Week 5

Question 1

what is adherence?

Answer 1

patient freely chooses to follow suggested guidelines

Question 2

what are the reasons for non-adherence?

Answer 2

unintentional (misunderstanding and forgetfulness) and intentional

Question 3

how can you as a PT promote adherence?

Answer 3

-set mutually agreed-upon, low-risk solutions
-educate the patient on the “why”
-provide clear instructions
-return demonstration
-emphasize past experience does not dictate future outcomes
-inform patient of likely consequences in non-adherent
-encourage caregiver/support system involvement
-identify and remove barriers
-emphasize short and long term benefits of adherence

Question 4

what is parenteral nutrition?

Answer 4

nutrition delivered intravenously

Question 5

what enteral nutrition?

Answer 5

nutrition delivered via feeding tube
-OG (oral), NG (nose), nasojejunal (nose-intestine), gastrostomy, jejunostomy

Question 6

how much water should a healthy individual drink per day? for wound healing?

Answer 6

2.2-3 liters for healthy individual
2.7-3.7 liters for wound healing

Question 7

serum albumin is a measure of:

Answer 7

it is a plasma protein that accounts for over half of plasma proteins therefore a measure of protein deficiency and malnutrition

Question 8

BUN (blood urea nitrogen) is a measure of:

Answer 8

byproduct of protein metabolism and an indicator of kidney function (higher BUN have slower healing)

Question 9

how can elevated blood glucose effect healing?

Answer 9

increase risk of ulceration, infection and impair wound healing