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Boardz > Polytrauma > Flashcards

Polytrauma Flashcards

1
Q

Polytrauma

A

Minor falls most common cause

Leads to polypharmacy-CNS acting medication leading to OD, suicidality, chronic symptomalogy

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2
Q

Polytrauma dx

A

Brain Injury
SCI
Orthopedic injury
Organ damage
Surgical procedures

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3
Q

Polytrauma Assessment

A

COPM to establish client-centered goals, challenging with polytrauma, COPM for measurement of goals
Occupational profile

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4
Q

Polytrauma intervention

A

Telehealth for older adults
Medication management (polypharmacy)
Coping strategies
Mindfulness: tai chi techniques to increase sleep when addressing sleep dysfunction
Pain managemebt

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5
Q

Pain

A

An unpleasant sensory, emotional experience associated with or resembling that associated with actual or potential tissue damage

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6
Q

Nocioceptive pain

A

Actual/threatened damage to non-neural tissue, caused by activation of nocioceptor

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7
Q

Neuropathic pain

A

Lesions or diseases occurring in central/peripheral nervous system

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8
Q

Nociplastic pain

A

Altered nocioception without evidence of threatened or actual tissue damage

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9
Q

High impact pain

A

Pain that interferes with daily life or work activities

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10
Q

Long term consequences of PAIn

A

Physical dysfunction
Psychological disorder (depression, impaired memory, impaired attention)
Impaired sleep
Impaired sexual function
Interference with work performance
Impaired QOL
Increased economic burden

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11
Q

Intervention framework/theory for pain

A

In ease pain with biomedical approach, now biopsychologicql used
-emphasis on reduction, symptom mgmt, abd impact on health/wellbess

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12
Q

Self management

A

Activities person carries out to increase skills and confidence in managing their health problem

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13
Q

Health management

A

activities related to developing, managing, maintaining health and wellness routines including self management with goal of improving or maintaining health to support participation in other occupation

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14
Q

Assessing Pain

A

Assess pain presence, intensity, location, type and frequency, pain coping skills, perceptions, cognitive/emotional response, and self efficaxy

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15
Q

General pain Assessments

A

Brief Pain Inventory
FLACC Behavioral Pain scale
Mcgill Pain Questionnaire
Numeric rating scale
PEG scale
Visual Analog Dcale
Wong-Baker Faces Pain Scale

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16
Q

Site Specific pain assessment

A

DASH (hand, wrist, shoulder)
Owestry Pain Disability (wrist)

17
Q

Performance Skill pain Assessments

A

Central sensitization inventory
fear avoidance beliefs Questionnaire
Pain Catastrophizing Scale
Pain Coping Questionnaire
Pain self-efficacy Questionnaire
Self compassion scale
Sensory symptoms checklist
Occupational experience profile

18
Q

Pain assessments validated for client’s with Pain

A

COPM
Patient Specific function Scale (PSFS)
Functional Disability Inventory

19
Q

Chronic pain intervention

A

Establishes rapport, consider readiness for change as self management to alter/develop new habits/routines related to managing pain- self management

Occupational/activity based
Ect/pacing
PAMS
Virtual Reality simulation
Self regulation
Medication management
Cognitive training
Self-advocacy

20
Q

Chronic pain intervention: occupational based activity

A

Addresses the mental, physical, and spiritual needs of a client

21
Q

Chronic pain intervention: pacing/ECT

A

Routines-exercise, sleep, body mechanics, posture

22
Q

Chronic pain intervention: PAMs

A

May educate on self- application in prep for occupational engagement

23
Q

Chronic pain intervention: virtual simulation

A

Improves movement and relaxation

24
Q

Chronic pain intervention: self-regulation

A

Sensory re-education, desensitization training, graded exposure, mindfulness and biofeedback, mirror therapy, graded motor
Imagery

25
Q

Chronic Pain intervention: pain neuroscience education

A

To help clients understand underlying client factors influencing pain

26
Q

Chronic Pain intervention: self management/skills training

A

Development of skills to meet goals (pacing, body mechanics), goal directed tx

Flare mgmt or relapse prevention, identifying symptoms of pain and implement strategies

Psychosocial, belief patterns-CBT, acceptance and commitment therapy

Expressive activities art/writing to increase self-efficacy, required for self manaent

27
Q

Chronic Pain intervention: medication management

A

Impact of side effects
Education to reduce stigma
Cognitive intervention

28
Q

Chronic Pain intervention: self advocacy

A

Self-efficacy, client’s confidence in their ability to cope and carry out tasks to adequately function while experiencing pain

Assertiveness training

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