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Client Care > Skills Test #1 > Flashcards

Skills Test #1 Flashcards

1
Q

What is a foot drop splint?

A

It is a positioning device used in ortho, surgical or medical usese

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2
Q

What is the purpose of a foot drop splint?

A

To help prevent plantar flexion contractures

To help prevent inversion or eversion

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3
Q

What are some precautions of a foot drop splint?

A

Not to be used when ambulating
Ensure straps are secure but not too tight
Avoid fixed bony contractures

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4
Q

How to clean a foot drop split?

A

Luke warm water and soap

Do not use hot water (warps material)

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5
Q

Application of a foot drop splint?

A

-First preform Passive ROM (dorsiflex/plantarflex foot)

Apply the long strap so it crosses the ankle and does a figure 8 (attach all 3 Velcro dots)

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6
Q

What happenes if the knee is extended while putting on the Foot drop splint?

A

It increases spactitiy, so having knee flexed breakes up the sinergies

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7
Q

Hollister heel boot purpose?

A
  • Removes pressure from the heel
  • Prevents wounds
  • Rotation bar allows for prevention of internal and external rotation
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8
Q

Precautions with the Hollister heel boot?

A
  • Do not walk on

- Use rubber sole plate for transferring

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9
Q

What is the purpose of the toe pad on the Hollister heel boot?

A

To prevent skin breakdown on the toes

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10
Q

What are 3 common IV infusion sites?

A
  • Dorsum of hand
  • Dorsum of foot
  • Scalp
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11
Q

What are some complications with an IV?

A
  • Getting a kink in the line
  • Prolonged position (fluid flow is compromised)
  • Infusion site needs to be kept at heart level
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12
Q

Precautions to be aware of with an IV?

A
  • Keep IV bag above level of heart

- Avoid disruption of the line/tubes

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13
Q

Catherter bag precatutions?

A

Keep drainage bag below the bladder when in bed or W/C

Make sure there is no kinks

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14
Q

What are 3 types of catheters?

A
  • External catheter (Condom)
  • Full catherter (indwelling/inside)
  • Suprapubic catherter
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15
Q

Poesy foot elevator purpose? (round cushion)

A

Fits around the ankle to help raise the heel for pressure relieve

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16
Q

Posey cushioned heel protector purpose?

A

Reduces skin friction

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17
Q

General uses for slider sheets?

A

-Reduce risk factors to the care giver and patient when repositioning
Reduces friction
Repositions client in in bed

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18
Q

Precautions with slider sheets?

A

-Patient may be too heavy and a lift may be needed

19
Q

Slider tube and how to use?

A

Get client to bridge and pull slider tube up and under the client with black tags up and as high on back as possible
Tuck arms and chin in and push with heels up the bed

20
Q

What does a slider tube do?

A

Promotes independence

Help patient maintain strength

21
Q

One way chair slide with foot loop use?

A

-To reduce the need for frequent repositioning in bed or chair

22
Q

Precautions with the chair slide with foot loop?

A

Only use for 3 hours at a time to maintain skin integrity

23
Q

How can someone override the chair slide with foot loop system?

A
  • If the client is heavy the system may fail

- If improperly placed in chair system will not work

24
Q

How does the foot loop system work?

A

The fibers in the strips run the opposite way to prevent sliding

25
Q

What is a transfrer disk used for?

A

To transfer a person from one position to another by rotating/pivoting with one person assist
-Used for people with parkinsons

26
Q

How to use the transfer disk?

A
  • Patient feet in middle of the disk

- Place your hand on their hips and theirs on yours and turn together

27
Q

Foam cushion (blue foam)

A
  • Comes in a rang of densities

- Provides support and spreads pressure

28
Q

Foam cushions positives?

A
  • Relatively inexpensive
  • Can be cut to make adjustments
  • Sprayed with protective surface to prevent moisture from getting in
29
Q

Foam cushion negatives?

A
  • Foam wears out faster
  • loses shape
  • With wear it cracks and moisture can get in
30
Q

Thermoplastics (honeycomb cushion)

A

-Has the ability to return to its original shape, the honeycomb is flexible and stable structures

31
Q

thermoplastics positives?

A
  • Distribute weight over wide area
  • Honeycomb cells promote air circulation
  • Evaporated moisture
  • Easy to wash
  • antibacterial/fungal prosperities
32
Q

Thermoplastics negatives?

A
  • Significantly more expensive then foam

- Not a variety of density

33
Q

Gel cushion (jay care cushion)

A

-Gel fluid pouches attached to a foam base so it conforms to the pressure placed on it

34
Q

Gel cushion positives?

A
  • Provide exhalant pressure distribution

- Very comfortable

35
Q

Gel cushions negative?

A
  • Very heavy
  • Gel can “bottom out” if gel is pushed aside
  • Gel needs to be kneaded once a day
  • The gel can leak
36
Q

Geo matrix hybrid deep cushion

A

for clients who need superior pressure redistribution

The cushion is designed for patients with existing skin issues

37
Q

Geo matrix positives?

A
  • Superior pressure redistribution
  • Postural control
  • Incontinent proof cover with air circulating properties
38
Q

Geo matrix negatives?

A
  • Quite firm so not sutible for stage 3 and 4 wounds
  • Less shock absorbency
  • Heavy
39
Q

Air cushions (roho)

A

Supports entire body on air and will not bottom out if inflated properly

40
Q

Roho positives?

A
  • Lightweight
  • waterproof
  • Minimizes pressure on bony protrusions
41
Q

ROHO negatives?

A
  • Less stable for people with SCI’s/who move around in their chair a lot
  • Air cells can get punctured
  • Pressure checks frequently
  • Hard to clean
42
Q

Foam and air cushion (verilite)

A

3 layer of foam for support, and air valves for pressure management
No air pumps needed

43
Q

Verilite positives?

A
  • Levels of foam provides support
  • The foam takes the load while the air distributes pressure
  • Easy to use (no pumps)
44
Q

Verilite negatives?

A
  • Patient must be cognitive enough to work valves
  • if adjusted incorrectly pressure sores can occur
  • Problems with the valve

Client Care (2 decks)

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