Week 2 AI Interventions Flashcards
what does the Therex before a wound look like
you address modifiable risk factors, and positioning to avoid excessive hip and knee flexion, and gentle flexibility, and aerobic exercise like walking
what is the benefit of positioning to avoid excessive hip and knee flexion
to put the major arteries not in a poor position
why do we do aerobic think vessels
collateral vessel formation and weight loss too
what is the benefit of screening and monitoring
you are considering that a high percent of people with CAD have AI, and excessive exercise will direct blood away from the muscles, which will lead to pain
what is the prescriptive exercise listed by Kisner and Kolby
walking or biking until the onset of pain, then rest and repeat to Bettie utilize oxygen, and increase ability for work, and encourage collateralization (with the ischemia)
what is the goodman exercise program
progressive conditioning, walk until pain rest then again, and progress to max tolerable pain before you rest. goal is to progress to 30-45 minutes without pain in 6-8 weeks
is goodman a good option for an HEP
no, because that is a lot for patients to do on their own
what is the McCullough and Kloth program
3x/week, short bouts of treadmill with 40-60 minutes each session, to improve oxygen metabolism, collateralization, improve blood viscosity, and improve walking economy
what is the plan for intervention with an AI wound
treat, wait for auto amputation, surgical or conservative
what do we want to do with gangrene?
watch that is does not convert over to wet, and protect it, with dry padded NWB type things
what else do we want to do when there is a wound
moisturize it, monitor for infection, ROM for the joints and muscles, exercise and walking, and foot care guidelines.
what are some referrals we can make for people with AI
dietician to reduce caffeine, smoking and address nutrition and hydration,
diabetic educator
podiatry (especially for toenails)
prosthetics with an amputation
with AI, can you use moist dressings
you can never use them on dry gangrene or eschar, and you need to be careful with all other times.
how should you treat AI ulcers,
treat them all as if they are unsealable, and proven healable. and keep them dry
do we want to use adhesives with AI ulcers
no tape because the skin is fragile