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44 Cards in this Set

  • Front
  • Back

impairments

problems at tissue and organ level

functional limitations

result of impairment

disability

represents problem at social level

who first presented 5 stages of death and dying

Elisabeth Kubler-Ross

Occurs immediately after the initial shock offinding out about the situation at hand.

denial

May present as blame, hostility, and irrationalexpressions of emotion

anger

The attempt to negotiate with themselves or ahigher power to reverse the situation

bargaining

This may present as sadness, hopelessness,fearful, loss of energy.

depression

The individual comes to terms with thesituation.

acceptance

specific neuro exam techniques

Cranial nerve integrity assessment, Tonal Abnormalities, Postural control and balance assessment, Investigation of the cardiopulmonary system, Attention, orientation, and cognition assessmentsMemoryHearing and vision

12 pair of cranial nerves examined for those who have?

lesions of brain,brainstem, and cervical spine

resistance of muscles to passive elongation or stretch

tone

3 types of abnormal muscle tone

spasticity, rigidity, flaccidity

3 categories of muscle tone

Dystonia- spasticity


hypertonia- rigidity


hypotonia - flaccidity

postural control is assessed by

sitting, standing,walking

HR,BP, SPO2( oxygen saturation)

Vital signs

ability to focus w/o being distracted

attention

awareness of person,time,place

orientation

Tests language, calculation, perception,memory awareness, reasoning, judgment, learningintellect, social skills, and imagination

cognition

can be observed during conversation.

hearing

Are assessed with the patient’seyes closed to test pain, light touch, pressure, andtemperature.

superficial sensations

tools used to assess superficial sensations

disposable needles, cotton balls,the practitioners fingertip, and hot/cold test tubes

ability to perceive movement

kinesthesia

ability to perceive joint position

proprioception

Ability to identity familiar objects by touch

stereognosis

Ability to identify gradations of weight inobjects of similar size or shape.

barognosis

Ability to identify letters or numbers writtenthe skin.

graphethesia

ability to perceive two pointapplied to the skin simultaneously.

two point discrimination

ability to differentiate textures

texture recognition

PT will delegate neurologic interventions if following criteria is appropriate:

patient medical stability


amount of direct supervision


types of intervention required


skill and experience of PTA

tolerating positions and activities in bed andoutside of the bed

acute care

continues PT at home or outpatientdepartments. Continues to work on things from thehospital and is progressing toward functional goals.

subacute

the ability of the CNS to control ordirect the neuromotor system in purposefulmovement and postural adjustment.

motor control

the acquisition of skilled movementbased on previous experience.

motor learning

remediation and facilitationtoward functional tasks using the less involvedextremity

compensatory training

Techniques to reducesensory and motor deficits of patient function

remediation and facilitation

This includes the patient’s medical status, history,physical examination, assessment of extremities andthe results of diagnostic tests such as anelectrocardiogram (ECG)

cardiovascular assesment

The examination is similar to the cardiac examinationwith the addition of inspection and palpation of theneck an thorax and listening to abnormal inspirationand expiration sounds

pulmonary assessment

takes place when the patient’s POC isdischarged from outpatient program but continues ina community-based program or voluntary program oftheir choosing.

phase 3 of cardiac rehab

takes place in outpatient settings. Thisincludes patient education, self-monitoring of vitalsigns, ADLs, upper body therapeutic exercises,treadmill activities, and stationery bicycle riding

phase 2 of cardiac rehab

takes place in the hospital. This includespatient education, getting the family involved, bedmobility skills, the use of ankle pump exercises toavoid DVT, transfers with assistance and gaittraining.

phase 1 of cardiac rehab

Pulmonary PT concentrates on

removal of secretions from lungs

Postural drainage techniques (AKA chest PT) involves

placing the patient in which the bronchus of theinvolve lung segment is perpendicular to the groundallowing for gravity to allow different lobes to drain

massage techniques used during postural drainage

cupping and vibration (percussion)