Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Integumentary 1 - Midterm > PT and Burns - Class 5 > Flashcards

PT and Burns - Class 5 Flashcards

1
Q

PT initial evals

A

chart review

objective eval

assessment

plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

chart review should include

A

MOI/extent

%total body surface area, location, inhalation injury?

hospital course

PMH, PSH

meds, allergies

social history

precautions

referring MD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

social history

A

married or single

w/ or w/o family

occupation

house or apartment/stairs, elevator

ETOH

prior to admission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

prior to admission

A

level of fxn

ADs

hand dominance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

objective eval

A

vital signs

mental status

AROM

PROM

burns

muscle strength

motor fxn/muscle tone

sensation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

vital signs

A

from nursing flow sheets if necessary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

burns

A

depth

location

size = %TBSA

appearance –> red, blood base v necrotic areas

wound treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

muscle strength

A

specific muscle testing is indicated in nerve distribution areas

important and helpful w/ electrical injury involvement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what should we take into consideration –> objective

A

pt is heavily medicated and sometimes sedated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

during the initial eval we should try and find out

A

when the pt is going to be tanked or when they receive their dressing change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

%TBSA can be found

A

on the chart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how do we check if a burn is circumferential

A

lift pt’s extremities

look anterior and posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how long do burns take to show themselves/demarcate

A

2-3 days

initially they might look more superficial than they really are and vice versa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

assessment

A

includes PT assessment

candidate for therapy, to ambulate independently or be sent home w/ or w/o care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

plan

A

consists of PT tx

5-6 days/week

for A/PROM techniques

transfers

strengthening and ambulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

first couple days post burn goals of medical team

A

fluid resuscitation

critical care techniques

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

PT intervention –> couple days post burn

A

CPT/percussion

PROM technique

positioning can be included
–> as long as nursing and OT are aware and in agreement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is important

A

consistency!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

tx must be

A

aggressive and regimented

should be seen 2x a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

when should we review the chart

A

daily for changes

note surgeries, donor sites and grafts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what should we look for

A

signs of infection

staples left intact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

when performing P/AAROM to elbows and knees

A

be sure it is GENTLE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what can aggressive PROM at the knees and elbows cause

A

heterotrophic ossification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

who should we notify with problems

A

the proper HCP

25
Q

as the pt begins to heal

A

some scar bands may begin to develop around or near joints

26
Q

what may occur when the pt performs thier exercise program

A

the skin may blanch

27
Q

occasionally the pt or PT may cause

A

an auto release of their scar band or skin contracture and bleed

notify MD

28
Q

outpatient

A

use of modalities such as

paraffin

heat and ice

can be beneficial depending on sitatuation and sxs

29
Q

paraffin

A

an excellent modality to soften hard tight skin

30
Q

paraffin –> where should it be used

A

exposed area

make sure the area is healed w/o opened areas

31
Q

to use paraffin we should

A

stretch joint until it is blanched

32
Q

set up of paraffin

A

take 4x4 gauze and dip it into the paraffin several times –> until impregnated with it

let paraffin drop over paraffin bin until it stops dripping

place gauze on joint –> approx 1-2 min

use w/ prolonged stretch 1-3 min

33
Q

what should we remember –> paraffin

A

grafted skin usually has decreased sensation and decreased ability to dissipate heat

always check every 20-30 s

34
Q

tx planning objectives

A

prevent the loss of ROM and fxn

restore lost motion and fxn

return to preburn fxnal status (PTA) or educate pt to fxn w/ disability

35
Q

disability doesnt mean

A

handicap

36
Q

tx planning –> tx interventions

A

proper positioning, splinting and exercise

compliment one another along continuum of interventions

tx concept

tx location

time of day

frequency of txs

37
Q

tx concept

A

to impart stress in a controlled manner to cause scar tissue to remodel

38
Q

what time of the day is the worst

A

mornings

but there is benefit in achieving ROM early for use throughout the day

39
Q

when should we schedule tx sessions

A

to coincide w/ administration of pain meds

40
Q

by later afternoon pt may be

A

fatiguede w/ the day’s activities

can benefit ROM

41
Q

frequency of tx

A

continuous

1-6x per day

42
Q

formal tx is

A

therapist guided

43
Q

informal

A

self ROM

nurse or family supervised

44
Q

ROM is used as a

A

guide

45
Q

positioning objectives

A

control edema

prevent tissue destruction

maintain soft tissues in an elongated state

46
Q

control edema

A

elevate extremities when lying or sitting

UE when ambulating

47
Q

when is it most critical –> edema

A

first 72 hours

48
Q

when sitting –> edema

A

pts arms at the level of their heart

49
Q

preventing tissue destruction

A

pressure areas

50
Q

preventing tissue destruction includes

A

turning schedule

alternate positions

dermal pads for head and heels

maintain heels off bed

use for specialty beds

51
Q

maintain soft tissue in an elongated state–> how should the pt be positioned

A

position opposite the location of the burn wound

52
Q

what should we extend –> elongated state

A

flexor surfaces

53
Q

there are –> elongated state

A

positioning techniques for specific body areas

54
Q

heterotopic ossification pathogenesis

A

unknown

55
Q

suspected etiologies –> HO

A

calcium mobilization

56
Q

what is calcium mobilization from –> HO

A

immobilization

high protein intake

microtrauma

> 20% of total body burn

57
Q

incidence of HO

A

0.1-3.3% in retrospective studies

13/14-23% in prospective studies

58
Q

burn program exercise objectives

A

reduce edema and promote circulation

prevent scar tissue contractures and deformity

prevent deconditioning

preserve muscle strength and joint mobility

maximize lung fxn

promote maximum fxnal independence

Integumentary 1 - Midterm (23 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions