Skill Checks/Indications & Contraindications

Question 1

Contracture Risks

Answer 1

Shortening or tightening of the skin, muscle, fascia, or joint. Examples: Joints, Paralysis, Surgeries. Move patient position every 2 hours.

Question 2

Pressure Ulcer Risks

Answer 2

Decreased Sensory Awareness, Decreased Skin Integrity, Poor Nutrition, Poor Circulation, Minimal Soft-Tissue Over Bony Prominences

Question 3

Bony Prominences Supine

Answer 3

Occipital Tuberosity, Spine of Scapula, Inferior Angle, Spinous Processes, Posterior Iliac Crest, Sacrum, Medial Epicondyles, Posterior Calcaneus (External Hip Rotation -Greater Trochanter, Fibula Head, Lateral Malleolus)

Question 4

Bony Prominences Prone

Answer 4

Forehead, Lateral Ear, Acromion Process, Sternum, ASIS, Head of Humerus, Patella, Ridge of Tibia, Dorsum of Foot

Question 5

Bony Prominences Side-Lying

Answer 5

Lateral Ear, Lateral Ribs, Lateral Acromion Process, Lateral Head of Humerus, Medial or Lateral Epicondyles, Greater Trochanter, Medial and Lateral Condyles of the Femur, Medial and Lateral Malleoli

Question 6

Bony Prominences Sitting

Answer 6

Ischial Tuberosities, Scapular and Vertebral Spinous Processes, Medial Epicondyles

Question 7

Transfers

Answer 7

Always transfer towards strong side (leg). Stable strong side (your leg between theirs) Stable weak side (your leg outside theirs).

Question 8

PROM Indications

Answer 8

Patient unable to perform any active exercise, counteract negative aspects of immobilization, evaluate joint range and flexibility, provide sensory stimulation and awareness, reduce stress on cardiovascular system.

Question 9

PROM Contraindications

Answer 9

Passive movement increases the patient’s condition and symptoms, person is capable of and would benefit from active exercise.