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Rehab Eval > Week 5 > Flashcards

Week 5 Flashcards

1
Q

name 4 reasons why people should be cognitively assessed during a w/c eval.?

A
  1. navigation - problem solving, figure out the easiest pathway to get someplace, avoiding obstacles
  2. safety awareness
  3. taking care of the w/c - cleaning it, making sure wheels are working
  4. power chair - did they remember to charge it
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2
Q

why should we perform a social assessment during a w/c eval.?

A
  • if they can’t safely operate chair who else can help them

- children

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3
Q

name 2 functional components of using a w/c.

A
  • able to use equipment

- able to perform functional tasks with mobility/seating equipment

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4
Q

t/f - recommendations for w/c types are usually made far in advance (several weeks) before discharge.

A

true

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5
Q

make sure to address all the _____ that your client frequents.

A

environments

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6
Q

what is the goal for technology intervention regarding w/c selection?

A

matching the technology with the person and vice versa. requires thorough evaluation of the person, the task, and the device.

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7
Q

which FOR model should be considered during w/c selection particularly regarding technology intervention?

A

PEOP model

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8
Q

name 2 considerations when choosing powered vs manual mobility.

A
  • consider function

- consider electricity options

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9
Q

typically, insurance companies will pay for a replacement chair every __ years.

A

5

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10
Q

heaviest, least maneuverable, least changeable, hardest to deal with, most inexpensive

A

industrial (depot) - (K0001) aka clunker

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11
Q
  • a little more adjustable and a little easier to deal with, a lot lighter, arm rests only come to elbows, one of the w/cs we recommend the most
  • semi lightweight, barely adjustable
A

low-end - K0003

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12
Q
  • still have limited adjustability, wheels can come off, arm rest height is adjustable
  • lightweight, limited adjustment
A

mid-range - K0004

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13
Q
  • most adjustable, most expensive, back height is low, leaves room for entire upper body to function - ex: can reach back and pick something up off the floor
  • lightweight or extremely lightweight, very adjustable
A

high-end - K0005

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14
Q

arm rests only come to elbows

A

desk length arms

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15
Q

describe when axis where wheel turns is more towards the front.

A

makes w/c more able to be tipped - good for wheelies

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16
Q

if w/c is unstable, bring axis more towards the ___.

A

back

17
Q

describe propulsion when using a manual chair.

A
  • want pt. to reach back and push forward when using a manual chair.
  • want pt. to move their arms in a circle
18
Q

name the 2 most efficient propulsion methods.

A
  • semicircular

- double loop over

19
Q

provides a wider base of support from left to right - more stability

A

camber

20
Q

name 2 negatives of camber.

A
  • too wide - may not be able to move through doors, aisles, etc.
  • harder to manuever
21
Q

describe soft wheels/tires.

A

gives more friction - better outdoors on rough surfaces

22
Q

add width to w/c - usually you want them

A

push rims

23
Q

who would benefit greatly from push rims with processes sticking out?

A

people who don’t have hand function to push wheels - use hypothenar and thenar eminences when supinated - ex: C5, C6 SCI

24
Q

when pushing wheels of a w/c, most of the strength of individuals with a C5, C6 SCI will come from which movements?

A

shoulder depression and flexion

25
Q

allow wheels to stay rounder longer, but require more maintenance

A

spokes

26
Q

what is a negative of soft tires?

A

since they’re air filled they will require maintenance.

27
Q

who would benefit from long stems on wheel locks?

A

people who don’t have function or have limited function on one side of w/c - ex: stroke pts.

28
Q
  • usually 3 wheels - may be tippy

- usually uses tiller for control

A

scooter

29
Q

name 4 ways in which individuals can control mobility devices.

A
  • joysticks
  • chin control
  • sip and puff
  • proximity switches
30
Q

driving with head movements instead of hand movements

A

chin control

31
Q

controlled by either sipping or puffing lightly into straw, don’t have to blow super hard to be able to activate it.

A

sip and puff

32
Q

-u-shaped head rest with red disks, just have to get close to disks, bring head towards the right to turn towards the right and the same on the left

A

proximity switches

33
Q

add-on unit that converts manual w/c to powered w/c

A

power assist

34
Q
  • opens up the seat to back angle
  • preferable if person needs to lay down for a little while in w/c
  • can be used for orthostatic hypotension - tilt their feet up
A

recline

35
Q
  • person stays in their best position while they move in relation to gravity
  • don’t have gravity pushing down on the person
  • can be used for orthostatic hypotension - tilt their feet up
A

tilt in space

36
Q

preference is to use ___ over ___.

A

tilt in space, recline

Rehab Eval (13 decks)

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