Scales, Levels, and Tests- Oh mY!
Moderate brain injury range 9-12
Retrograde massage technique is directionally ________and primarily used for ________.
*Distal to Proximal (to move Fluid back toward heart), Light pressure, elevation
Edema (after injury, surgery, or stroke)
(reduce edema, improve circulation, decrease stiffness, restore ROM, prepare limb for functional use)
A therapist gives clear, accurate information about a treatment's benefits and risks before beginning an intervention. This is an example of _______
Veracity
tx/education for COPD flare ups
-pursed lip breathing
-leaning forward (into lap, bracing on a surface)
Primary, Secondary, Tertiary Prevention
Primary- AVOID (avoid development of disease/remove risk factors)
Secondary- EARLY (detection, prevent progression)
Tertiary- REDUCE (complications of established disease)
A client follows simple commands inconsistently, responds better to familiar voices, and shows delayed reactions to stimuli. What Rancho level sounds fitting?
Level III Localized response (turning toward sound, inconsistent command following)
Contraindications for Retrograde massage
Blood clots/ DVT, infection, open wounds, severe pain or hypersensitivity, congestive heart failure
A classic compensatory strategy for short term memory loss is
using visual cues cards
When does an IEP start transition to vocational program?
Age 14
Bottom up approach (key definitions) vs. Top Down approach (key definitions)
Bottom up= Restorative, focus on deficits, addresses cause of problem
Top Down=Compensatory, focuses on skills necessary, addresses functional performance
What do the FIM (Functional Independence Measure) and Barthel Index both test?
Function + ADLs (with the FIM being more detailed)
Techniques: small circles, along length of scar, transverse (cross friction), skin rolling /lifting, deep pressure (as tolerated)
Purpose: prevent/ reduce adhesions, improve skin mobility, decrease hypersensitivity, promote functional movement
After how many hours can you evaluate ROM with deep partial thickness burn?
72 hrs
(what is) Fowlers position
sitting up in bed to maximize chest expansion, ease breathing and digestion
___# of PDUs needed in a ____yr cycle
AND
PDU vs CEU
36 in a 3 yr cycle
AND
1 PDU= 0.1 CEU (state reqs)
A client scores 38 on the Berg Balance Scale, what does this indicate?
Independent balance- Low fall risk- Moderate Fall risk?
a score of 21- 40 = Moderate Fall risk
Post burn massage techniques and purpose
Techniques: (always with anti-contracture positioning/lengthening/extention) early on: use light stroking for circulation/desensitization, later on: deep circular pressure, cross-fiber/transverse friction, prolong stretching with pressure, skin traction, and desensitization massage with soft>rough textures
Purpose:prevent contractures,maintain ROM, reduce hypertrophic scarring, improve circulation, decrease itch and pain.
How long does it take a scar to fully mature?
1-2 years
(hand therapy) addresses MOTOR function (of adductor pollicis)
which is innervated by ULNAR NERVE
Describe Section GG Assessment and general scoring
Standardized Medicare assessment, used in post-acute care...to measure functional abilities in self care and mobility.
scores
7- refusal
6- Independent........1 Dependent
A client is at Rancho Level III and GCS is improving from 8 to 10, what is the best OT focus?
Community reintegration- Sensory stimulation and simple commands - abstract reasoning - Ind medication mngmt ?
Early recovery stages= stimulation and basic responses/ simple commands
Fluid =
Scar tissue=
Muscle=
Sensory=
Fluid =Retrograde, lympatic
Scar tissue=Friction, circular, myofascial
Muscle=Efferuage(gliding strokes), Petrissage (kneading), vibration
Sensory=Desensitization, tapping soft>rough
Demonstrate D1 and D2 PNF Diagonal patterns
did someone say disco?
People/population/problem
Intervention
Comparison
Outcome
(used to identify answerable Q's to search evidence for evidence based practice research)
Medicaid, vs. Medicare Part A, vs. Medicare Part B
Medicaid - low income/ long term
Medicare Part A- HOSPITAL insurance
65+, certain disabilities, end stage renial disease, inpatient, short term SNF, hospice)
Medicare Part B- MEDICAL insurance
65+, certain disabilities, end stage renial disease, Dr visits, outpatient, & home health!!)