventions

A

reasons for neurological examination

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2
Q

HOAC step 1

A

initial information

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3
Q

HOAC step 2

A

conducting neurologic PT examination - movement analysis

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4
Q

HOAC step 3

A

physical therapy diagnosis + treatment strategies align with goals of pt

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5
Q

HOAC step 4

A

evidence based treatment that create functional recovery or maintain functional competence
re-evaluate

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6
Q

HOAC step 5

A

community engagement or reintegration

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7
Q
  1. basic mental functions, complex, mentl functions and meta-cognitive functions
A

mental status exam

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8
Q

third part of exam

A

crainal nerve integrity exam

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9
Q
  1. light touch screen, S/D. proprioception
A

sensory exam

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10
Q
  1. muscle mass, ROM, tone, muscle capacity, endurance, motor control of movement/stability, observation of involuntary movements
A

motor exam

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11
Q
  1. FTN, HTS, Alt. Movements
A

coordination exam

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12
Q

7, static standing balance, dynamic standing balance, walking balance

A

balance screening

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13
Q
  1. changing and maintaining body positions, mobility, hand and arm use
A

functional skills examand movement analysis

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14
Q

discription of what the partient exerpeiences or believes is wrong, specific details about the problem, nature or extent of the disability, pts concerns

A

chief complaint

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15
Q

date of onset (duration), manner of onset, whether the problem has remained the same over time or has changed for the better or worse

A

history of present illness

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16
Q

previous injuries or illness, previous hospitalization, surgical procedures (dates, interventions, and outcomes)

A

past medical history

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17
Q

allergies, medications, tests specific to diagnosis, precautions

A

pertinent health information

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18
Q

use of assistive devices, driving status, need assistance for ADLs or IADLS, activities, work, social roles

A

prior level of function

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19
Q

live alone or with others, caregiver, steps, bathroom/bedroom set up, width of halls, size of rooms

A

home environment

20
Q

positiong/posture, verbal communication, non-verbal communication (facial expression, emotional response, eye contact), movement (gait, transfers)

A

observation

21
Q

cardiovascular.pulmonary system, integumentary system, MSK, neuromuscular, gastrointestinal, genitourinary/reproductive, hematologic/lymmphatic, psychological, endocrine

A

review of system

22
Q

Why should you assess mental status first?

A

determine extent of congitive impairment, identify disease processes, determine the client’s ability to participate in exam/treatment, development of strategies, referral

23
Q

Alertness, Arousal, Awareness, Attention, ___, Memory, Reasoning

A

Executive function

24
Q

Three components of Basic Functions

A

level of consciousness
awareness
alertness

25
three components of complex functions
language, memory, sequencing
26
three components of meta-cognition
executive functions self awareness mood/motivation
27
Correct sequencing of tests
arousal, attention, cognition/executive function
28
Arousal/Level of Consciousness
alert, lethargic, delirium obtunded, stupor, coma
29
Orientation
Person, Place, Time
30
Attention
Ability to follow commands, sustain motor activity, two things at once, ability to ressit distractions
31
common tests used to assess attention
spell a word backwards, count backwards, digit repetition test, moss attention rating scale
32
cognition
signs of agitation, difficulty word finding, difficulty past events or details of illness
33
common outcome measures
mini-mental status examination (MMSE) and Montreal Cognitive Assessment (MoCA)
34
Language and Communication: Observe
Quality, comprehension, ability to write, name objects and repeat words
35
Language and Communication: receptive language
pt is asked to follow commands in order to demonstrate that they understand the meaning of what they have heard or read
36
Language and Communication: expressive language
the pt is asked to perform a task that requires spontaneous speech or writing, or naming of objects, repeating phrases, not fluency and correctness of words
37
examples of disorders of speech
aphasia, verbal apraxia, dysarthria
38
Memory: Short term memory, immediate recall, delayed (5 mins) --> pt is asked to perform a three word recall
temporal lobe
39
memory: subtract by 7's
Frontal lobe --> working memory
40
memory: pt is asked to problem solve, verbal similariities and interpret proverbs
frontal lobe - abstract reasoning
41
Visual Spatial Function and Perception
the patient is asked to bisect a line, draw a face, clock or geometric figures
42
examples of dficits that result in paeietal association areas
body image.body scheme visual discrimination Apraxia Agnosia
43
Other executive functions
problem solving, judgement, reasoning, insight, safety awareness
44
Self-awareness
ability recognize ones own behavior, character, personality ,etc
45
restorative approaches focus on skill-based training augmented by:
strategy training programs cognitive exercise programs
46
compensatory approaches focus on skill-based training augmented by
habit training environmental adaption