Shared Flashcard Set

Details

Mastery of the Environment
WC specs, ADA, seating
78
Medical
Graduate
10/02/2013

Additional Medical Flashcards

 


 

Cards

Term
Must know that an evaluation of environmental mastery must include an assessment of performance skills and client factors such as:
Definition
Sensory, visual-perceptual, musculoskeletal, neuromuscular, cognitive, psychosocial
Term
How is the width of an entrance measured?
Definition
Open door to frame
Term

A minimum of ____ inches of door swing is needed accommodate a walker.

Definition

18"

Term

A minimum of ___ inches of door swing is needed to accommodate a wheelchair.

Definition

26"

Term
What are age related changes in the neuromuscular system that must be considered during an evaluation of risk factors for falls?
Definition
1) Decreased # of neurons result in decreased response time
2) Decreased amounts of muscle fibers lead to decreased strength and endurance
an example of these two factors would include difficulties rising from a chair and decreased gait speed
Term
What is the minimal and ideal widths for clearance of doorways and halls for a person using a wheelchair?
Definition
Min: 32"
Ideal: 36"
Term
What are 2 ways a doorway can be widened?
Definition
1) removing doorstop adds 3/4"
2) replacing existing hinges with OFFSET hinges adds 1.5-2" width
Term
To performa 360 degree turn in a wheelchair a clearance space of ___ x___ is needed.
Definition
60" x 60"
Term
Seated in a wheelchair the maximal height a person can reach forward or sideways (w/o an obstruction) is ____ . To prevent forward tipping height should be ____?
Definition
48" forward and sideways
15" to prevent forward tipping
Term
The maximal height for countertops should be
Definition
31"
Term
Railings on ramps are between __ and __ with an average of ___.
Definition
29" & 36"; 32"
Term
Three categories of Pressure-Reducing devices devised by CMS for reimbursement purposes: What's the device category and D.U stage?
-Dynamic Electric Powered Devices
Definition
Group 2- Stage III full thickness ulcer with fat possibly visable
Term

Three categories of Pressure-Reducing devices devised by CMS for reimbursement purposes: What's the device category and D.U stage? -Dynamic Electric Powered Devices: alternating and low air loss mattresses

Definition

Group 2- Stage III full thickness ulcer with fat possibly visable

Term
Three categories of Pressure-Reducing devices devised by CMS for reimbursement purposes: What's the device category and D.U stage?
-Dynamic, electric powered, e.g. air-fluidized beds
Definition
Group 3- Nonhealing full thickness ulcers
Term
Three categories of Pressure-Reducing devices devised by CMS for reimbursement purposes: What's the device category and D.U stage?
-Cushions or mattresses that use non-electronic means (air, foam, gel or water) to distribute pressure
Definition
Group 1-
Term
What are the two weight shift protocols: TIme and duration
Definition
Every 30 mins for 30 seconds
or
Every 60 mins for 60 seconds
Term
Maximal height an individual in a WC can reach forward from sitting is _____ and at least ____ is needed to prevent tipping.
Definition
48" & 15"
Term
What is the ratio of slope to rise?
Definition
1:12 ( 1" of vert rise requires 12" of ramp)
Term
Seat Belts attach at ____ level and extend into lap at _____ degree angle
Definition
hip/ 15
Term
What devices ease independent propulsion in persons with weak handgrip?
Definition
Handrim projections
Term
How to measure for seat depth:
Definition
Posterior portion of buttocks to the popliteal fossa, then subtract 2"; prevents rubbing while also allowing maximal leg swing.
Term
What are the 3 height options for back height?
Definition
Mid-back under scapula: 1-2 inches below
Mid-scapula or axilla
Top of shoulders
Term
What is the distance for footrest clearance from the floor? What factors will affect this distance?
Definition
2"
Seat cushion will affect distance
Term
Standard seat height:
Definition
19.9
Term
Hemi-seat height:
Definition
17.5
Term
This type of wheelchair is indicated for pressure relief OR for an individual with severe extensor spasms that may throw the person from the chair:
Definition
Tilt in Space
Term
Standard wheelchair dimensions (width, depth, height), Adult:
Definition
18" x 16" x 20
Term
Standard wheelchair dimensions (width, depth, height), Narrow Adult:
Definition
16" x 16" x 20"
Term
Standard wheelchair dimensions (width, depth, height), Junior:
Definition
16" x 16" x 18.5"
Term
Standard wheelchair dimensions (width, depth, height), Child:
Definition
14" x 11.5" x 18.75"
Term
Standard wheelchair dimensions (width, depth, height), Tiny Tot:
Definition
12"x 11.5"x 19.5"
Term
Why is the center of body mass on a bariatric wheelchair positioned several inches forward?
Definition
Stability and the forward position allows for a more efficient arm stroke (less wrist extension)
Term
What type of seating system may be good for individuals with moderate to severe nervous system dysfunction?
Definition
Contoured or Custom countour enhance pelvic and LE alignment
Term
When performing a seating assessment what should be evaluated first, second, third?
Definition
Pelvis, LE, Trunk: stability required before mobility; proximal control for distal function
Term
Seating Systems- Facilitates pelvic and LE alignment:
Definition
Fluid
Term
Seating Systems- Good trunk control is needed:
Definition
Air
Term
Seating Systems- Provides pressure relief
Definition
Air
Term

Seating Systems- Minimal Postural support offered

Definition
Air
Term
Seating Systems- Good for people who need increased stability
Definition
Fluid
Term
Seating Systems- Provides pressure relief without changing support
Definition
Fluid
Term
Pediatric seating and positioning systems: What two devices decrease effect of tonic labyrinthine reflex?
Definition
Prone Stander and Sidelyers
Term
True/False: Post total hip replacement, a person is allowed to roll on the non operated side
Definition
False: A person is not permitted to roll on the non operated side because it may cause the operated hip to internally rotate and dislocate
Term
This transfer technique is used for individuals with decreased endurance and/or weight bearing precautions
Definition
Pop over or sit pivot
Term
How should a person who uses a tenodesis grasp or splint for functional activities position their hands when using a transfer board?
Definition
They should weight bear on clenched fist with wrists extended
Term
Who will provide funding for ATDs and EADLs
Definition
State Vocational and Educational Services for Individuals with Disabilities (VESID), Office for Vocational Rehabilitation (OVR), and Divisions of Vocational Rehab (DVR) if they enable a person to go to work or school.
Term
The ability to steer, brake and turn is considered
Definition
Operation
Term
The ability to respond to changes in road conditions and traffic/driving risks
Definition
Tactical
Term
A standard round spinning knob is appropriate for a person with:
Definition
One intact upper extremity
Term
A person with absent or weak grasp can use a ___ or ___ for steering
Definition
Tri pin or cuff
Term
EADLS: Individuals with decreased strength or mobility such as muscular dystrophy might benefit from:
Definition
Light touch keyboard
Term
Individuals with hemiplegia can use a _____ keyboard that consist of a few keys which generate standard characters by pressing various combos of keys
Definition
Chorded keyboard
Term
Provides large keys for persons with limited motor accuracy and control, e.g. ataxia
Definition
Expanded
Term
Provides smaller keys in a constrained space for persons with limited ROM and functional motor control , e.g. arthritis
Definition
Contracted
Term
Individuals with Athetoid movements might benefit from a _____ keyboard
Definition
Delayed touch
Term
What is the best way for a caregiver to assist a person in a wheelchair descend a steep grade?
Definition
Descend backwards with all wheels maintaining contact with the ground
Term
What is the minimum space to allow for a 360 degree turning radius for a space to be wheelchair accessible?
Definition
5' x 5'
Term
What is the wheelchair ramp accessibility ratio?
Definition

1':1"

1 foot of ramp length for each 1 inch of rise

Term
Linear seating and positioning systems are appropriate for active individuals: 2
Definition
1. Perform independent transfers
2. Have minimal musculoskeletal involvement
Term
What type of seating system is appropriate for individuals with moderate to sever CNS dysfunction or neurological disease?
Definition
Contoured/custom molded
Term
True or False: Foam cushions enhance pelvic and LE alignment?
Definition
False: CONTOURED foam cushions enhance pelvic and LE support
Term
Identify the type of cushion: Helps with pelvic and LE alignment 2) Provides pressure relief w/o changing support 3) Good for those that need more stability
Definition
Fluid pressure relief cushion
Term
Identify the type of cushion: 1) Provides minimal postural support 2) Good pressure relief 3) Person needs to have good trunk control
Definition
Air pressure relief cushion
Term
What device can be inserted in a wheelchair to assist with hip stability?
Definition
Pelvic Guides
Term
These devices provide trunk support
Definition
Lateral supports
Term
A significant purpose of pediatric seating and position systems is to facilitate:
Definition
Eye contact and social interactions
Term
Provide weight bearing experiencing maintaining LE joints in optimal position, help formation of acetabulum and long bone development, aid in bowel and bladder function
Definition
Standers
Term
This stander decreases the effect of tonic labyrinthine reflex
Definition
Prone Stander
Term
[image]
Definition

Ex of stander

 

Term

What are the benefits of a sidelyer?

[image]

Definition
Decrease effects of TLR and put hands in visual field
Term
Abductor pads at the hips decrease:
Definition
Scissoring Extensor Pattern
Term
A patient is 5 days post op for a right total hip replacement. What bed position is contraindicated?
Definition
Patient is not permitted to roll on the non-operated side. May require use of an abductor pillow to prevent adduction of the operated hip
Term
Avoid ___ rotation for posteriolateral hip replacement
Definition
Internal
Term
Avoid___  rotation for anteriolater hip replacement
Definition
external
Term
The maximum rise for any run is: _ inches
Definition
30
Term
A ramp with a rise of more than 6 inches or a horizontal projection of more than 72 inches should have:
Definition
Handrails on both sides
Term

The threshold for exterior sliding doors should not exceed ___

or __ for other doors

Definition

3/4 inch in height

or 

1/2 inch in height for other doors

Term
True/False: 42 inches about the finished floor is the maximum height door hardware should be mounted.
Definition
False: door hardware should be mounted no more than 48 inches
Term
According to the ADA what is the maximum slope of a ramp?
Definition
1:12
Supporting users have an ad free experience!