Fitness and Therapeutic exercise
Name 5 factors that impair fitness.
sedentary lifestyle, health problems, compromised muscle and skeletal function, high blood pressure, obesity, advanced age, and smoking.
What are the stages of dying?
denial
anger
bargaining
depression
acceptance
What are the three attributes of palliative care?
1) treatment tailored to the individual, 2)support for pt and family, 3)interdisciplinary team approach.
What are the most common types of caregivers?
spousal, grandparents, parental, and adult children
If a patients endurance level was at a 84 what classification would it be considered?
Good
What are the fitness tests used to measure a current patients fitness level?
Stress Electrocardiogram, ambulatory electrocardiogram, step test.
what are the stages of grief?
shock and disbelief
developing awareness
restitution
idealization
what are the core services of palliative care?
chaplaincy, nursing, social services, medicine
ability to care, showing affection, good listener, adapting to situation, serving as an advocate, assisting with ADL's, proving emotional and social support, managing health services, being strong and protective.
What benefits are included in Medicare hospice
nurse and physician on call 24/7
medication for pain relief
PT, OT, speech language therapy
grief and loss counseling
What are types of exercise and their subcategories?
Fitness exercises (isometric, isotonic, isokinetic)
Therapeutic exercises (Passive range of motion, Active range of motion)
What are the signs and symptoms of multiple organ failure related to the brain?
fever, confusion and disorientation, hypoesthesia, hyporeflexia, stupor, coma
Holistic care is when the patient has 6 months or less to live and is the last stage of palliative care.
When the caregiver states "Leave me alone" what type of stressor is the caregiver experiencing?
Irritability
*Irritability leads to moodiness and triggers negative responses*
What diet would be implemented for terminally ill patients?
Full liquid diets
Jess (age 25) is beginning her exercise journey and wants to know what her maximum heart rate and target heart rate. Using the correct formula what would the numbers be? Round up.
maximum heart rate:195
Target Heart rate: 98
How to you confirm brain death?
-lack of responsiveness
-absence of brain stem reflexes
-absence of breathing drive after 10-15 minutes after disconnection from ventilator.
What are some examples of diseases that would need palliative care?
stroke, heart failure, pulmonary disease, dementia
What are some postive and negative outcomes of caregiving?
Positive: satisfaction, fulfillment
Negative: stress, burden, depression
What is the last reflex and sense to go before death?
Sucking and hearing
What should the patient avoid while in the middle of an ambulatory electrocardiogram test?
magnets, metal detectors, electrical blankets, avoid high voltage areas.
What is included in post mortem care?
cleaning body, removing any connections from body, elevate head to avoid facial flushing.
What is included in palliative care services?
-advanced care planning
-physical assessment
-psychological assessment
-care coordination
- resource access
-counseling
-rehabilitation
-important conversations
-education
-medication management -
-respite care
-volunteer services
what is respite care
adult care that gives caregivers a break.
What are the three reasons hospice care would be discontinued?
-clients health improves
-clients illness goes into remission
-client withdraws