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OCCT 640 final
From Otty's study guide
24
Medical
Graduate
10/13/2010

Additional Medical Flashcards

 


 

Cards

Term
what is Alzheimer's?
Definition
progressive, inexorable loss of cognitive function associated with an excessive number of senile plaques in the cerebral cortex and subcortical gray matter. must have 1 or more; aphasia, apraxia, agnosia, disturbance in executive funtioning (planning, organizining, sequencing, abstracting)
Term
Alzheimer's intervention categories?
Definition
self-care, productivity, leisure, sensorimotor, DME/AE training, Caregiver/pt. education, cognition, psychosocial, environmental modifications
Term
Alzheimer's precautions?
Definition
-don't leave unattended because they can become lost in unfamiliar places.
-avoid overstimulating the person, know what upsets the person and avoid those situations.
-avoid arguing and redirect instead.
-watch for changes in sensory acuity that affect safety.
-in advanced stage avoid stairs or climbing due to dec. in balance and gait problems.
-check skin frequently if in splints during terminal stage.
Term
What is lymphedema?
Definition
accumulation of excessive lymph fluid and swelling of subcutaneous tissues. can be congenital (present from birth), praecox (occuring during puberty), or tarda (secondary associated with surgery of breast cancer).
Term
Lymphedema intervention categories?
Definition
-Manual lymph drainage MLD (re-routing lymph around blockage using hands on massage, bandaging.
-sequential gradient compression pump
-kinesiotape (fan)
-AE/DME may be needed
-exercise and skin care program
-pt. education on skin care, daily management of the lymphedema, wraping bandages or donning compression garments.
Term
lymphedema precautions?
Definition
watch for signs and sx of hand and finger overuse injuries. MLD techniques are contraindicated for people with active cancer, people receiving radiation therapy/chemotherapy, people with active infections, DVTs, CHF.
resting affected limb is counterproductive b/c drainage stops.
avoid stings, bites, injections/shots, burns, BP monitoring in affected limb, situations that may result in cuts.
being overweight may contribute to a poorer outcome.
Term
what is Arthritis?
Definition
inflammation causing changes in the structure and function of joints.
Term
what is Arthritis?
Definition
inflammation causing changes in the structure and function of joints.
Term
what are arthritis intervention categories?
Definition
-biomechanical, compensatory, environmental modification, assistive tech based.
-education on joint protection, EC and WS strategies to reduce stress on joints.
Term
Arthritis precautions?
Definition
watch for signs of deformity, tendon rupture. Avoiding activities that require placing persons total body weight on non-weight-bearing joints and activities that require repetitive pounding of joint, avoid prolonged static positions,
Term
what is low vision?
Definition
bilateral subnormal visual acuity or abnormal visual field resulting from a disorder in the visual system that results in decreased visual performance.
Term
Low vision intervention categories?
Definition
teaching compensatory strategies, environmental adaptation, use of AT
Term
low vision precautions?
Definition
always be alert for safety hazards and for possible changes in or loss of tactile sensitivity.
Term
cardio pulmonary interventions?
Definition
•IADLs, rehab, nutrition, interventions, pt. education, treatments, psychosocial/spiritual counseling, and discharge planning, home programs
• Education on precautions, work simplification/EC (for things in home), AE, DME, eating/hydration
•Monitor vitals
Term
Sternal precautions
Definition
•Don’t horizontal Abd/abd
•Not able to reach hands over head or snap bra
•Have to change the way they dress (larger clothes)
Term
DVT precautions
Definition
•Cuffs around the feet to pump air to help blood flow through legs while lying supine. Pneumatic pressure
•Ted Hose: supper think panty hose
Term
Cardiac precautions
Definition
-may be limited to BP range, HR range, METS (O2)
Subjective c/o: Cold, clammy, SOB, lots of fatigue, N/V
Term
PICC precautions
Definition
•Peripherally inserted central catheter
•Stick port right into vessels to take blood when ever so they don’t collapse
•Surgically implanted: so be aware because you don’t want it to dislodge b/c there will be bloody mess everywhere
Term
PLB (Pursed Lip Breathing)
Definition
Breathe in through your nose
With lips pursed, exhale air slowly
try to take twice as much time to exhale as it did to inhale
Term
Diaphragmatic Breathing
Definition
Sit in a relaxed position preferably with feet elevated
Place your hand on your abdomen
As you inhale through your nose, try to feel you stomach push out as you lungs fill with oxygen
Next feel you stomach go down as you slowly breather out through pursed lips
Continue to repeat this process until you become comfortable doing it
Stop the diaphragmatic breathing if you become lightheaded or fatigues
Term
Strength
Definition
Force exerted by a muscle or muscle group
“Funct’l strength” relates to the ability to produce force in a smooth coordinated fashion
Term
Increase Strength
Definition
6-12 reps wt. causes fatigue at end of reps x 3 sets
Documentation: strengthening……
Blue theraband 3 sets of 10 reps B shld all planes seated
Include: color of theraband and reps and sets
Term
endurance
Definition
Sustained muscle contraction over time
Term
increasing endurance
Definition
40-50 reps x 3-5 sets lowest amount of weight (may be no weight depending on the person) half like 20 reps for older adults
Documentation for endurance….
1 # wt. 4 sets of 20 reps seated R elbow extension and flexion
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