Eye and ear holes
A group of eye conditions resulting in increased intraocular pressure and optic nerve damage, that then leads to vision loss and eventual blindness
Glaucoma
The patient understands the increased risk for osteoporosis related to decreased osteoblastic activity and increased osteoclastic activity of bone tissue.
What is osteoblastic and osteoclastic activity?
*Osteoclastic activity Bone resportion/losing bone
*Osteoblastic activity – bone building
Most common and most fatal bone cancer
What are THREE reasons a patient may require subacute/skilled nursing rehabilitation?
Wound management
Antibiotics
Pain Management
Aside from physical care of the patient preceding or following bariatric surgery, name TWO additional modalities of care within the nursing scope of practice
Education
Diet Education
Psychosocial Care
Support Groups
Exercise Program
Behavioral Management
Initial assessment for your patient with complaints of ear discomfort and hearing loss?
Look in ears with an otoscope and evaluate for cerumen or wax build up
What is the therapeutic effect of using cold therapy for treatment of bone or muscle pain?
Causes local vasoconstriction and prevents edema
TWO greatest risk factors for DVT?
Smoking & Lower leg injury/surgery
What assistive device would be appropriate for your patient with COPD and a recent healing hip fracture?
4 wheel walker with a seat for rest breaks
Contraindications for total enteral nutrition:
(there are many - name 3)
Generalized peritonitis, Intestinal obstruction, Surgical discontinuity of bowel, Paralytic ileus, Intractable vomiting/diarrhea refractory to medical management, major GI bleeding
Your patient is at risk for falls related to Meniere's Disease, what is likely causing this risk?
Episodic Vertigo
Tinnitus
Foot arch problems – flat feet or high arches
Obesity – or sudden weight gain
Running – long distance and other athletes
Shoes - poor arch support or soft soles
Clinical Manifestations of rheumatoid arthritis?
1. Fever low grade
2. Fatigue and weakness
3. Weight loss
4. Subcutaneous nodules – appear on arms and fingers
5. Sjogren’s syndrome – dry mouth and eyes
6. Renal disease late sign
7. Pericarditis – inflammation around the heart – late sign
Primary purpose of rehab?
Maintenance of functional ability
Return the client to the fullest possible capacity
What is considered a "normal" BMI
18.5-24.9
Visual field for your patient with bilateral cataracts
clouding in the lens of the eye that affects vision, can also affect color perception – distorts the images, blurry
You are assessing your patient's stump after a BKA, you note the skin is cool to the touch and pallor. What do you know is the potential cause of this?
Pale and cool skin could indicate inadequate blood flow to the area.
Skeletal traction pins or screws are surgically inserted into the bone to aid in __________
Which rehab professional focuses on assisting patient's with independence of ADLs
Occupational Therapists
Name 3 risk factors older adults may have for malnutrition?
Income, access to food, transportation, memory deficits, depression
increase the absorption or aqueous humor, or constrict the pupil which allows the ciliary muscle to be contracted and better circulation of the aqueous to the site of absorption
What assessment is described below:
Having the patient hold both wrists in acute flexion with the dorsal surfaces touching for 30-60 seconds.
Phalen's sign
Your patient is admitted with a femur fracture, what assessment findings cause you concern for a fat embolism?
Tachypnea, Dyspnea early signs
Agitation, confusion seizures, vision changes
Decreased LOC
Petechiae – develop over upper chest, neck, upper arms – last sign to develop
Physical Therapy will focus on functional maintenance and improvement in:
Walking, transferring, use of assistive devices
Labs and normal values to monitor for malnutrition?
albumin (normal range: 3.4 to 5.4 g/dL)
serum prealbumin (15 to 35 mg/dl)
Hemoglobin
Protein 6.8- 8.3