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Rehabilitation > q > Flashcards

q Flashcards

1
Q

The four main fields of health sciences

A

1) Prevention
2)Treatment
3) Rehabilitation
4) Chronic care

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2
Q

Definition of rehabilitation

A

Organized Service Provided by the society to the disabled Persons ,
So they could take their Place in the society again

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3
Q

Components of the comprehensive rehabilitation

A

Medical , vocational , educational , Social Measurements
The active participation of the disabled Person in this process Is essential

MESV

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4
Q

Definition and most frequent types of disability

A

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

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5
Q

What are the main differences between acute care and rehabilitation?

A
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6
Q

What does functional approach mean?

A

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

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7
Q

Teamwork in rehabilitation

A
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8
Q

Types of rehabilitation depending on their timely implementation

A

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 .

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9
Q

Criteria of admission to a rehabilitation programme

A
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10
Q

What is functioning and disability and how can it be influenced?

A
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11
Q

When is a rehabilitation assessment needed, what are its goals, and who is doing it?

A

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)

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12
Q

Levels of mobility and mobilization

A
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13
Q

What do we examine during rehabilitation assessment besides body structures?

A
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14
Q

Methods for measuring muscle strength

A
  • 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
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15
Q

What is ICF and what do we use it for

A

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

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16
Q

What do we mean by self-care in rehabilitation medicine? What factors are we looking at?

A
  • Eating
  • Working
  • Showering ( financial care )
  • Mobilization
  • Family life
  • Social activity
  • leisure
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17
Q

What do we mean by social participation?

A
  • Family
  • Workplace - earning money
  • Sexual activities
  • learning activities
  • Interaction with other people
18
Q

What kind of factors affect disability?

A

Dynamic interaction btw health condition of the Patient and both Personal and environmental
factors
( Age , motivation - Personal factors )

19
Q

What do we mean by quality of life?

A

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

20
Q

What are the most common places for pressure ulcers (bedsores, decubitus ulcers)?

A

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.)

21
Q

Most common consequences of a spinal cord injury

A
22
Q

Alternatives for urethral catheterization

A
  • Intermittent catheterization
  • Bedside bladder US
  • External condom catheters
  • supra pubic catheters
23
Q

Methods of thrombosis prophylaxis

A

Mechanical methods - Intermittent Pneumatic Compression , Graduated Compression Stockings , Venous foot Pump

Pharmacological therapy
- LMWH / fondapart nux
- Oral agents ( warfarin , DOAC)

24
Q

What is monoparesis, hemiparesis, paraparesis, tetraparesis/plegia

A

Mono - One limb Motor Insufficiency

Hemi- One side ( arm and leg)
Motor Insufficiency

Para - Both arms/ legs motor insufficiency

Tetra - All 4 limbs paralysis .

25
Q

What are the differences between a standard and an active wheelchair?

A
  • Active Wheelchair Is designed to be an extension of the body ( for good upper body a trunk strength)
  • It Is also lighter than the St. Manual Wheelchair
  • Setup to allow an energy efficient drive - Can go further and faster
26
Q

Most common causes of spinal cord injury?

A

48% Motor vehicle accidents 14% Other causes
16% falls
12% Violence
10% Sport accidents

27
Q

What is occupational therapy (ergotherapy)?

A

Focuses on fine motor skill activities to develop , recover / maintain meaningful activities

In ppl with mental health Problems , disabilities , Injuries / Impairment .

28
Q

What are orthoses? What are their characteristics?

A
  • Correction, fixing , supporting , offloading , limiting range of motion , repairing / Improving function of remaining
    body part.
  • Application is temporary / Permanent
  • Traditional substances : steel , aluminum , tether , Wood
  • UP to date substances : Special metal alloys , carbon , fiberglass , etc. -
29
Q

What are prostheses? What are their characteristics?

A
  • Amputated limbs or other body Parts replacement devices
    LL: Standing, Walking
    VL : manipulation tactile (requirements are less met by the prosthesis)
  • Modern raw materials ( lightweight metals , Silicon , heat stable materials , hydraulic joints)
  • consists of a socket and prefabricated component
  • Low dynamics V5 . high dynamics
30
Q

What are the different types of rehabilitation services? (medical rehab)

A
  • Basic rehabilitation (Neurological , rheumatology, Orthopedic)
  • Traumatic brain injury + a spinal cord
    (Neuromusculoskeletal rehabilitation
  • Putmonological rehabilitation
  • Cardiac rehabilitation
  • Children rehabilitation
31
Q

What characterizes proper rehabilitation care and what conditions are necessary for it?

A
  • Rehabilitation center with Proper facilities
  • Trained and professional rehabilitation team
  • Cooperating patient
  • Family support
  • Targeted rehabilitation Plan
  • Proper follow up
32
Q

Consequences of stroke

A
33
Q

Why do we have to rehabilitate someone after stroke?

A

1) Helping the spontaneous recovery
2)Adaptation to disability (Physical , Psychological , social)
3) Reach the Max . possible Independence
4) Prevent 2nd complications
5) Improve quality of life

34
Q

What are secondary complications, and how do we prevent them?

A
  • Contractures
  • Pressure ulcers
  • Infections
35
Q

Team members involved in stroke rehabilitation and their task

A

Patient
Doctor
Orthopedic technician
Nurse
Psychologist
Caring family member
Physiotherapist + assistant Speech therapist
Ergotherapist
Rhythm therapist
Conductor
Social Worker

36
Q

What are the characteristics of an arthrosis, and what kind of functional limitations do they
cause?

A

Degeneration , degradation and destruction of articular cartilage , accompanied by an inflammatory and reparative
process (osteophyte formation, Subchondral bone Sclerosis)

Causing : Painful joint stiffness , local inflammation , dysfunction range of motion of joint decreased, joint instability , difficulty moving )

standing ability decreased , walking speed and distance decreased , dexterity deteriorates , sleep disorder (night pain )

37
Q

What is the importance and the task of rehabilitation in arthrosis?

A
38
Q

What is mono-, poly- and multitrauma? What are their rehabilitation needs?

A
39
Q

Musculoskeletal complications in a polytraumatized patient

A
40
Q

How is the rehabilitation of a total hip arthroplasty and a fractured hip different?

A

Rehabilitation principles are similar but!
In total hip replacement we have the opportunity to
carry out “ Pre hab “

PT guided exercise before the hip replacement - for pain and functional outcomes

Rehabilitation (1 decks)

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