Pathology:Nervous System
A sudden impairment of cerebral circulation in one or more blood vessels due to a blockage
ischemic CVA/stroke
AFO that runs posteriorly and is made of pliable material assisting with drop foot and push off
posterior leaf
When does DC planning begin?
Day 1
If you notice your patient is having difficulty with swallowing when you are working with them, who should you refer them to?
SLP
SCI syndrome that occurs when damage is only on one side of the spinal cord, causing weakness ipsilateral to the lesion
Brown-Séquard syndrome
Type of AFO that runs anteriorly and pushes patients leg back into knee flexion
floor reaction AFO
What type of questions should you ask your patient to ensure you give them the chance to express their concerns and get all the information needed?
open ended
When working in the ICU setting, who do you need to speak with before seeing your patient for PT?
nurse attending the patient
A reflex movement of the big toe upward instead of downward when the plantar aspect of the foot is stroked; it tests for injury or disease related to the upper motor neurons
Babinski sign
What orthosis would be used in a patient who needs assist in controlling hip abd/adduction and rotation?
HKAFO
Give 2 examples of intrinsic motivators and 2 examples of extrinsic motivators
intrinsic: learning, autonomy, belonging, love, curiosity, sense of accomplishment
extrinsic: money, badges, rewards, points
When working in an outpatient setting with patient who have had total joint replacements, which type of MD would be most involved with these patients?
orthopedic surgeon
Metabolic and secondary vascular changes are believed to contribute to neuronal and Schwann cell damage in patients with this disease resulting in neuropathy.
Diabetes
After having spinal surgery in the thoracic/lumbar spine, most patients will need to wear one of these? What precautions would they have and how would this affect their mobility (what would you need to instruct them?)
TLSO, spinal precautions (no BLT), log roll for bed mobility, wearing brace when OOB
Name 4 ways that a patient can be educated to monitor their own progress at home.
HR, RPE, # of steps per day, STS
(5x or quality), ambulation distance, assist with ADLs
When working in an inpatient setting, this is the professional who does much of the ADLs with the patient on a daily basis. What kind of education do they have?
CNA, certification (2 months)
Chronic compression of the nerve roots or the proximal plexus and arteries between the clavicle and first rib, or impinging muscles, causes nerve edema and ischemia
Thoracic Outlet Syndrome
Name at least 4 education topics that you would need to educate your patients on when they start wearing an orthotic?
1- how to donn/doff
2- how to inspect for safety (velcro, straps, connectors)
3- how to inspect skin before and after
4- who to call/what to do if skin breakdown occurs
5 - how to check for proper fit (sensation, circulation)
What are 3 of the top reasons for hospital readmission according to the lecture?
noncompliance, complications, inadequate transition of care, misinterpretation of DC instructions, demographic factors
Give an example of how PT and OT can work together - give the PT and OT goals and an example of treatment.
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