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Geriatrics Eval > Week 10 > Flashcards

Week 10 Flashcards

1
Q

the deepest muscle layer

A

the pelvic diaphragm

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2
Q

name the 6 core functions of the pelvic diaphragm.

A
  • core-distal connectivity
  • posture
  • balance
  • spinal stability
  • shock absorption
  • continence
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3
Q

name 7 functions of the pelvic floor.

A
  • supports organs - vagina, bladder, rectum, and intestines
  • maintain continence
  • allow elimination
  • stabilize and support joints of hips and pelvis
  • sexuality
  • birthing
  • breathing
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4
Q

name 14 common causes of pelvic floor dysfunction.

A
  • stress and tension
  • childbirth injuries
  • hormonal fluctuations
  • couch potato syndrome
  • surgeries
  • obesity
  • trauma due to accidents, fractures of hips or pelvis, sexual abuse
  • excessive exercise, esp. abdominal crunches
  • neuro conditions
  • pain - low back pain
  • musculoskeletal dysfunction
  • pudendal neuralgia
  • tension myalgia of pelvic floor
  • sexual/emotional abuse
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5
Q

you need both ___ and ___ of the pelvic floor for functional strength.

A

contraction, relaxation

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6
Q

you need both contraction and relaxation of the pelvic floor for ___ ___.

A

functional strength

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7
Q

less active so overall muscle tone and strength decrease

A

couch potato syndrome

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8
Q

infection and inflammation in pelvic cavity

A

pelvic inflammatory disease

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9
Q

chronic vulvar discomfort - burning, irritation, pain with penetration

A

vulvodynia

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10
Q

inability to penetrate the vaginal opening due to spasms

A

vaginismus

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11
Q

painful intercourse

A

dyspareunia

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12
Q

descent of the vaginal wall, uterus, rectal organs

A

prolapse

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13
Q

tissue similar to uterine tissue is found outside the uterus - ovaries/fallopian tubes, bladder, bowel, intestines, colon, appendix, and rectum

A

endometrioses

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14
Q

also known as abdominal separation, happens when rectus abdominus pull apart from their attachment, the linea alba

A

diastasis recti

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15
Q

inflammation of the prostate gland

A

prostatitis

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16
Q

acute infection - fever, chills, pain in lower back and genital area, painful urination

A

acute bacterial prostatitis

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17
Q

recurrent infection - may be caused by incomplete urinary evacuation

A

chronic bacterial prostatitis

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18
Q

typically, due to myofascial pain syndrome or nerve inflammation - 3 months or more of pain in pelvic region

A

chronic nonbacterial prostatitis/chronic pelvic pain syndrome (CPPS)

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19
Q

no genitourinary symptoms, but higher levels of white blood cells

A

asymptomatic inflammatory prostatitis

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20
Q

what percent of men over age 70 have erectile dysfunction?

A

70%

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21
Q

urethral pain, burning, and sensitivity during urination

A

urethral syndrome

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22
Q

irritation of the bladder

A

urgency-frequency syndrome

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23
Q

encompasses a group of symptoms such as abdominal pain, bloating, frequent bowel movements

A

irritable bowel syndrome (IBS)

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24
Q

includes crohn’s disease and ulcerative colitis

A

inflammatory bowel disease (IBD)

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25
Q

what percent of women over 70 gave urinary incontinence?

A

40-50%

26
Q

what percent of men over the age of 65 have urinary incontinence?

A

21%

27
Q
  • overcomes pelvic and urogenital muscles
  • large amount of urine is released
  • sudden strong need to toilet before an individual can reach the bathroom
  • bladder contracts too frequently and too great an intensity
A

urge incontinence

28
Q

name 7 causes of incontinence.

A
  • chronic UTI, bladder stones, and polyps
  • diuretics
  • atropic vaginitis
  • diet - caffeine, co2 beverages, alcohol, spicy and tomato based food
  • neurogenic bladder - SCI, BI
  • overhydration
  • medications
29
Q
  • dribbling of urine due to an inability to empty bladder

- possible causes: damaged bladder, blocked urethra, nerve damage (diabetes) MS, SCI

A

overflow incontinence

30
Q
  • caused by damaged nerves that can’t warn your brain when your bladder is full (bladder contracts without warning)
  • usually happens to people with severe neurological damage from: SCI, MS, radiation treatment
A

reflex incontinence

31
Q

symptoms of more than one type of incontinence such as stress and urge incontinence

A

mixed incontinence

32
Q

incontinence due to a physical or mental impairment such as severe arthritis (inability to unbutton pants quickly)

A

functional incontinence

33
Q

name a societal effect of incontinence.

A

institutionalization

34
Q

describe the gold standard in PFD rehabilitation.

A

combination of physical, environmental, and behavioral aspects

35
Q

describe how an OT may address incontinence with regards to the physical aspect.

A

may provide preparatory activities to address underlying body structure issues

36
Q

name 3 types of physical preparatory activities that an OT may use to address incontinence.

A
  • manual therapies
  • therapeutic exercises - strength, flexibility, coordination
  • biofeedback
37
Q

describe how an OT may address incontinence with regards to the environmental aspect.

A
  • focus on mobility and environmental issues limiting quick, safe access to the bathroom
  • height of toilet - squatty potty
  • offer suggestions on garment management for clients dealing with arthritis or incoordination
38
Q

describe how an OT may address incontinence with regards to the behavioral aspect.

A
  • talk with client about modifying their medication schedule.
  • planning voiding and liquid intake schedules - bladder retraining
  • collaborating on strategies for engaging in social and leisure activities
  • relaxation and pain management strategies
39
Q

describe how an OT may address incontinence with regards to the cognitive aspect.

A

-problem solve effective toilet management strategies such as appropriate environmental adaptations and cueing - ex: red toilet seat in white bathroom

40
Q

name 8 pelvic floor interventions.

A
  • bladder training/timed voiding
  • biofeedback
  • pelvic floor exercises
  • environmental adaptations
  • clothing adaptations and management
  • medications
  • medical devices
  • surgeries
41
Q

increase intervals between voiding by instructing person to avoid urge - follow a planned time schedule

A

bladder training/time voiding

42
Q

learn to relax the detrusor muscle and abdominal muscles, while contracting sphincter muscles

A

biofeedback

43
Q

describe the correct position for opening your bowels.

A
  • knees higher than hips
  • lean forwards and put elbows on your knees
  • bulge out your abdomen
  • straighten your spine
44
Q

name the 4 aspects of the PLISSIT Model.

A
  1. permission
  2. limited information
  3. specific suggestions
  4. intensive therapy
45
Q

open the door to discussion

A

permission

46
Q

addresses the client’s specific concerns - informative, educational approach

A

limited information

47
Q

provide suggestions specific to the client’s situation (tips, directions, and exercises)

A

specific suggestions

48
Q

refer to pelvic dysfunction specialist

A

intensive therapy

49
Q

what is the duration of “Easy Does It: An OT Based Pelvic Health Program”

A
  • 8-week program, 1x a week for 1.5 hours

- handouts provided on all of the lessons

50
Q

limitations in daily activities, personal relationships, emotions, sleep/energy, general questions on how bladder performs

A

kings health questionnaire

51
Q

participants select 2 activities that are important to them and rates their current satisfaction and performance

A

personal activity scale

52
Q
  • pelvic pain
  • benefit of today’s session
  • how many times did you experience leakage
  • how would you rate the impact of your leakage on your everyday life
  • how frequently have you practiced
A

weekly check-in

53
Q

___ ___ is often connected to pelvic dysfunction.

A

hip dysfunction

54
Q

the ability to lengthen and shorten

A

suppleness

55
Q

affect both diaphragms and can exacerbate symptoms

A

tight abs

56
Q

proximal stability gives us distal coordination and movement

A

core-distal connectivity

57
Q

pelvic rehab can only help in which 2 stages of prolapse?

A

stages 1 and 2

58
Q

if you cough, sneeze, or laugh, we feel internal pressure (intra-abdominal pressure) - muscles are weak, can’t protect or hold urine in so some drops come out

A

stress incontinence

59
Q
  • bladder starts to contract before it is full and a person starts to leak
  • aka key in the lock syndrome
A

urge incontinence

60
Q

bladder starts to contract sooner

A

overactive bladder

Geriatrics Eval (12 decks)

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