No
8 goals of positioning
-provide support
-promote symmetry
-encourage awareness of affected side
-relieve pain
-provide comfort
-improve circulation
-contracture and pressure sore management
-maintain orthopedic precautions
What is the first area that needs to be addressed for proper seating and positioning?
Pelvis! Everything should be positioned midline or 90 degrees.
Is seating and positioning universal?
YES!
Examples of physical restraints
vests, belts, wheelchair bars and brakes, bedside rails, sheets too tight, hand mitts, geri chairs, wrist splints
Who can order a restraint for a pt.?
a doctor!
illegal to use as a punishment
3 types of spine orthopedic conditions and what part of the spine they affect
-scoliosis, lateral bending of spinal column, rotation of spinal colum, can be flexed or fixed
-lordosis, inward curvature of spine in lumbar area
-kyphosis, excessive rounding of the spine at the thoracic area
which one does not contain blood vessels? dermis, epidermis, hypodermis.
epidermis
What are the components of seating evaluation?
-referral
-evaluation
-trial and selection
-funding and procurement
-product preparation
-fitting
-training
-delivery
-follow-up maintenance and repair
When lying on the affected side, why should the shoulder blade be pulled forward?
to prevent a lot of weight through shoulder
due to unrelieved pressure to an area with damage to underlying tissue.
What is SETT stand for and what is it?
S-Student
E-Environment
T-Task
T-Tools
A type of AT assessment used to decide the AT needs of a person with a disability. SETT is a commonly used framework.
How would you address sexual activity with a client?
no right answer
How to prevent pressure injuries?
Inspect skin daily
adequate consumption of fluids
reposition every 20-60 minutes
Use skin moisturizers daily on dry skin
clean skin after an episode of incontinence
What is a pelvic Obliquity, pelvic rotation, pelvic tilt, and windswept deformity?
Obliquity- one side of pelvis is higher than the other
rotation- one side of pelvis is rotated forward
tilt- P- top of pelvis tipped back A- top of pelvis tipped forward
windswept- one hip adducted and one hip abducted
Signs of Aspiration
Chocking, coughing, gagging, drooling, watery eyes
What are 2 modifiable and non-modifiable wound healing factors?
1- stress
2- obesity
non
1- age
2- diseases
Swallow evaluations
FEES and VFSS
4 stages of pressure injuries
1- Nonblanchable erythema of intact skin
2- Partial-thickness skin loss with exposed dermis
3- Full-thickness skill loss
4- full thickness skin loss and tissue loss
3 types of aphasisa
Broca's- Can understand but limited language to respond
Wernicke's- Impaired language comprehension
Global- loss of most language abilities
Name 4 models and their definition.
MOHO- Tx focus is client Volition and habituation, which leads to increased competence and identity.
PEOP- Explains the interaction between the person, environment, occupation, and performance. How these interact to promote well-being.
Kawa- Promotes client-centeredness and client engagement. Eastern model. River flow, riverbanks, rocks, driftwood, spaces
Canadian model of occupational performance and engagement- Client at the center with spirituality at the core.