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Adaption2

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jaysica2014's version from 2017-02-05 16:47

Section 1

Question Answer
bed potition goalsmake them comfortable, prevent pressure sores
first time to check skin5-1 min
reposition every2 hours
need to reposition if the pt hasfragile skin, poor circulation, decreased sensation
observe for what for pressure soreskin color and pay attention to bone areas
used to avoid strain pressure on ligaments, nerves, and musclesbody support such as pillow, blankets, towels
lean foward to side one but cheek lift all way upsitting pushup
use arm rest, rock and then lean fowardsitting
relieves pressure by supporting limb segments just proximal and distal to sensitive areaslying down
what should you not do for sheetstuck tightly at foot of bed
pt should be ___ rather than ___ acrossed sheetslifted; dragged
what should you do to communicatecount, explain direction
shoulders in supine and prone should beparellel to hips
supine pillows placed underknees
prone head should beturned to side
prone pillow areafeet
side lying pillowsunder head, front of pt, UE
side lying position upper trunk is located foward
supine side lying pillowsunder head behind patient, UE
patient supine side lying upper trunk is rotatedbackwards
long sit hip flex at 90 degrees, knees not higher than hips
when sitting, make sure the bed is??lowered
safety for sitting EOBdont leave them unattended; keep contact with them
sit right degree hips and knees90 and 90
memorize

Section 2

Question Answer
beware of patients assests and limitations ofphysical, perceptual, cognitive, behavioral
what should you know before you transferown limits and use correct techniques
check that patientsFEET; make sure they go same way you are
if they deny you 3x then lose service
proper body mechanics for transferget close, square up, knees bend, wide base
where should you lean for pelvic tiltlean foward
where should the pt hold ontoarms NOT NECK
make sure to do what to set upclear out and position wheelchair
what side stand on pt for wheelchairaffected side
where should you never grab ptunder wake arm or wrist of weak arm
most hazardous area of homebathtub
most challenging transfercar
memorize

Section 3

Question Answer
leading cause of fall isreaching
clients have trouble because ofstrength, tone, sensation, coordination, and rom
biggest issue from stroke ptvisual perceptual
what should you do firsttreat underlying limitations to safety and independence
#1 strategy for compensatory safety
compensatory strategiesenergy conservation, vision, cognitive, safety, joint, hand over hand, step by step
can maintain and prevent but after arthritis we cant go backjoint protection
#1 modificationwidening doorway
take the staris one step at a timechange task
use bedside commode instead of getting to bathroomeliminate part of all of the task
mechanical transfer lifthave someone esle do part of the task
3 activity modificationchange task, eliminate part of it, have someone else do part of it
toilethow low can you go
memorize

Section 4

Question Answer
distrubance in function ambulation causestructural deformity or loss, injury, or disease afecting body
what does ot do for ambulationfeedback to PT, applies recommendations to activities to enforce gait training
amount of weigh that may be put on lowing UE duringstanding or ambulation
weight bearing status depends onpt condition and medical mgt
NWB not permitted to touch ground
example of NWBpost fracture/trauma
TTWB (toe touch)rest toe for balance not WB
PWB specific weight
WBAT (as tolerated)based on pain tolerance
FWBcan use all weight
order of most to least stable amulation aidparellel bar, walker, axillary crutches, forearm crutches, single crutch, two cane, one cane
types of clients that use walkersweakenss, weight bearing decrease, poor balance/coordination, injury
cardiac pt may have dificulty tostandard walker
reverse walkers used in peds to encourageposture
*Know the diff types based on picturessee functional ambulation powerpoint
forearm crutches are needed folow tone, cp, abnormal tone
types of client for canesslight weaknesss of muscle, pain, assistance with balance
what side goes away from bodyV
where should top grip be on PTulnar styloid
crutch tip _________ in away from toes at what angle degree6;45
Contact gaurd assistnever let go
stand bydont hold but still be ready
memorize