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Rehab Eval > Week 2 > Flashcards

Week 2 Flashcards

1
Q
  • based on the musculoskeletal system - muscles, tendons, bones, nerves
  • looks at posture and alignment
  • helps them develop better habits and prevents injuries
  • skin breakdown can occur if parts of the body are pushing on others
A

biomechanical FOR

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2
Q

the best biomechanical alignment gives a patient the best what?

A

the best chance of doing the activity the best they can - sets pt. up for best performance

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3
Q
  • looks at the interaction between person, activity, and environment
  • if something is affected in one of those areas, it can affect the other areas and the person’s ability to perform the task
A

occupational adaptation FOR

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4
Q
  • always some aspect of learning involved

- how does one acquire and apply knowledge

A

acquisition FOR

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5
Q
  • try to make people better - is it a temporary thing or is it permanent
  • if it’s permanent, we use compensation
A

rehab FOR

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6
Q

if someone has a permanent disability, based on the rehab FOR, what should you do?

A

compensation - change the task, change the tools/equipment, using assistive technology or adaptive equipment

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7
Q

describe a screening.

A

-general, through an interview, less formal, brief

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8
Q

describe an evaluation.

A

more in depth than a screening

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9
Q

describe a formal eval.

A
  • planned, standardized test

- goniometric measures

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10
Q

describe an informal eval.

A
  • conversation, observation, interview

- ex: ROM - raise your hands, reach behind your back, etc.

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11
Q

describe a standardized eval.

A

there are absolute instructions that you need to follow in order to use the norms that come with it.

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12
Q

describe a non-standardized eval.

A
  • can still be formal, but not enough people haven’t been tested using it - no norms
  • don’t have to follow exact instructions
  • can use a standardized eval. in this way if you don’t use the norms.
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13
Q

what does C5 innervate?

A

diaphragm, elbow flexors

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14
Q

name the 4 areas that we assess in rehab?

A
  • sensory
  • motor
  • psychosocial
  • cognition & behavior
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15
Q

what is the ultimate plan for rehab?

A

discharge

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16
Q

when does discharge planning begin?

A

at admission

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17
Q

describe respiratory considerations initially after injury.

A

often requires intubation

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18
Q

describe respiratory considerations if the lesion is below C5.

A

there is a good chance that the person will eventually be able to breathe on his/her own

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19
Q

describe respiratory considerations if the lesion is between C3 and C5.

A

may or may not need mechanical ventilation

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20
Q

describe respiratory considerations if it is a high injury (C3 or higher).

A

need ventilator

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21
Q

describe respiratory considerations if it is an incomplete injury.

A

difficult to predict outcome of respiratory abilities.

22
Q

suctioning is __ __ on presence of trach tube.

A

NOT dependent

23
Q

suctioning is not dependent on presence of __ __.

A

trach tube

24
Q

name 6 signs of need for suctioning/distress.

A
  1. frightened look
  2. flared nostrils
  3. restlessness
  4. paleness or bluishness around mouth
  5. clammy skin
  6. sinking in of the chest (retractions)
25
Q

goes directly into the trachea and points incoming air into the lungs.

A

trach tube

26
Q

the trach tube prevents what?

A

aspiration pneumonia

27
Q

when the cuff is inflated and trach is in place, what happens?

A

the person can’t talk - air isn’t going past vocal folds

28
Q

if the cuff is deflated or ventilator is disconnected, what happens?

A

air passes the vocal folds to allow the person to talk

29
Q

allows some air to go out mouth and nose if open.

A

fenestration hole

30
Q

inside trach tube, blocks fenestration window if person isn’t ready to breath out mouth and nose

A

inner canula

31
Q

describe a hollow inner canula.

A

no fenestration - so air is not escaping if paired with an outer canula with fenestration

32
Q

describe a solid inner canula.

A

closes hole in trachea so 100% of breathing has to be through nose and mouth - can be used for 15 mins or however long during weaning process

33
Q

used for someone who needs less support breathing or is able to breath on their own.

A

fenestration canula

34
Q

forces the air in and sucks the air out

A

mechanical ventilation

35
Q

external way to assist air in expelling if a person is choking while on a trach.

A

assisted cough

36
Q

when someone is coughing you should make sure of what?

A

that they are disconnected from ventilator tube - have to do it quick since they are disconnected from tube.

37
Q

when someone with a trach is coughing where will body fluids exit?

A

their neck (not mouth or nose)

38
Q

when should suctioning occur?

A

always after meals

39
Q

with a cervical injury, the placement of a halo is usually restricted to how many degrees of which movement?

A

usually restricted to 90 degrees flexion/abduction at shoulders

40
Q

name 3 orthopedic considerations with SCI.

A
  • usually restricted to 90 degrees flexion/abduction at shoulders
  • prevent overstretching low back
  • UE external rotation
41
Q

name 4 common medical complications and interventions of SCI.

A
  • autonomic dysreflexia
  • orthostatic hypotension
  • deep vein thrombosis
  • heterotopic ossification
42
Q

the impairment is complete; there is no motor or sensory function left below the level of injury.

A

Grade A SCI (ASIA scale)

43
Q

the impairment is incomplete; sensory function but not motor function is preserved below the neurologic level (the first normal level above the level of injury) and some sensation is preserved in the sacral segments S4 and S5.

A

Grade B SCI (ASIA scale)

44
Q

the impairment is incomplete; motor function is preserved below the neurologic level, but more than half of the key muscles below the neurologic level have a muscle grade less than 3 (they are not strong enough to move against gravity)

A

Grade C SCI (ASIA scale)

45
Q

the impairment is incomplete; motor function is preserved below the neurologic level, and at least half of the key muscles below the neurologic level have a muscle grade of 3 or more (the joints can be moved against gravity)

A

Grade D SCI (ASIA scale)

46
Q

the patient’s functions are normal; all motor and sensory functions are unhindered.

A

Grade E SCI (ASIA scale)

47
Q
  • lesion at the level of sacral micturition reflexes or peripheral innervation of the bladder
  • accompanying detrusor muscle dysfunction
  • external sphincter tone and perineal mm tone are diminished
  • voluntary urination does not occur but can be achieved through supra pubic pressure
A

flaccid bladder

48
Q

what is a flaccid bladder also known as?

A

areflexia or areflexive bladder

49
Q

occurs with lesion above the level of sacral control of micturition (S2-S4)

A

spastic bladder

50
Q

what is spastic bladder also known as?

A

reflex neurogenic bladder or spastic neurogenic bladder

Rehab Eval (13 decks)

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