Multi-Topic Lecture Quiz 4 Flashcards
What are the morbidity and mortality risks for restraints?
Limited mobility Increase agitation Ne-onset of pressure ulcers Urinary incontinence Constipation Pneumonia Physical deconditioning Musculoskeletal or nerve injury from prolonged positioning of pulling on restraint
How often must the use of restraint be updated from a licensed independent practitioner?
Every 24 hours
What are some general guidelines for a PT and the use of restraints?
Use a slipknot
Do not secure the restraint to a moveable object
Ensure the restraint is secure but not too tight (2 fingers)
Always replace the restraint after PT
Make sure patient doesn’t trip on ties or tails
What is a full code?
All appropriate efforts will be made to revive patient
What’s a DNR?
Do not resuscitate - predetermined decision to decline CPR, defib, and pharm cardioversion
What is a DNI?
Do not intubate
What is a Code 2?
DNR/DNI
Whats CMO?
Comfort measures only
-receives medications for pain control or sedation to eliminate distress (doesnt receive PT)
What’s the difference between withholding and withdrawing and forgoing treatment?
Withholding - not initiating treatment because it is not beneficial
Withdrawing - discontinuation of treatment (but not care)
Forgoing - combination (CMO)
What is palliative care?
Relive suffering and improve quality of life for patients with life-threatening illness.
What are some features of palliative care?
Doesn’t seek to take away treatments, options, or hope
Does help facilitate discussion about options
Does add a concentrated focus on symptom management and QOL
What is some PT interventions in palliative care?
Functional training Activity tolerance Energy conservation Lympedema management Exercise Family training to improve QOL
What’s the difference between palliative and hospice care?
Palliative care still works on curative treatments
Hospice is when life expectancy is less than 6 months
