Special Topics Flashcards
Stage 1 pressure ulcer
- Skin is intact
- Non blanchable redness
Stage 2 pressure ulcer
- partial thickness
- Shallow open wound with red/pink wound bed
- No slough present (white/yellow dead tissue)
Stage 3 pressure ulcer
- full thickness skin loss
- Subcutaneous fat may be visible
- Bone, tendon, and muscle are NOT visible
- Slough may be present but able to see depth of injury
- May have undermining and or tunneling
stage 4 pressure injury
- Exposed bone, tendon or muscle
- Presence of slough or eschar
- Often includes tunneling and undermining
unstageable
full thickness skin loss, depth unknown
deep tissue injury
depth unknown
Discolored, intact skin or blood filled blister from pressure or shear
Gait speed interpretation for ambulation status
- ≤ 0.4 m/s = household walker
- 0.4 - 0.8 m/s = limited community ambulator
- 0.8 - 1.2 m/s = community ambulator
- ≥ 1.2 m/s = cross street and normal walking speed
Meningiomas
- Benign tumors that arise from the meninges of the brain or SC
- Grow slowly and reach a large size before affecting function
Gliomas
- Tumors that arises from any of the glial cells of the brain
- astrocytoma, oligodendrocytoma, ependymomas
Grade 1 tumor
- Benign / non cancerous
- Slow growing
- Usually associated with long term survival
- Rare in adults
Grade 2 tumor
- Relatively slow growing
- May spread to nearby healthy tissues
- May be recurring as grade 2 or higher grade tumor
Grade 3 tumor
-Malignant / cancerous
-Actively reproduces abnormal cells
-Spreads to nearby tissues
If removed, they often returns as a higher grade tumor
Grade 4 tumor
- Most malignant
- Fast growing
- Easily spread to normal tissue
- Tumor has the ability to form new blood vessels to maintain rapid growth
- Tumor has areas of dead cells in the center
Signs and symptoms of CNS tumor in brain
- Brain: increased ICP (HA, nausea/vomiting, blurred vision, balance problem, personality changes, sz, drowsiness), impairments based on location
Signs and symptoms of CNS tumor in the SC
- SC: UMN and LMN signs nerve root pain, B&B changes
birth - 3 months
- Alternates kicking legs while on back
- Produces cooing sounds
- Begins to develop smile and imitates facial expression
- 2 months: Able to hold head at 45 degrees in prone
- Begins to hold head in midline and track objects with eyes
- Primitive reflexes are still present
4 - 6 months
- Able to roll to side and able to roll tummy to back (4-5 months)
- Able to roll back to tummy (6 months)
- Bears weight on elbow/ hands while on tummy
- Begins to sit without arms for brief periods
- Begins to imitate sounds
- May begin eating cereal or pureed foods
- Postural reflexes develop
7 - 9 months
- Able to sit independently
- Begins to creep (hands and knees) as primary means of –Pull to stand with arms
- Uncontrolled drop from stand to sit
- Able to drop objects on purpose
- Inferior pincer grasp
- Begins to look at familiar objects when named
- Thumb more active in grasping
- 9 months: Cruises along furniture
10 -12 months
- Lowers self from standing with legs
- Begins to playin squat position
- May take first steps with wide base
- Able to kneel independently
- Begins to use objects appropriately
- Fine pincer grasp
- Finger feeds self
13 -15 months
- Beings to walk
- Can stack two objects
- Begins using spoon
- Scribbles
16 - 19 months
- Walks up steps with HHA and 2 feet to step
- Walks backwards
- Removes clothing
- Drinks from cup unassisted
- Stacks 4 objects
- Can kick stationary ball
- Carries toys while walking
20 -23 months
- Can walk down steps with HHA and 2 feet per step
- Jumps in place
- Shows strong independence
- Imitates domestic tasks
- Stacks 6 objects
2 years old
- Jumps on 2 feet
- Handedness established
- Uses fork
- Follows 2 step commands
- 2 work phrases
3 years old
- Ascends stairs with alternating feet
- Pedals tricycle
- Turns pages of books
- Toilet trained
4 years old
- Hops on one foot
- Descends stairs with alternating feet
- Able to do buttons
- Tells stories
5 years old
- Skips
- Balances on one foot for 10 seconds
- Draw a person
- Tripod pencil grasp
- Independent in all ADLs
Peabody Developmental Motor Scales (PDMS-2)
- norm-referenced and criterion-referenced
- birth (full term) - 7 yo
- Assesses gross and fine motor skills
Gross motor function measure (GMFM)
- Criterion- referenced
- 5 months - 16 years old
- Used to detect change over time in children in CP. Also validated for down syndrome
- Assesses gross motor skills
Bruininks-Oseretsky test of motor proficiency (BOTMP)
- Norm referenced
- 4.5 - 14.5 yo
- Assesses gross and fine motor skills (no cognitive testing)