Term
| What all might you see in the acute care (ICU) environment. |
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Definition
-IV's
-Catheter (leg and bed bags, internal and external)
-Respiratory Equipment (respiration, trachs, ventilators)
-Cardiac monitors, pulse ox, ox lines
-Restraints, Gowns
-Sequential compression devices
-Bed with special mattress or frame
-Ortho device such as c-collars, TLSO
-Casts, external fixator
-Hemovacs, chest tubes, NG and peg tube
-OT and SPL devices such as alphabet boards or computer devices for language |
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Term
| To Begin: When walking into acute care setting you start with evaluation, assessment, intervention and goals. How can this be accomplished? |
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Definition
-Read the chart and talk to the nurse
-Prioritize the pt problems
-Evaluate the pt's mental and physical status
-Mobilize the pt: (Precautions, contraindications, wt bearing status, ROM, Transfers, equipment needs)
-Utilize all of your therapy skills (ortho, neuro, cardio, etc)
-Goal writing |
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Term
| Name 7 purposes of positioning |
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Definition
-To make pt comfortable and ease pain
-Prevent pressure sores
-Prevent contractures
-Provide access to the environment
-Increase function
-Decrease edema
-Decrease risk of pulmonary complications |
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Term
| When starting to reposition or move a pt for the first time what are 8 general considerations you should keep in mind? |
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Definition
-Always read chart first
-Consider pt safety
-Avoid painful areas
-Protect weak extremeties
-Limitations
-Bed environment
-Activity level of pt
-Never pull on weak or paralyzed extremeties |
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Term
| Name 5 basic rules of positioning |
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Definition
-Lift- avoid dragging or shearing
-Remove wrinkles
-Always check pts skin before and after positioning
-Turning schedule in bed should be at least every 2 hours
-Pressure shift schedule in w/c is at least every 15 min for pt that is independent and at least every 30 minutes if dependent |
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Term
| Name 6 common causes for pressure sore development |
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Definition
-Duration of pressure/surface area
-Comprised skin due to moisture, friction, and or shearing
-Nutrition
-Edema
-Anemia
-Smoking |
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Term
| Name 5 specific pt conditions requiring positioning |
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Definition
-Decreased/loss of sensation
-Paralysis
-Decreased skin integrity
-Poor nutritional status
-Decreased circulation |
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Term
|
Definition
Supine
Prone
Side-lying
Semi-fowler
Sitting |
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Term
| Name 5 pieces of equipment that may be used for positioning |
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Definition
-Specialty beds/mattresses
-Pillows
-Wedges
-Cushions
-Wheelchairs |
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Term
| Name 5 purposes of specialty beds |
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Definition
-Positioning
-Pressure Reduction
-Increased Respiratory Function
-Decreased Secondary Complications
-Improved Function |
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Term
| What is a good pt for a roto rest hospital bed? |
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Definition
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Term
| What is a good pt for a clinitron with alternating air? |
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Definition
| Help heal a pressure sore |
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Term
| What is a good pt for a total care bed? |
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Definition
| helps with orthostatic hypertension |
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Term
| What are 3 basic rules of bed use? |
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Definition
-Don't touch until you are given an in-service
-When in doubt, ask
-Never leave a pt without making sure the bed is functioning properly |
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Term
| Name 4 purposes of wheelchair cushions |
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Definition
-Pressure reduction
-Positioning
-Comfort
-Improved Function |
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Term
| Name 3 purposes of basic wheelchairs |
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Definition
-Initial mobility
-Improved function
-Decreased secondary complications |
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Term
| The basis of function for the pt and must be accomplished before the individual will be able to dress, transfer, etc |
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Definition
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Term
| Bed mobility includes what 5 things? |
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Definition
-Rolling (supine to prone) (log rolling or segmental rolling)
-Scooting/Bridging (long-sitting and short-sitting)
-Management of LEs transfer surface
-Coming to sit from supine and back
-Bridging |
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Term
| Name 6 pieces of equipment that may be used with bed mobility |
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Definition
-Trapeze bar
-Bed Rail
-Phil E Slide
-Power hospital bed
-Cushions or pillows or wedges
-Draw Sheet |
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