Week 3- Post Surgical Rehab Progression Flashcards
Surgical protocols are based on ______ ________ properties.
tissue healing
Do surgical protocols vary from surgeon to surgeon?
Yes
Protocols serve as a __________ for post-surgical rehabilitation.
guideline
With surgical protocols, it is important to take a _______ approach to surgical rehabilitation which includes good ___________ with the surgeon and other appropriate health care providers.
- team
- communication
Surgeons can relay ________ findings as well as any additional ____________/_______________.
- surgical
- contraindications/precautions
It is extremely important to have a good understanding of _________, __________, __________ procedures, and ______ _______ healing.
-anatomy, biomechanics, surgical procedures, and soft tissue healing
Reasons for understanding anatomy, biomechanics, surgical procedures, and soft tissue healing? (3)
- To provide post-operative education
- To understand the reasoning behind surgical precautions/progression
- To develop comprehensive treatment plan
Surgical protocols can sometimes aid in determining the __________ and _________ for a POC.
frequency and duration
Determining frequency and duration depends on what? (3)
- The individual patient
- The progress the patient is making
- The type of surgical procedure
Is frequency and duration the same for all individuals?
No, may not be the same for all individuals who have undergone the same surgical procedure.
- ________ __________ is a vital component of post-op care.
- Important to provide patient with _______ resources.
- Education on ______ progression, ___________/____________ and ____ are crucial.
- Patient education
- written resources
- rehab progression, contraindication/precautions, and HEP
Reporting Progress:
- Important to have open ____________ with the surgeon regarding ________/lack of _________.
- Appropriate to prepare a _________ note to send with the patient to surgical follow-up appointments.
- communication, progress/lack of progress
- progress note
- A progress note provides more detail than a ________ note, but not as comprehensive as a ____________.
- The progress note should include specific comparison of the patient’s ________ status with a previous timeframe such as the initial evaluation or the most recent examination.
- daily note, reexamination
- current
What is an example of an appropriate time to write a progress note?
To send with a patient returning for an MD follow-up.
When reporting ack of progress, communicate concerns ________ rather than _______.
sooner rather than later
It is important to make the surgeon aware of what? (3)
- lack of anticipated progress
- patient non-compliance
- change in status
With prognosis, still need to consider __________ factors when developing prognostic status.
-prognostic
Anticipated timelines associated with specific surgical procedure can be helpful in determining appropriate timeframe for _____.
POC
Should the patient ever be progressed beyond established timeframe prior to reaching that timeframe?
No, despite progress a patient should not be progressed.
-Timeframe is based on healing of tissue.
Is it appropriate to hold progression the the next phase of rehab if the patient is not making appropriate progress?
Yes, progress should be held.
-Significant reports of pain/swelling, minimal gains in ROM, poor neuromuscular control are some reasons to hold.
Rehabilitation Guideline for Large or Massive Rotator Cuff Tears Following Surgical Repair by phases.
Phase 1
-Passive/protective
Phase 2
-Active
Phase 3
-Resisted strengthening
Phase 4
-Work conditioning, return to sport
