teaching function

Question 1

a patient with a complete injury…

Answer 1

will not be able to strengthen or regain motor function

will need to learn compensation

Question 2

physiologic changes to the skin in patients T8 and above

Answer 2

thinning of epithelial layer
changes to collagen
hyperhidrosis

Question 3

tetraplegia rule of thumb wheel chair

Answer 3

C6 and above need power chair

C7-T1 may be able to propel manual chair with increased energy expenditure

Question 4

factors limiting tolerance to activity

Answer 4

upright tolerance (BP)
respiratory status
endurance
pain

Question 5

if a patient has already progressed passed the upright stage but then starts to have difficulty with it, what is the probable cause

Answer 5

infection or other health changes

Question 6

respiratory function C6-7

Answer 6

intact diaphragm but limited intercostal musculature

potential for pneumonia

Question 7

bladder will not empty with voluntary control;
does not empty
empties too often

Answer 7

neurogenic bladder
hyporeflexive
hyperreflexive

Question 8

bowel will not empty with volitional control

Answer 8

neurogenic bowel

Question 9

psychogenicc erection

Answer 9

T10-L2

Question 10

refexic erection

Answer 10

S2-S4

Question 11

primary focus in SCI early rehab

Answer 11

prevention of secondary complications
tolerance to upright position so the patient is ready to begin the rehab phase
education

Question 12

postural hypotension presentation

Answer 12

lightheadedness
low blood pressure
may yawn
may pass out

Question 13

postural hypotension management

Answer 13

ace wrap LE
binder
ted hose
reclining w/c
meds

Question 14

heterotrophic ossification presentation

Answer 14

sudden limitation of ROM
most commonly over hips, knees, shoulders, elbows
may be warm over the joint

Question 15

heterotrophic ossification management

Answer 15

early detection (meds)
ROM per doc orders (no aggressive ROM)

Question 16

DVT presentation

Answer 16

swollen calf of LE
warm to the touch
may be painful if the patient has sensation
HO and DVT may mimic eachother

Question 17

DVT management

Answer 17

IVC filter
sequential compression device
meds
spasticity
mobility

Question 18

hypo/hyperthermia

Answer 18

body is unable to regulate temp

Question 19

hypo/hyperthermia management

Answer 19

education
use of proper clothing, dress for the weather
avoid temperature extremes

Question 20

presentation of spasticity

Answer 20

hypertonicity of extremities denervated distal to the lesion (present with all UMN lesions)

Question 21

presentation of syringomyelia

Answer 21

a progression of weakness proximal to the level of injury
problimatic for cervical pts
be alert to change in level of function

Question 22

the only correction for a fixed deformity

Answer 22

surgical correction