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Medicine > Rehab Med - Intro > Flashcards

Rehab Med - Intro Flashcards

1
Q

Process of helping a person reach the fullest physical, psychological, social, vocational, avocational, and educational potential consistent with his or her physiologic or anatomic impairment, environmental limitations and desires and life plans

A

Rehabilitation

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2
Q

Any loss or abnormality of psychological, physiological, or anatomical structure or function

A

Impairment

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3
Q

Any restriction or lack resulting from an impairment of ability to perform an activity in the manner or within the range considered normal for a human being

A

Disability

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4
Q

Disadvantage for an individual resulting from an impairment or a disability that limits or prevents the fulfillment of a role that is normal for that individual

A

Handicap

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5
Q

the nature and extent of fx at the level of the person

A

Activity

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6
Q

The nature and texten of the person’s involvement in life situations in relationship to impairments, activities, health conditions, and contextual factors

A

Participation

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7
Q

Components of rehabilitation

A

Medical rehabilitation
Social rehabilitation
Vocational rehabilitation

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8
Q

Rehabilitation component:
Involves physician, PT, OT
Medical aspect

A

Medical rehabiliation

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9
Q

Rehabilitation component

How to earn money

A

Vocational rehabilitation

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10
Q

Rehabilitation component

Fix the interpersonal relationship

A

Social rehabilitation

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11
Q

Branch of medical science concerned with the comprehensive evaluation and management of patients with impairment and disability arising from neuromuscular, musculoskeletal, cardiovascular and pulmonary disorders

A

Rehabilitation

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12
Q

Team leader

A

Physiatrist

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13
Q

Coordinates the various members to achieve the goal set

A

Physiatrist

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14
Q

Manages the medical aspects and medical complications that arise during rehabilitation

A

Physiatrist

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15
Q

Use of physical agents and gradated exercises for tx

A

Physical therapist

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16
Q

Direct personal care of ptx

A

Rehabilitation nurse

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17
Q

Helps the ptx and significant others to prepare psychologically for full participation

A

Psychologist

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18
Q

Evaluates and treats ptx with neurogenic disorders : aphasia, dysarthia, apraxia, cognitive-communication, impairments, dysphagia

A

Speech and language therapist

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19
Q

Evaluate and train ptx in ADL’s and IADL’s

A

Occupational therapist

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20
Q

Explore vocational and avocational interests

A

Occupational therapist

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21
Q

Assist ptx in functional restoration esp for gross motor fx and ambulation

A

Physical therapist

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22
Q

Evaluates the ptx skill within the community

A

Occupational therapist

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23
Q

Educate the ptx family to maintain independence

A

Occupational therapist

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24
Q

Train use of lower extremity prostheses

A

Physical therapist

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25
Q

Evaluates the patient’s skill within the community

A

Occupational therapist

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26
Q

Train ptx in use of modified environment, assistive devices and UE prosheses

A

Occupational therapist

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27
Q

Train use of LE prostheses

A

Physical therapist

28
Q

Educate tthe patient’s family to maintain independence

A

Occupational therapist

29
Q

Direct personal care of ptx

A

Rehabiliation Nurse

30
Q

Addresses the ADL’s

Assist in medication management

A

Rehabilitation nurse

31
Q

Educate families on related disabilities

A

Rehabilitation nurse

32
Q

Assist in use of adaptive devices

Role goes beyond medication giving, monitoring, and preparation for other activities

A

Rehab nurse

33
Q

Helps the ptx and significant others to prepare psychologically for full participation

A

Psychologist

34
Q

Testing for intelligence, personality, and psychological status

A

Psychologist

35
Q

Counseling

A

Psychologist

36
Q

Trains ptx in bowel hygiene, food, and diet

A

Rehab nurse

37
Q

Observ ptx in performing ADL in the ward

A

Rehab nurse

38
Q

Tsting for intelligence, personality, psychological status

A

Psychologist

39
Q

Evaluates and tx w/ neurogenic disorders

A

Speech and language therapist

40
Q

Educates ptx and families on care of tracheostomy tubes, dysphagia, and alternative communication

A

Speech and language therapist

41
Q

Evaluates, designs, and fabricates orthoses and or prostheses
Follow up and educate users of care and maintenance of such devices

A

Orthodist/ prosthetist

42
Q 
Evaluates the patient’s total living condition including:
Lifestyle
Finances
Employment history
Community resources
A

Social worker

43
Q 
Assess impact of disability with:
Lifestyle
Finances
Employment history
Community resources
A

Social worker

44
Q

What type of work suitable for ptx

A

Vocational counselor

45
Q

Facilitate assitance to cope with such impact

A

Social worker

46
Q

Sports, hiking etc

A

Recreation therapist

47
Q

Design products to alleviate ptx suffering

A

Rehabilitation engineer

48
Q

Functional history includes

A

ADL
Community activities
Vocational activities
functional goals

49
Q

Physiatric approach includes

A

Fx history
Functional examination
Musculoskeletal examination

50
Q

is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity and hypertonia. It is also colloquially referred to as an unusual “tightness”, stiffness, or “pull” of muscles.

A

Spasticity

51
Q

Highly unreliable muscle tone test

A

Modified ashworth scale or spasticity

52
Q

A scale depending upon the responses of each muscle to both high and low speed
After ranging a joint slowly and then quickly

A

Tardieu scale

53
Q

Tests the range of motion

A

Goniometer

54
Q

Activities of Daily Living includes

A

Mobility
Self care
Communication
Environmental Hardware

55
Q

Instrumental Activities of Daily Living includes

A 
Home Management
Community Living Skills
Health Management
Safety Management
Environmental Hardware
56
Q

Important physiatric tool

May help functional weakness

A

Gait analysis

57
Q

Gait analysis divided into 2 major phases

A

Stance phase

Swing phase

58
Q

Covers 40% of gait cycle

A

Swing phase

59
Q

Covers 60% of the gait cycle

A

Stance phase

60
Q

Swing phase involves

A 
Initial swing (acceleration)
Midswing
Terminal swing (deceleration)
61
Q

Stance phase involves

A

Loading response (heel strike)
Midstand (foot flat)
Terminal stance (heel off)
Preswing (toe off)

62
Q

The rate at which a person walk, expressed in steps per minute

A

Cadence

63
Q

Ave. Cadence

A

100-115 steps / min

64
Q

Six determinants of gait

A 
Pelvic rotation in the horizontal plane
Pelvic tilt in frontal plane
Early knee flexion
Weight transfer from heel to foot flat
Late knee flexion (toe off- preswing)
Pelvic lateral displacement
65
Q

Has greater pelvic lateral displacement

A

Female>male

Bigger pelvis and carrying angle

66
Q

Considerations in Rehabilitation

A

Goal setting
Understanding the function of the team members
Autonomy of each member
Understanding the needs of patient

Medicine (29 decks)

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