Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Neuro D&M 2 > SCI Treatment Considerations: Part 3 WC Considerations > Flashcards

SCI Treatment Considerations: Part 3 WC Considerations Flashcards

1
Q

When considering what WC to prescribe to your patient, think “more ___, more problems”.

A

parts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The primary goal of wheelchair prescription is finding the combination of parts that produces the ____ wheelchair.

A

lightest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What material does a K5 Ultra-Lightweight Manual WC use for its frame?

A

titanium or carbon fiber

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The 3 types of frames that can be used for a manual WC

A

box, cantilever, and folding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Considerations for an air cushion

A

HIGHEST LEVEL OF PROTECTION FOR SKIN,
MOST UNSTABLE (disruptive to posture)
-comes in low, mid, & high grade
-HIGH MAINTANENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Considerations for an gel cushion

A

-LESS PROTECTIVE OF SKIN, more protective than foam
-LESS MAINTANENCE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Considerations for an hybrid cushion

A

-Combo of air OR gel + foam
-MORE STABILITY FOR POSTERIOR THIGHS
-Good Option For: patients who NEED air but STRUGGLE w/ POSTURAL implications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

If patient has skin breakdown or any PMHx of skin breakdown, which cushion would you choose?

A

air

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

T/F: Back support should be at level of SCI.

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

___ support allows for more freedom of trunk movements and is an option for backrest depth.

A

lateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

__ support offers much more lateral support and is an option for backrest depth, but it’s much more restrictive w/ respect to trunk movements.

A

deep.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

___ extends just below inf. angle of scapula. It may restrict scapular movements.

A

Mid back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

___ allows for full upper trunk movement and won’t get in way of propulsion. However, it’s the least supportive backrest.

A

Low back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

___ backrests restrict scapular and shoulder motion, but is the most supportive.

A

High back

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which arm rest is the easiest to operate, but cannot have trough or table att.?

A

swing-away
flip-back needs fine motor use, but can have trough/table att. to it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

This type of foot/leg rest is the pts who will walk/stand again.

A

swing-away
rigid for non-ambulatory

17
Q

T/F: Casters are good options for patients who will frequently navigate outdoors through rough terrain.

A

True

18
Q

Type of wheel that are lighter w/ a smoother ride, but they can pop & require more maintanence

A

air wheels

19
Q

Wheels that are heavier but require less maintenance

A

rubber

20
Q

What allows for easier propulsion, even for a weaker grip, but can make the chair wider & hard to navigate tight spaces.

A

push-rims

21
Q

What can aid pts in standing up but insurance usually will not pay for them

A

power stand-up MWCs

22
Q

What is the primary consideration for choosing a PWC drive system?

A

Maneuverability: 360-degr. turning circumference and turning radius

23
Q

Driving system w/ a larger turning radius than mid-wheel but excellent at navigating tight corners. They are esp. helpful with navigating rough terrain.

A

Front wheel drive

24
Q

Driving system w/ largest turning circumference and turning radius, however this is the fastest & most stable chair.

A

Rear wheel drive

25
Q

Driving system that is most maneuverable that is excellent indoors esp. on slopes, but not so excellent outdoors.

A

Mid wheel drive

26
Q

T/F: Chin and Tongue control can be very fatiguing and make speech difficult. Pts also require some type of neck ctrl to use these.

A

True

27
Q

What kind of ctrl is a good option for patients with no neck control (upper C-level SCI)?
Hint: patients cannot have any resp. issues to use this.

A

Sip and Puff
maybe head array

28
Q

Patients w/ an SCI at this level(s) use a PWC w/ head array, chin, tongue, or sip/puff control. They may have a portable resp. machine attached as well.

A

High cervical (C1-C4)

29
Q

Patients w/ an SCI at this level(s) can use a MWC w/ propulsion aids, but likely need a PWC for distance & energy conservation. They also will use a sip/puff, chin, tongue, or football post control.

A

C5

30
Q

Patients w/ an SCI at this level(s) may need a PWC for longer distances, but consider a MWC w/ friction surface hand rims. They can progress to independent navigation on smooth surfaces.

A

C6

31
Q

Patients w/ an SCI at this level(s) use a MWC w/ friction surface hand rims, but increased propulsion ability.

A

C7

32
Q

Patients w/ an SCI at this level(s) use a MWC w/ standard hand rims.

A

C8 and below

Neuro D&M 2 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions