Adapt CH3 Pt2

jaysica2014's version from 2017-02-22 01:02

Section 1

Question Answer
condition characterized by hunchbackkyphosis
client w/min to no use of UE, should be prescribed a ___ wheelchair to accomodate for propelling themselvespower
lateral pelvic movement in frontal planeobliquity
should be flexed to 90 degrees when positioning UE in arm restelbows
if client has good UE strenght, a strong symmetrical grasp, and good phys endurance they should be prescribed a ___ wheelchair to propel theirslefselfpropulsion
feature of wheelchair that can added for client that doesnt have good enough head controlheadrest
always being an assessment with the pelvis
optimal seating positionneutral
condition characterized by concave lumbar spinelordosis
changes the client position to relieve pressurerecline
condition that is combo of kyphosis and scoliosiskyphoscoliosis
pelvic tilt recommended to position clients into wheelchairanterior
client is placed at incline but the hip angle is maintainedtilt in space
feature of wheelchair thats used as anterior working surface/supports UElap tray
if client has small car they need to fit their wheelchair, their hips are in a ___ tiltposterior
when the pelvis moves foward in horizontal plane rotation
type of hardenting of soft tissue strucutres resulting in loss of ROMcontracture
postioning the ankles, knees, and hips in the wheelchair, they should allbe positioned to90 degrees

Section 2

Question Answer
transfer techniques (3)stand, bent, one/two person
be aware of pt assest and limitation (4)physical, perceptual, cognitive, and behavioral
patien positioning (steps)pelvic tilt, trunk alignment, weight shifting, and extremity positioning
first thing for wheelchair and patientlock breaks and check feet
what side to stand on?affected side
where should you never grabpt weak arm/wrist
what kind of technique is advised for ooptimal facilitation of patienttrial and error
where should they grab in toiletseat
#1 fall in house? Hardest transferbathtub; car

Section 3

Question Answer
what does improper seating do?decreases deformity, causes muscle tone
when ordering wheelchairs make sure itsnot hard; look at assistance level
tilt and space vs reclinetilt in space hip angle stays the same where recline doesnt
must consider what for WCimmediate needs and future needs
pelvic rotationhorizontal plane
goal of pelvic positiongallow foward facing trunk/head
pops out of the hip is calledwindswept
LE goalprotect hip/knee; stability for feet
when looking at the trunk you should look at the ___, not ___scapula; shoulder
trunk goalprovide one with additional central stability
UE goalsprovide support to decresse effect of tone/reflex
head goalssafety, swallow, attention to tasks
insurance preventsdeformities
flat seatingplanar
curved to body shape seatingcontroured

Section 4

Question Answer
medial thigh bolsterinside
lateral thigh bolsteroutside of chair
lateral pelvicpelvic stays in middle
lateral thoracic side to side (chest)
lumbar bolsterlower back
provides anterior pelvic controlpelvic belt
chest panel vs chest beltpanel=X
straps for shouldersshoulder retractors
signle piece for feetfoot platform
heavily paddded so no pressure soreanlke/foot straps