Quiz 2

Question 1

What are MRADLs?

Answer 1

Mobility related activities of daily living

Question 2

When does a mobility impairment exist?

Answer 2

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

Question 3

Equipment acquisition is based on what?

Answer 3

Client’s level of mobility in his/her home

Question 4

When trying to resolve a mobility impairment with a cane or walker, what are some documentation considerations?

Answer 4

Balance, oxygen saturation, pulse rate, respiratory rate

Question 5

Progression of mobility impairment equipment

Answer 5

Cane/walker, manual WC (standard, light-weight, ultra light-weight), scooter, power WC

Question 6

When trying to resolve a mobility impairment with a manual WC, what are some documenting system, maintain postural stability, home accessibility considerations?

Answer 6

Strength, ROM, time of day, coordination, pain

Question 7

When trying to resolve a mobility impairment with a scooter, what are some document considerations?

Answer 7

Ability to transfer safely, operate steering systems, maintain postural stability, home accessibility, good driving judgement

Question 8

When trying to resolve a mobility impairment with a power wheelchair, what are some document considerations?

Answer 8

Safe judgement, willingness to use, resolves mobility deficit, fits into necessary areas of home

Question 9

A power wheelchair is based on what?

Answer 9

Client’s weight

Question 10

Why would tilt be used in a power WC?

Answer 10

Pressure relief, tone management, edema

Question 11

Why would recline be used in a power WC?

Answer 11

Self-catheterization, pressure distribution

Question 12

What do Medicare clients need to get equipment?

Answer 12

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

Question 13

When one hip sits higher on one side

Answer 13

Obliquity

Question 14

One when side of hips sits more forward than the other

Answer 14

Rotation

Question 15

When the top of the pelvis sits more forward than the lower pelvis

Answer 15

Ant. pelvic tilt (lordosis)

Question 16

In WC seating, what will hip flexion tell you?

Answer 16

The seat to back angle

Question 17

In WC seating, what will knee flexion tell you?

Answer 17

Where to position foot hangers

Question 18

Most common areas for pressure sores?

Answer 18

Sacrum, coccyx, ischial tuberosities

Question 19

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

Answer 19

Basic foam cushion

Question 20

Pros basic foam cushion

Answer 20

Light weight, inexpensive

Question 21

Cons basic foam cushion

Answer 21

Tendency to trap heat near body, life expectancy is 6-12 months on average, absorb liquid

Question 22

Cushion that is good for ischial envelopment, important to make sure it goes into chair correctly

Answer 22

Gel cushion

Question 23

Gel cushion pros

Answer 23

Provide pelvic stability, conduct heat away from body, good shock absorption

Question 24

Gel cushion cons

Answer 24

Moderate upkeep (knead gel daily), heavy

Question 25

Cushion made of multiple cell layers that flex when pressure is applied

Answer 25

Honeycomb

Question 26

Pros of honeycomb cushions

Answer 26

Antifungal and antibacterial, washable, allows air exchange to keep moisture away from body

Question 27

Cons of honeycomb cushions

Answer 27

Some think it is too firm, takes awhile to shape to body

Question 28

Type of cushion with air filled cells that allow excellent envelopment of ischials, pump used to inflate

Answer 28

Rojo cushion (air cushion)

Question 29

Pros of Rojo cushion

Answer 29

most effective “pressure-relieving” cushion

Question 30

Cons of rojo air cushion

Answer 30

High maintenance (need lots of upkeep), easy to over-inflate or under-inflate

Question 31

If there is a pressure ulcer or wound, how often should pressure relief be done?

Answer 31

Every 15 minutes

Question 32

Standard height and width of WC

Answer 32

Height: 19.5”, width: 18”

Question 33

Hemi-height WC height and width

Answer 33

Height 17.5-18”, width: 16-18”

Question 34

Weight of standard WC

Answer 34

35 lbs

Question 35

No one specific source for funding, difficulty in identifying a specific source.

Answer 35

Decentralized system

Question 36

Medicare elgibility

Answer 36

65+, under 65 and disabled under SS for 24 months

Question 37

5 issues for seating positioning

Answer 37

Positioning, balance, pressure management, function, comfort

Question 38

8 cushion factors

Answer 38

weight of cushion, height of cushion, contour/shape, stability vs immersion, cushion materials, cover material, maintenance, cost

Question 39

adaptations to livingenvironments intended to increase usage, safety, security,and independence for the user

Answer 39

Home modifications

Question 40

Home modifications are defined as both a ______ and a ___________

Answer 40

Product, process

Question 41

The __________ is the alteration, adjustment, or addition to thehome environment

Answer 41

Product

Question 42

The ____________ is thecombination of services to deliver the product

Answer 42

Process