q Flashcards
The four main fields of health sciences
1) Prevention
2)Treatment
3) Rehabilitation
4) Chronic care
Definition of rehabilitation
Organized Service Provided by the society to the disabled Persons ,
So they could take their Place in the society again
Components of the comprehensive rehabilitation
Medical , vocational , educational , Social Measurements
The active participation of the disabled Person in this process Is essential
MESV
Definition and most frequent types of disability
A condition when the abilities of a person
do not meet the at of the society , and It results in activity limitations and
Participation restrictions .
Types : Vision , monument , hearing , thinking , remembering , learning , Communicating ,
Mental health , social relationship
What are the main differences between acute care and rehabilitation?
What does functional approach mean?
A certain condition can be caused by several reasons
For us the condition is Important not the reason
Eg . Hemiparesis : Stroke, brain trauma , tumor, MS
Teamwork in rehabilitation
Types of rehabilitation depending on their timely implementation
1) Acute - at the active care es . stroke center , traumatology dept . (after trauma)
2) Post acute - Rehabilitation centers
3) Rehabilitation in chronic conditions - Rheumaticlogical diseases for eg .
Criteria of admission to a rehabilitation programme
What is functioning and disability and how can it be influenced?
When is a rehabilitation assessment needed, what are its goals, and who is doing it?
When there is a disability affecting the quality of life of the patient and it’s self care
Thegoal is to incorporate the
Person in the society again , improve Its activity , diminish Its physical limitations or reduce environmental obstacles for him / her
Rehabilitation centers , multidisciplinary team (see above)
Levels of mobility and mobilization
What do we examine during rehabilitation assessment besides body structures?
Methods for measuring muscle strength
- Hand Squeeztest
Pronatordnlt
‘ Group M. resistance to activity - British medical research council 0-5
‘ Mingazzini test
‘ Barré test
‘ stand on the heels /the toes - DTR’s
What is ICF and what do we use it for
International CLASSIFICATION Of functioning
lt is a classification of health-related States
Its a tool for making a portrait of the persons overall state of health
What do we mean by self-care in rehabilitation medicine? What factors are we looking at?
- Eating
- Working
- Showering ( financial care )
- Mobilization
- Family life
- Social activity
- leisure
What do we mean by social participation?
- Family
- Workplace - earning money
- Sexual activities
- learning activities
- Interaction with other people
What kind of factors affect disability?
Dynamic interaction btw health condition of the Patient and both Personal and environmental
factors
( Age , motivation - Personal factors )
What do we mean by quality of life?
Consist of broad concepts that affect global life satisfaction , good health , adequate housing, employment , personal and family safety , interpersonal relationships, education and leisure pursuits .
In relation to health care: the term is applied specifically to those life concerns affected by Illness/health
What are the most common places for pressure ulcers (bedsores, decubitus ulcers)?
Localized areas of damage to the skin and / or soft tissue usually over a bony prominence as a result pressure / of Pressure In Combination With Shear .
Eg: Sacrum , Calcaneus, Ischium.
Lesions are related to Immobility ( bed bound /Chair bound ind.)
Most common consequences of a spinal cord injury
Alternatives for urethral catheterization
- Intermittent catheterization
- Bedside bladder US
- External condom catheters
- supra pubic catheters
Methods of thrombosis prophylaxis
Mechanical methods - Intermittent Pneumatic Compression , Graduated Compression Stockings , Venous foot Pump
Pharmacological therapy
- LMWH / fondapart nux
- Oral agents ( warfarin , DOAC)
What is monoparesis, hemiparesis, paraparesis, tetraparesis/plegia
Mono - One limb Motor Insufficiency
Hemi- One side ( arm and leg)
Motor Insufficiency
Para - Both arms/ legs motor insufficiency
Tetra - All 4 limbs paralysis .
