treatment suggestions based of Ranchos

Question 1

what are 3 strategies for levels 1-3?

Answer 1

positioning/splinting
stimulation
ROM

Question 2

as a pt is placed on a positioning program, the PT should

Answer 2

describe environment and treatment to the patient as if he/she can hear every word you say.

Question 3

if patient demonstrates no generalized or local response to stimuli then how should pt measure tolerance?

Answer 3

assessment of vital signs-BP, HR, RR, etc.

Question 4

what are ways of stimulation?

Answer 4

pain ( sternal rub )
olfactory ( ammonia )
visual ( light )

Question 5

true or false

use the same stimulation repeatedly

Answer 5

False

vary the activities

Question 6

why is ROM important?

Answer 6

essential component of the treatment program, to maintain joint and muscle integrity, prevent skin breakdown, as well as to hopefully further elicit a response or state of alertness.

Question 7

Explain strategy 1 for level IV and V pts

Answer 7

(Higher level IV and V) Question the pt about their status regarding treatment, for example ask the WB status, steps the pt. must take to transfer, or use of an AD. The pt is max assist but is demonstrating understanding of steps of activity.

Question 8

Explain strategy 2 for lower level IV pts

Answer 8

Personal questionnaire that should be filled out by significant other, family, or close friends. Incorporate these questions while pt is participating in treatment.
Example: Questionnaire includes pet names, family names, previous occupation, etc. Implementation: While attempting ambulation question pt from the questionnaire

Question 9

Explain strategy 3 for higher level V ts

Answer 9

Activity log detailing the daily events to include treatments of all disciplines.

Question 10

level VI can be challenged in?

Answer 10

memory
problem solving
simple to complex tasks
other ideas (safety awareness)

Question 11

Level VII can be chanllaned in?

Answer 11

Gait
Balance
ADLs
Memory
Problem Solving
Simple to complex functional task

Question 12

Level VIII: what 2 things should increase and 1 thing that decreases

Answer 12

Increase independent attention to > 1 hr. with familiar tasks.

Increase independence with non-familiar activities – encourage self-decision making with
decreased assistance.

Decreased self-centered attitudes, irritability, argumentative tendency, communication skills,
and improper independence.

Question 13

what are 3 strategies for levels IX and X?

Answer 13

1. At the beginning of treatment, tell the patient what activities he will be doing that session— have the patient try to remember those activities during the treatment prior to performing them.
2. Have the patient talk through a common household task as he is performing it; i.e., making up a bed, washing clothes, etc.
3. Give the patient a complex task that he knows he will have problems with