Unit 13 Flashcards
CNS
Brain
Spinal Cord
Two parts of Nervous system
Central Nervous System
Peripheral Nervous System
PNS
Nerves from spinal cord to rest of body
3 parts of Brain
Cerebrum
Cerebellum
Brainstem
Cerebrum
Thought process and intelligence
Two sides - right and left
Cerebellum
Regulates movement
Controls balance
Brainstem
Connects brain to spinal cord Controls major body function: Breathing Heart rate Swallowing
Spinal cord
Conducts messages between brain and body
Controls reflexes
Brain and spinal cord protected by
Bones
Cerebrospinal fluid
Meninges
Anatomical nervous system
Sympathetic - fight or flight
Parasympathetic - slows down
Cerebrovascular Accident
Stroke
Blood supply to brain blocked
Ischemic stroke - clot or vessel blockage
Hemorrhagic Stroke - leaking of blood in brain
S&S of CVA
Face drooping
Arms drooping
Slurred speech
Act fast!!
Hemiparesis
Weakness on one side of body
Hemiplegia
Paralysis on one side of body
Expressive aphasia
Inability to express needs
Receptive aphasia
Inability to understand others words
Effects of CVA
One sided neglect Loss of ability to tell where affected parts are Inappropriate emotional responses Loss of bowel or bladder function Dysphagia
Parkinson’s
Progressive lack of dopamine in brain
- tremors
- rigid muscles
- shuffling gain
Multiple Sclerosis
Progressive loss of myelin Diagnosed in young adulthood Unknown cause Varying symptoms No cure
Paraplegia
Paralysis in lower body and legs
Quadriplegia
Paralysis in arms and legs
Rehabilitation
Restore a person to highest level of functioning
What effects rehab:
How soon it begins Pre-existing disease/injuries Overall motivation Facility Staff, fam, friends Rehab team attitude Consistency in care plan
Rehab team
Dr Nursing staff: RN, LPN, CNA Physical therapy Social worker Family Resident
Restorative care
Used to maintain function after rehab
Complications of immobility
Decubitus ulcers
Blood clots: thrombus, embolus
Muscle atrophy
Contractures
Walking aids
Walkers
Canes (goes on strong side)
Crutches
Orthotic devices
Applied externally to limbs to support, protect, improve function
Positioning devices
Back pillows Foot boards Bed cradles Heel protectors Abduction wedges Trochanter hand rolls
Range of motion
Puts joint through full range of motion
- decrease/prevent Contractures
- increase circulation
- improve strength
Active ROM
Done by res alone
Active-assisted ROM
Done by res with help
Passive ROM
Done by staff without res help
Abduction
Move away from body
Adduction
Move toward body
Extension
Straighten limb
Flexion
Bend limb
Dorsiflexion
Pull backwards
Plantarflexion
Push away
Rotation
Rotate limb
Pronation
Palms down
Supination
Palms up
Opposition
Fingers to thumbs
Guidelines for ROM
- Follow care plan carefully
- Not allowed to exercise head or neck
- begin at shoulders and work down
- maintain privacy
- support above and below joint
- stop if painful or meet resistance
- keep good alignment
- exercise both sides
- use communication