Quiz 2 Flashcards
What are MRADLs?
Mobility related activities of daily living
When does a mobility impairment exist?
Prevents client from accomplishing an MRADL entirely, places client at risk of morbidity or mortality when attempting to perform an MRADL, prevents client from completing MRADL in a reasonable amount of time
Equipment acquisition is based on what?
Client’s level of mobility in his/her home
When trying to resolve a mobility impairment with a cane or walker, what are some documentation considerations?
Balance, oxygen saturation, pulse rate, respiratory rate
Progression of mobility impairment equipment
Cane/walker, manual WC (standard, light-weight, ultra light-weight), scooter, power WC
When trying to resolve a mobility impairment with a manual WC, what are some documenting system, maintain postural stability, home accessibility considerations?
Strength, ROM, time of day, coordination, pain
When trying to resolve a mobility impairment with a scooter, what are some document considerations?
Ability to transfer safely, operate steering systems, maintain postural stability, home accessibility, good driving judgement
When trying to resolve a mobility impairment with a power wheelchair, what are some document considerations?
Safe judgement, willingness to use, resolves mobility deficit, fits into necessary areas of home
A power wheelchair is based on what?
Client’s weight
Why would tilt be used in a power WC?
Pressure relief, tone management, edema
Why would recline be used in a power WC?
Self-catheterization, pressure distribution
What do Medicare clients need to get equipment?
Face-to-face visit with physician that documents mobility impairment, physician can send to therapist to get detailed evaluation, physician must agree with therapy evaluation, home evaluation
When one hip sits higher on one side
Obliquity
One when side of hips sits more forward than the other
Rotation
When the top of the pelvis sits more forward than the lower pelvis
Ant. pelvic tilt (lordosis)
In WC seating, what will hip flexion tell you?
The seat to back angle
In WC seating, what will knee flexion tell you?
Where to position foot hangers
Most common areas for pressure sores?
Sacrum, coccyx, ischial tuberosities
Type of cushion used for clients at low risk for pressure ulcers, not meant for sitting for long periods of time and ahve ability to weight shift
Basic foam cushion
Pros basic foam cushion
Light weight, inexpensive
Cons basic foam cushion
Tendency to trap heat near body, life expectancy is 6-12 months on average, absorb liquid
Cushion that is good for ischial envelopment, important to make sure it goes into chair correctly
Gel cushion
Gel cushion pros
Provide pelvic stability, conduct heat away from body, good shock absorption
Gel cushion cons
Moderate upkeep (knead gel daily), heavy
Cushion made of multiple cell layers that flex when pressure is applied
Honeycomb
Pros of honeycomb cushions
Antifungal and antibacterial, washable, allows air exchange to keep moisture away from body
Cons of honeycomb cushions
Some think it is too firm, takes awhile to shape to body
Type of cushion with air filled cells that allow excellent envelopment of ischials, pump used to inflate
Rojo cushion (air cushion)
Pros of Rojo cushion
most effective “pressure-relieving” cushion
Cons of rojo air cushion
High maintenance (need lots of upkeep), easy to over-inflate or under-inflate
If there is a pressure ulcer or wound, how often should pressure relief be done?
Every 15 minutes
Standard height and width of WC
Height: 19.5”, width: 18”
Hemi-height WC height and width
Height 17.5-18”, width: 16-18”
Weight of standard WC
35 lbs
No one specific source for funding, difficulty in identifying a specific source.
Decentralized system
Medicare elgibility
65+, under 65 and disabled under SS for 24 months
5 issues for seating positioning
Positioning, balance, pressure management, function, comfort
8 cushion factors
weight of cushion, height of cushion, contour/shape, stability vs immersion, cushion materials, cover material, maintenance, cost
adaptations to livingenvironments intended to increase usage, safety, security,and independence for the user
Home modifications
Home modifications are defined as both a ______ and a ___________
Product, process
The __________ is the alteration, adjustment, or addition to thehome environment
Product
The ____________ is thecombination of services to deliver the product
Process
