OMM for Hospitalized pts Flashcards
What are the osteopathic ABCs that are addressed with OMM?
- Autonomics
- Breathing
- Circulation
What are the three essential characteristics of OMM for the inpatient?
OMM must be:
- Beneficial to pt
- Beneficial to hospital
- Simple
What are the three logical steps of choosing an OMM treatment?
- Resolve tissue strain
- Allow tissues to lengthen (or stretch them)
- Allow bones to move
What are the four major components of a VS reflex?
- Two or more spinal segments show SDs within autonomic reflex area
- Deep confluent muscle retraction
- Resistant to segmental joint motion
- Skin and SQ changes c/w acuity/reflex
What are the three major appropriate techniques to treat inpatients?
- S/CS
- FPR
- Myofascial release
What is the major reason that bedridden pts develop LE edema?
Cannot rely on muscular contraction to augment venous and lymphatic return
What dysfunction of the LE in particular, becomes important with bedridden pts? Why?
- Fibular head dysfunction
- Impediments of V/L return from the LE
What dysfunctions of the hips are important with inpatients? Why?
- Innominate rotations
- Increased fascial resistance, preventing adequate return from the pelvis
What are the 7 major reasons for using OMM on in-pts?
- balance autonomics
- Improve respiration
- Improve circulation
- Decreased long term wear and tear on organs
- Improve organ function
- Assist in recovery
- Relieve pain
What are the five factors relating to OMM treatment, that the condition of the patient dictates?
- Length of exam
- Positions used
- Length of treatment
- Technique
- Priorities
What is the general way to treat in-pts with OMM?
Centrally to peripherally, beginning with the cervical spine, and progressing downward
How often should you treat in-pts? Why?
Either once a day, or in small doses throughout the day
Avoid stressing the patient
What happens to the body with tissue trauma 2/2 surgery that causes decreased venous and lymphatic return?
Increased SNS reflexes
True or false: inpatients often have “stuck” bones that need to be moved with OMT to increase venous and lymphatic return
False–bones do not get stuck, rather the tissues around them can become strained
If an inpatient has a heart-related issue, what should be avoided?
Any techniques that cause a valsalva effect
