Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

bmsc prosthetics > Unit 2: Rehabilitation > Flashcards

Unit 2: Rehabilitation Flashcards

1
Q

Identify key aspects of pre-op management

A

Pre-op counselling
Assessment of haematological state
Assessment of electrochemical balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What analgesia is used post-op

A

Opiates for at least 24hrs
If due to vascular problems: opiate for 24-48hrs followed by dihydrocodeine or paracetamol + codeine
If due to trauma or neoplasm: may continue opiates for much longer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What antibiotic prophylaxis is often used post-op to avoid ischaemic gangrene

A

Penicillin or metronidazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is phantom phenomena

A

The feeling that an amputated limb is still present (if pain is experienced: phantom pain)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What may be the causes of phantom phenomena

A

Terminal neuroma
Psychological factors
Abnormal reflexes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How is phantom phenomena managed

A

Reassurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How is phantom pain managed

A

Analgesia
TENS
Antidepressants
Counselling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are 4 methods of stump wound dressings

A

Soft dressing: gauze, soft crepe
Elastoplast: popular for transfemoral
Rigid dressing: popular for knee disarticulation and more distal sites of amputation
Elastic socks: can be used on top of gauze dressings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Identify some roles of nursing in amputation care

A 
Day-to-day patient care
Attending pressure areas
Teaching patient how to care for stump
Maintaining good patient nutrition
Ensuring good care of the remaining foot
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Who are the members of the rehabilitation team

A 
Rehab medical specialist
Nurses
Physio
OT
Prosthetist
Social worker
Chiropodist
GP/community service
Outside groups
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is a case conference

A

A meeting between the rehab team members + patient to set definite treatment goals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are some of the physical assessments performed by the physio

A 
Muscle strength and joint range
Sensation
Proprioception and balance
General condition of the contralateral limb
Vision and hearing
Exercise tolerance
Levels of stump pain/phantom phenomena
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What position does a trans-tibial amputee tend to adopt

A

Flexed knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What position does a trans-femoral amputee tend to adopt

A

Flexed abducted hip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When is an early walking aid prescribed

A

Eight days post-op

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What EWA is used for trans-tibial amputees

A

Pneumatic Post Amputation Mobility Aid (PPAM Aid)

17
Q

What EWA is used for trans-femoral amputees

A

The LIC Femurett

18
Q

What are benefits is using an EWA

A

Quick and easy device for early mobilisation
Commences gait re-education from an early stage
Re-educates balance response from an early stage
Gives objective measurement of the patient’s ability to use a prosthesis

19
Q

When is the decision made by the MDT on whether or not to cast the patient for a prosthesis

A

Day 14 for transfemoral

Day 21 for transtibial

20
Q

When are patients typically discharged following amputation

A

6 weeks post-amputation

21
Q

When is a discharge review typically performed by a physio

A

6 weeks post-discharge

22
Q

What are the 5 main roles of the OT in amputation management

A 
Wheelchair assessment and training
ADL
Graded activity
Environment constraints and requirements
Community liaison and follow up
23
Q

What is the difference in toilet seating position for unilateral and bilateral amputees

A

Unilateral: sits with back to cistern
Bilateral: sits facing the cistern

24
Q

Give examples of graded activity that may be prescribed by an OT

A

Woodwork
Gardening
Kitchen activities
Darts and snooker

25
Q

What elements of a home may be assessed in a domiciliary visit

A 
External access
Steps (indoors and outdoors)
Width of doors
Floor coverings
Height of furniture 
General house layout
House ownership
26
Q

When is it recommended that OT follow-up should be performed

A

21 days and 3 months after discharge

27
Q

What prosthesis is typically used for trans-tibial amputees

A

Patella tendon bearing

28
Q

What prosthesis is typically used for trans-femoral amputees

A

Prosthetic knee unit

29
Q

How may a young and an elderly use a prosthetic knee unit differently

A

Young: unlocked
Elderly: locked

30
Q

When is a prosthesis typically fitted

A

As early as 25 days post-op

31
Q

Give some examples of prehensile devices used in upper limb prostheses

A

Hook
Hands
Terminal devices

32
Q

How are myoelectric devices controlled

A

Electrodes are placed on the skin over muscle bulk: electrical impulses from muscle contraction trigger opening/closing of the prehensile device

bmsc prosthetics (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions