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05 - Tests and Measurements > PCP Exam Review > Flashcards

PCP Exam Review Flashcards

0
Q

Short term goal

A

Individual, segmented steps towards a long term goal

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1
Q

How to document error in SOAP note

A

Draw a single line through the error and initial and date.

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2
Q

Long term goal

A

Functional capacities a pt will achieve by discharge from PT

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3
Q

SOAP

A

Subjective, objective, assessment, plan

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4
Q

Subjective

A

Refers to info the pt, family member, caretaker, or other healthcare providers report

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5
Q

Objective

A

Verifiable data - tests or measurements which can be reproducible (someone else can perform same tests and obtain same results) - includes observations and interventions

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6
Q

Assessment

A

Professional opinions; assess quality of exercise; progress towards goals

Summary of subjective and objective

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7
Q

Plan

A

What will be done over the next session(s); specific about progressing patient to goal

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8
Q

Goal criteria: Detailed

A

ABCDFT

Audience, Behavior, Conditions, Degree, Function, Time

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9
Q

Goal Setting - Simplified

A

Pt Centered - one task per goal
Functional
Measurable - include time frame

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10
Q

ADs - most stable to least stable

A 
Parallel bars
Walker
Hemiwalker
Axillary crutches
Loftstrand crutches
Two canes
One cane (LBQC, SBQC, Straight)
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11
Q

Types of walkers

A 
Standard walker
Rolling Walker
Stair climbing walker - angled handles
Ring walker - trunk support (infants)
Reciprocal walker - children
Reverse walker - pediatrics
Platform walker - PWB, NWB of UE
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12
Q

AD - least to most coordination

A 
Parallel bars
Walker
One cane
Two canes
Axillary crutches
Loftstrand crutches - need good UB control
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13
Q

Adjusting crutches

A
  • Stand with crutches 6” lat, 2” ant to toes
  • 2 finger width btwn top of crutches and axilla
  • elbow flexion 20-30 degrees
  • adjust Axillary area first
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14
Q

Adjust cane/walker

A
  • hand grip level with pts ulnar styloid process

- elbow flexed 20-30 degrees

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15
Q

Weight bearing status

A 
FWB - Full weight bearing 
PWB - Partial weight bearing
NWB - Non weight bearing
WBAT - Weight bearing as tolerated
TTWB - Toe touch weight bearing
16
Q

Gait Patterns

A 
Two point
Three point
Four point
Swing to
Swing through
17
Q

2-point gait

A
  • Move 1 AD and 1 LE simultaneously, then other AD and other LE simultaneously
  • Move 2 ADs simultaneously, then 1 or both LEs simultaneously
  • Walker and NWB: Move walker forward as balance on uninvolved LE, then shift weight into walker and move forward on uninvolved LE
18
Q

3-point Gait

A
  • Move crutches/cane forward, then involved leg even with crutch/cane tip, then uninvolved LE forward to or past tips
  • Walker: walker, involved LE, uninvolved LE
19
Q

4-point gait

A
  • 1 AD, 1 LE, other AD, other LE

- can do with crutches

20
Q

Swing to

A

Move AD forward, bring both LE to same point as AD

21
Q

Swing through

A

Move AD, then bring both LE beyond tips

22
Q

Loftstrand crutches - how to fit

A

Handgrip at Ulnar Styloid

Cuff inferior to elbow

23
Q

Purpose of using ADs

A
  • provides support
  • improves balance
  • redistributed weight bearing
  • increases BOS - larger BOS for pt COG to shift without LOB
24
Q

Tilt table

A

Device user to help pt adjust to positional changes and BP response - use especially for people with orthostatic hypotension
- helps re accommodate to upright position without dizziness

25
Q

Types of w/c

A

Manual - pt moves themselves
Power - battery powered
Standard
Transport - smaller wheels, designed for small distance

26
Q

Frame variations of w/c

A

Folding - cross bars under seat

Rigid - no cross bars, lower back

27
Q

Reclining w/c

A

Reclining - seat to back changes as reclines

Tilt in space - maintains same seat to back angle in tilted position

28
Q

Pelvic Belt

A

Keeps pt angled at 90 degrees in w/c to allow for active anterior tilt

29
Q

Forward approach (w/c)

A

Patient faces forward when descending curb - normally SCI

  • w/c usually has camber wheels
  • do “wheelie” to tilt chair back and gently roll wheels off curb
30
Q

Normal w/c depth, height

A

Seat depth - 16”
Seat width - 18”
Seat height - 20”
Avg width rim to rim - 26”

31
Q

Measuring seat depth

A
  • pt sits 90-90
  • posterior pelvis to popliteal fossa
  • subtract 2-3”

If depth too deep
Promotes sacral sitting/slouching
If depth too shallow
Discomfort, does not support thigh well

32
Q

Measuring seat width

A
  • pt in alignment
  • widest aspect of hips/thigh
  • add 2” (1” for each side)
If too wide
Hard to propel, can't reach wheels, may bounce side to side
If too narrow
Difficult to transfer in/out of w/c
Skin breakdown
33
Q

Measure back height

A
  • pt in alignment
  • vertically from seat to inferior angle of scapula
  • Add cushion height

If too high
Restrict UE movements
If too low
Improve mobility, but not enough trunk stability

34
Q

Measuring armrest

A
  • Upper arm against side of chest, elbow flexed to 90 degrees
  • Seat to pt forearm
  • add cushion

If too high
Difficulty moving because arm too high
If too low
Promotes slouching

35
Q

Measuring legrest

A
  • leg straight
  • Popliteal fossa to sole of heel
  • subtract cushioning

If too long
Promoted slouching/sacral sitting
If too short
Posterior tilt, increased pressure on ischial tuberosity and coccyx

36
Q

Measuring footplate

A

Horizontal distance from calcaneus to base of 1st metatarsal

If too large
Interfere with chair maneuverability
If too short
Foot goes into plantar flexion

37
Q

ADA

A
  • American Disabilities Act

- Eliminates discrimination against those with disabilities

38
Q

ADA Measurements

A

Door width - no less than 32”
Toilet - 17-19” ht
Ramp - 1” rise: 1 foot ramp run (1:12 ratio)
Turn radius for w/c: min of 60” for 180 degree turn

05 - Tests and Measurements (21 decks)

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