OMM for the Geriatric Patient Flashcards
True or false: a viscerosomatic pattern affects the whole structure and function of the body
True
True or false: a failure in one system affect structure, the function of other systems/the whole person
True
What are the ten steps that Klock suggests we do to treat patients?
- Treat LE tender points
- Pop the pubes
- Treat innominate rotation tender points
- Treat innominate rotations/up-slips
- Treat anterior lumbar/lumbar spinous process/sacral tender points
- Treat the sacrum
- Treat anterior thoracic/thoracic spinous process tender points
- Treat rib tender points
- Treat type II lumbar and thoracic SDs
- Open the inlet
What does it mean to use CCP as a template?
- Identify out of pattern that needs treatment
- Return pt to CCP
- Treat CCP
What are the spinal levels for the lungs?
T1-T6
What are the spinal levels for the pancreas?
T5-T11
What are the spinal levels for the heart?
T1-T5
What are the spinal levels for the adrenals?
T10-T11
What are the spinal levels for the kidneys?
T10-L1
What are the four disease processes that take well to treatment with OMM?
- COPD
- URTI
- DJD (hips, knees, hands, shoulders)
- Spinal Stenosis (LE pain)
What are the two general management goals of treating the elderly?
- Improved respiration and circulation
- Attain passable structure and function
What should you do if a patient has a structural, degenerative, or medical problem?
Use CCP and the r/c model!
If the the medical issue is HTN, DM, COPD, PVD, what should you do?
Use CCP and the r/cs model!
How many treatments without improvement is a red flag?
2-3 treatments
True or false: If subjective complaints are out of proportion to the dysfunction noted, this is a reg flag
True
True or false: gradually worsening pain despite treatment with OMM is a red flag
True
True or false: acute pain with the presence of associated tender points is a red flag?
False–if there are no associated tender points, this is a red flag
What are the two major goals of the rapid structural screen?
- Rapidly assess the pt for SDs
- Identify areas that deserve a closer look
What is the largest system in the body?
Musculoskeletal system
How are tender points used as a diagnostic tool?
- Identify SSDs
- Differentiate primary from secondary SDs
True or false: tender points are associated with specific SDs
True
What are the 10 steps of the DETAILED analysis?
- LE tender points
- Pop the pubes
- Treat innominate rotations/TTP
- Treat upslips/rotations
- Anterior Lumbar TTP
- Treat the sacrum
- Treat anterior thoracic TTP
- Rib dysfunctions/TTP
- Treaat type II Lumbar and thoracic SDs
- Open Thoracic inlet
How many tender points do people usually have? How many of these should you treat?
18
8 should be treated
What is the most important muscle to strengthen in the geriatric population?
Abdomen
