Theory Final Week 7 Ppts

Front 1

Bulging disc (also called protruding, herniated, or ruptured disc

Back 1

Intervertebral discs are under constant pressure. As discs degenerate and weaken, cartilage can bulge or be pushed into the space containing the spinal cord or a nerve root= pain. most occur in lower, lumbar.

Front 2

Sciatica

Back 2

is a condition in which a herniated or ruptured disc presses on the sciatic nerve

Front 3

Spinal degeneration

Back 3

from disc wear and tear can lead to a narrowing of the spinal canal. A person with spinal

Front 4

Spinal stenosis

Back 4

related to congenital narrowing of the bony canal predisposes some people to pain related to disc disease.

Front 5

Osteoporosis

Back 5

Metabolic bone disease marked by progressive decrease in bone density and strength. Fracture of brittle, porous bones in the spine and hips results when the body fails to produce new bone and/or absorbs too much existing bone

Front 6

Skeletal irregularities

Back 6

Produce strain on the vertebrae and supporting muscles, tendons, ligaments, and tissues supported by spinal column.

Front 7

Fibromyalgia

Back 7

Chronic disorder characterized by widespread musculoskeletal pain, fatigue, and multiple “tender points,” particularly in the neck, spine, shoulders, and hips.

Front 8

Spondylitis

Back 8

Chronic back pain and stiffness caused by a severe infection to or inflammation of the spinal joints.

Front 9

scoliosis

Back 9

a curving of the spine to the side

Front 10

kyphosis

Back 10

in which the normal curve of the upper back is severely rounded

Front 11

lordosis

Back 11

an abnormally accentuated arch in the lower back

Front 12

back extension

Back 12

a bending backward of the spine

Front 13

back flexion

Back 13

the spine bends forward

Front 14

pain that persists for more than __ _______ is considered chronic

Back 14

3 months

Front 15

Most important risk for injuries to the cervical or neck vertebrae

Back 15

Airway

Front 16

Most important risk for injuries to the thoracic or upper back vertebrae

Back 16

Respiration and Cardio Vascular

Front 17

Most important risk for injuries to the five lumbar vertebrae, the lower back

Back 17

GI/GU function- obstructions, constipation, urination problems

Front 18

Bulging disc, Sciatica, Spinal degeneration, Spinal stenosis, Osteoporosis, Skeletal irregularities, Fibromyalgia, and Spondylitis are all conditions associated with what?

Back 18

Low Back Pain

Front 19

What precautions for pts getting MRI?

Back 19

no metal implants, jewelry, patches with aluminum backing

Front 20

What precautions for pts getting X-ray?

Back 20

no pregnancy, BUN/creatinine levels and allergies if with contrast

Front 21

What assessments for pts getting myelogram

Back 21

allergies, BUN/creatinine (contrast), contrast is injected into lumbar space. Check fluid leakage. If Glucose is present, fluid is spinal. Contact MD stat. Raise head of bed 30 to keep contrast from traveling to brain-- seizures

Front 22

Nonsurgical Management of Lumbosacral pain

Back 22

Positioning
Drug therapy
Heat therapy
Physical therapy
Weight control
CAM

Front 23

Hw to care for pt after LumbarLaminectomy

Back 23

Strict bed rest 24-48 hrs. Bed needs to be flat.

Front 24

Hw to care for pt after Spinal Fusion

Back 24

If cut from front monitor GI, CMA at extremities, pt will have brace- assess skin (pt should wear a shirt under brace), watch for FE, use logroll when repositioning.

Front 25

Which type of lower back surgery uses titanium capsules to insert bone from pelvis into vertebrae?

Back 25

Spinal Fusion

Front 26

How often should a neuro check be performed post op for back surgery/.

Back 26

q 4 hrs

Front 27

How long are patients generally on bed rest after back surgery?

Back 27

24-48 hrs

Front 28

How long are patients in rehab (generally)?

Back 28

1-3 weeks

Front 29

What are the 4 main purposes of rehab

Back 29

The regain function of body part
Gain back functions for daily living
Mobility function
Learn to live with new condition

Front 30

What is the difference between impairment and a disability?

Back 30

Impairment: long term

Disability: can be temporary

Front 31

6 members of the rehab team that we do not have in acute care?

Back 31

Recreational therapist
rehab assistant
restorative aids
rehab nurse
physiatrist (rehab dr.)
vocational counselor

Front 32

What is the RNs role in rehab?

Back 32

Interdisciplinary conferences

Front 33

What act is important for vocational counselors to explain to patients in rehab?

Back 33

American with Disabilities Act

Front 34

What is an important teaching for patients newly wheelchair bound, but still have use of arms?

Back 34

Not to gain weight

Front 35

What is a good way to plan activities in order to best conserve a patient’s energy without compromising the patient’s physical or mental health?

Back 35

Which activity plan would best conserve a patient’s energy without compromising the patient’s physical or mental health?

Front 36

What is a HUGE risk for diagnoses in the rehab setting?

Back 36

Risk for Impaired Skin Integrity

Front 37

The best intervention to prevent skin impairment is frequent _______ changes in combination with adequate ______ care and sufficient _______ intake.

Back 37

position
skin
nutritional

Front 38

All patients in rehab should be turned how often?

Back 38

q 2 hrs

Front 39

What are the 3 GI/GU concerns in rehab?

Back 39

Bladder training
Constipation
Bowel training

Front 40

What is the priority nursing diagnosis for a patient in a rehabilitation program after a stroke that has caused extensive right-sided weakness?

Back 40

Risk for Impaired Skin Integrity

Front 41

The nurse is assessing the patient’s ability to transfer from the bed to the wheelchair. What might impair the patient ’s ability to perform this task?

Back 41

Recent weight gain

Front 42

Which assessment finding would prevent a patient from being a candidate for self-catheterization?

Back 42

Confusion