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CP3 MDD > Rehabilitation > Flashcards

Rehabilitation Flashcards

1
Q

Capacity

A

Persons fullest potential

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2
Q

Performance

A

Level currently at

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3
Q

Impairment

A

When body function is reduced

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4
Q

REPAIR - what that is stand for

A 
R - Review of pathology and impairment 
E - Environment 
P - Participation 
A - Activity 
I - Important others 
R - Risk
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5
Q

What are Orthosis?

A

Externally applied device used to control motion of body segment

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6
Q

What is the cause for the majority of lower-limb amputation?

A

Dysvascularity (73%)

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7
Q

Transfemoral amputation

A

Above knee

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8
Q

Transtibial amputation

A

Below knee

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9
Q

What is Stump pain?

A

Pain in residual portion of knee

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10
Q

When does Stump pain resolve?

A

When wound heals

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11
Q

What is Phantom pain?

A

Painful sensation of missing limb

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12
Q

How common is Phantom pain?

A

55-85%

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13
Q

When does phantom pain develop?

A

Few days after amputation

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14
Q

How to prevent phantom pain?

A

Epidural

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15
Q

What does the suitability for prosthesis depend on?

A

Cognitive ability
Motivation
Expectations/goals
Strength

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16
Q

What must the patient do when they have received prosthesis

A

Have extensive physiotherapy

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17
Q

Complications prosthesis (5)

A 
P sores 
Skin rashes
Allergies 
Neuroma
Contralateral joint issues
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18
Q

What is the ASAI

A

Disability scale used to determine if a spinal cord injury is complete or incomplete

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19
Q

Complete SC injury (ASAI)

A

No motor or sensory fct below injury Level

Bulbocavernous reflex present

20
Q

Incomplete SC injury (ASAI)

A

Some preserved fct below injury level

21
Q

Which myotome/dermatome preservation indicates an incomplete spinal cord injury?

22
Q

What is the Barthel Index?

A

Disability scale used to assess performance in 10 ADLs

23
Q

Reflex bladder - where in the injury

24
Q

Features reflex bladder

A

Autonomic control present
No voluntary control
Contracts when @ cert fullness

25
Q

Mx Reflex bladder

A

Regular tapping
Or
Int catheter

26
Q

Flaccid bladder -where is injury?

27
Q

Features flaccid bladder

A

No tone

Overflow incontinence

28
Q

Mx flaccid bladder

A

Int catheter

29
Q

Reflex bowel - where is the injury?

30
Q

Features Reflex bowel

A

Rectal fullness feeling lost
Reflex bowel movements
Hence empties whenever it feels like it

31
Q

Areflexic bowel - where is injury?

32
Q

Features areflexic bowel

A

Defacation reflex + anal sphincter contraction lost

33
Q

Mx neurogenic bowel (3)

A

Stimulants
Encourage fl + high fibre diet
Routine defecation by triggers

34
Q

Who gets autonomic dysreflexia?

A

SC injury T6 and above

35
Q

PS - pt w/ autonomic dysreflexia (6)

A 
Pounding headache 
Blotching of skin above
Cold skin below 
Sweating 
HTN (200/100) 
Decr HR
36
Q

What precipitates autonomic dysreflexia?

A

Full bladder/bowel
Skin irritation
Sexual activity
Minor trauma

37
Q

Pressure ulcer - grade 1

A

Non-blanching erythema

38
Q

Pressure ulcer - grade 2

A

Partial thickness skin loss

Confined to dermis

39
Q

Pressure ulcer - grade 3

A

Full thickness skin loss
Damage to SC fat
Doesn’t extend into underlying fascia

40
Q

Pressure ulcer - grade 4

A

Full thickness

Extends into bone.tendon/mm

41
Q

Intrinsic RF pressure ulcers (5)

A 
Sensory impairment 
Vascular disease 
Malnutrition 
Immobility 
Co-morbidities
42
Q

Extrinsic RF pressure ulcers (3)

A

Pressure
Friction
Shear

43
Q

Exacerbating factors pressure ulcers

A

Skin moisture/incontinence

44
Q

Mx P ulcers

A 
SSKIN bundle
Surface
Skin inspection
Keep moving 
Incontinence/moisture 
Nutrition
45
Q

TBI classification - mild brain injury

A

GCS 13-14
or
LOC <15 min

46
Q

TBI classification mod brain injury

A

GCS 8-12
or
LOC <6hr

47
Q

TBI classification severe brain injury

A

GCS <8h
or
LOC >6hr

CP3 MDD (13 decks)

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