Review four- MOBILITY Flashcards
crutches can cause __ if used incorrectly
nerve damage
how to measure crutches
2-3in below axillary fold to a few inch in front of or lateral to the foot
when properly place crutches elbow flexion is __ degrees
30 degrees
2pt gait
move crutch and opposite foot together
3pt gait
move 2 crutches and bad leg together
4pt gait
move everything sep; 1 crutch, opp leg, other crutch other leg
swing through is
non weight baring ex:amputation
even number gaits should be used when
even number of legs are messed up; weakness evenly distributed
odd number gait (3) when weakness is
odd; one bad leg
2pt is for ___ weakness
mild
4pt is for ___ weakness
severe
Gait for early RA
2pt
stairs w crutches
up w the good down w the bad
upstairs
lead w good foot, then crutch
downstairs
bad leg, then crutch
canes should be held on
strong side
walkers
pick up, set down, walk to; slow
neurotic pts are
nonpsychotic in touch w reality
psychotic pts dont think they are
sick
Delusion is
false, fixed idea or belief; no sensory components
paranoid delusion
out to get you
grandeous delusion
thinking youre superior; God
somatic delusion
false belief about body; super powers, worms in skin
Hallucinations are
false, fixed sensory experience; 5 senses
auditory hallucination
hearing things
there are __ types of delusions
3
there are __ types of hallucinations
5
gustatory hallucinations
taste
olfactory hallucinations
smell
visual hallucinations
seeing things
tactile hallucinations
feeling things
illusions are
the misinterpretation of reality; sensory experience; referent in reality
illusions are interpreted from
reality; ex- hears nurses talking but thinks they are hearing demons
delusions, hallucinations, and illusions make a patient
psychotic
3 types of psychosis
functional
dementia
dellerium
functional psychosis
can function in everyday life but psychotic
psychosis of dementia
brain damage
dellerium
temporary, sudden, dramatic loss of reality; chem imbal
4 steps to bring a functional psychotic to reality
- acknowledge feelings “you seem upset”
- present reality “i know this is real to you, but “
- set a limit”__ is off limits in our conversations”
- enforce limits (not punishments) “i see you are too ill to stay reality based, so our convo is over”
How to deal w dementia
- acknowledge their feelings
2. redirect/orient to reality; person, place, time
dellerium is acute and
secondary;temporary
ex: psychotic due to med reaction, high on uppers, downer withdrawl, postop psychosis, utis
dellerium tx
remove underlying cause
- acknowledge feelings
- reassure its temporary/safety
personality disorders ABN
antisocial, borderline, narcassistic
set limits
loosening of association
- flight of ideas
- word salad
- neologism; making up words
neologism is
making up words