Must Know Info Part 1 Flashcards
Borg Scale
perceived exertion from 6=no exertion to 20=max exertion
target score on Borg Scale
12
How many stages are there of cancer
4
Stage 1 cancer
tumor present, no perceived spread of diesease
no spread of disease to lymph nodes, no metastatic lesions
survival rate of stage 1 cancer
70-90%
stage 2 cancer
localized spread of tumor; lesion can be surgically removed, spread is limited
stage 2 cancer mean 5 year survival rate
5-50%
Stage 3 cancer
extensive evidence of a primary tumor that has spread to other organs in the body; tumor can be surgically removed, but some cells may remain behind
deeper spread of tumor cells in lymphatics
mean 5 year survival rate of stage 3 cancer
5-20%
stage 4 cancer
inoperable primary lesion; survival depends on depth and extent of tumor spread as well ability of tumor to respond to therapy
multiple metastases
mean 5 year survival rate of stage 4 cancer
less than 5%
how many Allen Cognitive Levels are there
6
According to Claudia Allen, cognitive ability is determined by _______ factors, and the potential for improvement is dictated by those factors
biological
According to Claudia Allen, what must be done once the maximum cognitive level is achieved
compensations must be made
Allen Cognitive Level 1
AUTOMATIC ACTIONS
Automatic motor responses and changes in the autonomic nervous system
conscious response to external environment is minimal
Allen Cognitive Level 2
POSTURAL ACTIONS
movement that is associated with comfort. There is some awareness of large objects in environment, and individual may assist the caregiver in simple tasks
Type of stitch pt can complete at ACL 2
no stitch
Allen Cognitivel Level 3
MANUAL ACTIONS
begins with use of hands to manipulate objects. Person may be able to perform a limited number of tasks after a long repetitive training (repetitive self care activities)
type of stitch pt can complete at ACL 3
running stitch
Allen Cognitive Level 4
GOAL DIRECTED ACTIONS
Characterized by ability to carry out simple tasks through to completion. Person relies heavily on visual cues and may be able to perform established routines, but cannot cope with unexpected events
type of stitch pt can complete at ACL 4
Whip Stitch
Allen Cognitive Level 5
EXPLORATORY ACTIONS
characterized byovert trial and error problem solving. New learning occurs. This may be the usual level of functioning for 20% of the population
type of stitch pt can complete at ACL 5
cordovian stitch with overt trial and error
Allen Cognitive Level 6
PLANNED ACTIONS
characterized by absense of disability. Person can think of hypothetical situations and do mental trial and error problem solving
type of stitch pt can complete at ACL 6
cordovian stitch with overt mental trial and error
How many Reisburg’s stages of dementia are there?
1-7
Reisburg’s Dementia stage 1
No Disability
Reisburg’s Dementia stage 2
Forget normal age related info (ie. lost wallet)
Reisburg’s Dementia stage 3
beginning signs of deficits noted
Reisburg’s Dementia stage 4
Deficits noted in all IADLs. Still independent, however forgets info, cant follow map, difficulty following cues, etc
Reisburg’s Dementia stage 5
cannot function independently (can live at home with support and follow simple cues)
Reisburg’s Dementia stage 6
Cannot perform ADLs without cues
Reisburg’s Dementia stage 7
vegetative state, bed bound, non-verbal. Incontinent, requires HOH cues
FIM 7
complete independence
FIM 6
Modified independent
FIM 5
supervision/setup/verbal cues
FIM 4
MIN A (requires 25% or less assist)
FIM 3
MOD A (requires 26-50% assist)
FIM 2
MAX A (requires 51-75% assist)
FIM 1
TOTAL A (greater than 75% assist)
of stages of Parkinson’s
1-5
Stage 1 of Parkinson’s
Unilateral tremor
rigidity, akinesia, minimal or no functional impairment
can still be employed, may need modifications
Stage 2 of Parkinson’s
Bilateral Tremor
rigidity, akinesia, no axial signs, independent with ADLs, no balance impairment
1-2 years after dx, stoop posture, can ambulate independently
Stage 3 of Parkinson’s
worsting of sx, impaired righting reflexes, onset of disability in ADL performance, can live independent life- difficulty standing and doing tasks, UNSAFE TO WALK, need home mods
Stage 4 Parkinson’s
requires help with some or all ADLs, UNABLE TO LIVE ALONE or without some assist, unable to walk and stand unaided
Stage 5 Parkinson’s
Confined to w/c or bed, max assist
DSM-IV Axis I
Clinical syndromes (depression, schizophrenia, social phobia)
DSM-IV Axis II
Developmental Disorders and Personality Disorders
DSM-IV Axis III
Physical Conditions (brain injury or HIV resulting in sx of mental illness
DSM-IV Axis IV
Severity of Psychosocial Stressors (stressful events in life: marriage, death, college, etc)
DSM-IV Axis V
Global assessment of functioning (GAF); rated on scale from 0-100
91-100 on GAF scale
no sx
81-90 on GAF scale
minimal sx
71-80 on GAF scale
slight impairment in social/occupational/school fxning
61-70 on GAF scale
mild sx
51-60 on GAF scale
moderate sx
41-50 of GAF scale
serious sx
31-40 on GAF scale
some impairments in reality testing
21-30 on GAF scale
considerably influenced by delusions/hallucinations; impaired communication/judgement
11-20 on GAF scale
some danger of hurting self or others; decreased hygiene
1-10 on GAF scale
severe danger of hurting self/others; suicidal acts
0 on GAF scale
inadequate info
