Term
| Why is good posture important? |
|
Definition
| Poor posture actually leads to changes in natural spinal curves, which can stress or pull muscles and cause pain. |
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Term
|
Definition
| Safety, modesty/dignity, warmth, protection, access |
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Term
|
Definition
| Reservoir infection, method for exit, method of transmission, method of entry, susceptible host, infection develops, (repeat) |
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Term
| What is the most easily broken part of the chain? |
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Definition
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Term
| Important healthcare blood-borne pathogens |
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Definition
| HIV, HBV, HCV (OPIM: other bodily fluids except sweat) |
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Term
|
Definition
| Contact, droplet, airborne, vector-borne (mosquito) |
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Term
|
Definition
Direct contact and indirect contact
Gown and gloves for all interactions
Single pt room, leave equipment in pt room |
|
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Term
|
Definition
Prevent spread caused by close respiratory or mucous membrane contact
Single pt room
Respiratory hygiene/cough etiquette
Mask, Pt must wear mask if transferred |
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Term
|
Definition
Special air handling required
Single pt room
N95 respirators or masks
Negative air flow
Pt must wear mask if transferred |
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Term
| Factors that affect the risk of infection |
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Definition
amount of exposure
route of exposure
concentration of virus in the infectious material |
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Term
|
Definition
Wash the exposed area immediately with soap
Identify the source of the exposure
Notify your supervisor immediately |
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Term
|
Definition
| pathogens but not necessarily their spores! |
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Term
|
Definition
Destroys all forms of microbial life except high numbers of bacterial spores
Hot water pasteurization at 80deg-100deg
EPA-approved sterilant chemical for 10-45mins. |
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Term
| Intermediate level of disinfection |
|
Definition
destroys most viruses, most fungi, vegetative bacteria, and TB
Does not kill spores
Solution containing at least 500 ppm of free available chlorine
Household bleach using 1/4 cup per gallon of water |
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Term
|
Definition
Destroys most bacteria, some viruses and some fungi, and does not kill the TB bacterium or spores
Cleaners used for routine housekeeping or to remove soiling |
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Term
|
Definition
| Spores from C diff and MRSA can live on dry surfaces for months. Alcohol rubs do not remove them. When C diff or MRSA is suspected, hand washing is required! |
|
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Term
|
Definition
| the removal or inactivation of blood-borne pathogens on a surgace or item so it is no longer able to transmit infectious particles |
|
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Term
|
Definition
Used to destroy all forms of microbial life, including high numbers of bacterial spores
Steam or under pressure or autoclaved
Ethylene oxide, a gas
Dry heat source
Immersed in an EPA approved chemical sterilant for 6 to 10 hrs. |
|
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Term
| 4 Main Principles of Patient Care |
|
Definition
1. Dependence toward Independence
2. Dynamic Systems
3. AMAP/ANAP
4. CCDD: Control Centrally, Direct Distally |
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Term
|
Definition
Person-Clinician's perspective
-Pt's perspective
Task
Environment
A change in one affects the other 2 |
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Term
|
Definition
Shoulders and hips.
Closer to the center of mass |
|
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Term
| 4 levels of stability to mobility |
|
Definition
1. Capacity for mobility
2. Stability (static stability)
3. Controlled mobility (dynamic stability)
4. Skill (speed/coordination)
May have to go back in the continuum.
Pt WILL MAINTAIN BEFORE THEY WILL ATTAIN
Stability is often achieved at the cost of mobility and vice versa |
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Term
|
Definition
| They are important indicators of the body's physiological status and its response to physical activity, emotions, and environment. |
|
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Term
|
Definition
provide measures of cv and pulmonary function
alert clinician to changes (or absence of changes) in physiological status
provide information about pt's aerobic capacity and endurance
inform clinician's clinical judgements |
|
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Term
| 4 Important Pt. Observations |
|
Definition
1. Diaphoresis (excessive sweating)
2. Changes in breathing (breathing patterns, dyspnea (difficulty breathing), use of accessory muscles
3. skin color changes
4.peripheral extremities (temp., lack of hair growth)
*Watch their faces!!* *cyanosis* |
|
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Term
|
Definition
1. heart rate
2. bp
3. rr
4. temp |
|
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Term
|
Definition
pulse oximetry
pain (symptom) |
|
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Term
|
Definition
| Rate, Regularity, Amplitude |
|
|
Term
|
Definition
Regular, Irregular, Irregularly irregular
Strong and regular
Weak and regular
Bradycardia
Tachycardia |
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Term
|
Definition
0=Absent--no pulse is felt
1+=Thready--not easily felt, slight pressure obliterates it (irregular)
2+=Weak/feeble--Slightly stonger than thready, slight pressure does not obliterate
3+=Normal--easily felt, requires mod. pressure to obliterate
4+=Bounding--strong, mod.pressure does not obliterate
(don't have to know number, but be familiar with terms) |
|
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Term
|
Definition
infant 100-130 bpm
child 80-120 bpm
adult 60-100 bpm |
|
|
Term
|
Definition
MHR=220-age
THR= 60-80% MHR |
|
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Term
|
Definition
Have pt at least 5 mins prior for resting HR
Use watch with a second hand
Use index and middle fingers (not thumb!)
Assess 60 sec initially
Subsequently 15-30sec
If not bradycardiac
If no arrhythmias |
|
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Term
| Factors influencing BP Assessment |
|
Definition
obesity
body/arm position
size of BP cuff |
|
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Term
|
Definition
silence
A tapping sound
A soft swishing
A crisp sound
A blowing sound
Slience |
|
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Term
|
Definition
Infants: 85-100/35-67
Adolescents: 100-120/65-75
Adults: <120/<80
Older adults: 120-140/80-90 |
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Term
|
Definition
failure of systolic pressure to rise with increase in activity
DECREASE in SYSTOLIC pressure> 10 mmhg
INCREASE in DIASTOLIC pressure >20mmhg during activity |
|
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Term
| Avoid taking BP at brachial artery if |
|
Definition
Recent breast or axilla surgery on that side
IV
Recent blood transfusion
Arteriovenous fistula
Stroke w/hemiplegia on that side |
|
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Term
|
Definition
Newborn= 30-60
Adolescence: 18-22
Adult: 12-20 |
|
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Term
| Methods for measuring and norms |
|
Definition
oral (96.8-99.3)
rectal (97.8-100.3)
axillary (97.6)
tympanic membrane (99.5) |
|
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Term
|
Definition
Location
Intensity
Characteristic (burning, throbbing, sharp, dull...)
Duration (length of time, constant, intermittent, etc.)
Aggravators
Relievers |
|
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Term
|
Definition
the degree to which oxygen is bound to Hgb
Normal 02 saturation levels are between 95-100%
Saturation levels below 90% are considered significant |
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Term
| Time in position/Positioning Schedules |
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Definition
General rule: supine q 2 hrs
sitting: q 10 minutes
*First time in position: check after 5-10 mins
Document any changes that may require a modification in positioning schedule
Presence of cushions does not obviate positioning schedules
Redness rule: if you see redness to not position in that area until redness is gone |
|
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Term
|
Definition
| decreased blood flow cause decreased nutrition to all tissues, but when the demands on the CV system are decreased for a long time(don't have to pump against gravity), it loses some of it's ability. |
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Term
| Goals for proper positioning |
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Definition
Pt comfort
Maintain integumentary, musculoskeletal, and cardiopulmonary integrity
Access to environment: call button, phone
Positioning for interventions |
|
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Term
| Goals for long-term positioning |
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Definition
Protect bony prominences
Prevent contractures
Provide support and stability
Access as needed
Efficient organ function
Accommodate special needs |
|
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Term
|
Definition
Pressure sores, bed sores
Staged I-IV by tissue involvement
Stage I: changes in skin temp, tissue, consistency, sensation
Stage IV: bone and muscle involved
Pigmentation
Non-blanching erythema (doesn't get white when you press on the red area) |
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Term
| Pressure Ulcers: Load, Pressure, Time |
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Definition
decrease surface area=increased load
decreased cushioning=increased load
increased time=small amounts of pressure over long periods of time |
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Term
| High Fowler's position and Trendelenburg position |
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Definition
Fowler's position (sitting up in bed) can increase shearing forces and promote contractures
Trendelenburg position: reclined toward head laid flat. |
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Term
|
Definition
Shoulders and hips parallel
Normal spinal curves
Hips neutral
Knees neutral
Pressure off heels |
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Term
| Contracture Risk Areas in Supine |
|
Definition
Hip flexion
Knee flexion
Ankle plantarflexion
Shoulder flexion
Elbow flexion
Scapular protraction
Clinched hands |
|
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Term
| Pressure Sore Risk Areas in Supine |
|
Definition
Occipital tuberosity
Inferior angles of scapula
Spinous process of vertebrae
Posterior iliac crests
Sacrum
Posterior calcanei |
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Term
| Pressure Sore Risk Areas in Sidelying |
|
Definition
Ear
Lateral ribs
Lateral acromion process
Lateral head of humerus
Lateral epicondyle of humerus
Greater trochanter of femur
Lateral condyle of femur (if knees are touching)
Malleolus of fibula
Malleolus of tibia (if ankles are touching) |
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Term
| Sidelying upper body rotated forward |
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Definition
Lower UE slightly flexed at shoulder
Top UE flexed at shoulder/support by pillows
Lower LE extended
Upper LE flexed at hip/support by pillows |
|
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Term
| Sidelying upper body rotated backward |
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Definition
Lower UE slightly flexed, shoulder girdle protracted
Upper UE extended/supported by pillows
Lower LE flexed at hip and knee
Upper LE extended/supported by pillows |
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Term
| Pressure sore risk areas in prone |
|
Definition
Forehead
Lateral Ear
Tip of acromion process
Anterior head of humerus
Sternum
ASIS
Patella
Crest of tibia
Dorsum of foot
COULD BLOCK AIRWAY!!! |
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Term
| Long-term positioning in Prone |
|
Definition
Head turned, or small pillow under forehead
*Small pillow under lower abs
*Lengthwise-Limited cervical ROM
*Crosswise-decrease lumbar lordotic curve. decrease low back pain
Cushion under anterior shoulders
Cushion under anterior ankles/lower legs
UEs alongside or overhead |
|
|
Term
|
Definition
Normal spinal curves
Neural hips
Arms supported |
|
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Term
| Pressure sore risk areas in sitting |
|
Definition
Ishial tuberosities
Posterior areas of the thigh
Sacrum
Spinous process of vertebrae
Medial epicondyle of humerus |
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Term
|
Definition
In sitting, relieve pressure on buttocks and sacrum every 10 minutes
*sitting push ups
*leaning side-side
*leaning forward
*Specialized wheelchairs
LE should be supported with feet on a footstool or footrest of w/c
Distal thigh should be supported so there is no extra pressure
90/90/90: sitting position in w/c distributes body weight on the well-padded posterior thighs, off-loading the ischial tuberosities. |
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Term
|
Definition
| Semi-reclining w/c position with the legs elevated on leg rests may reduce pressure on ischial tuberosities, but sacral pressure is greater. |
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Term
|
Definition
avoiding the positions of comfort
Anti-contracture positions |
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Term
| Cerebral Vascular Accident (CVA) (stroke)Position of comfort |
|
Definition
Scapular retraction
Shoulder flexion & IR
Flexed fingers
Pelvic retraction
Hip extension, adduction, IR, and ankle PF OR
Hip flexion and knee flexion |
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Term
| Hemiplegia-UE positioning |
|
Definition
Avoid prolonged:
shoulder flexion, adduction, IR
Elbow flexion
Wrist/finger/thumb flexion
Do NOT pull on the arm |
|
|
Term
|
Definition
Avoid prolinged:
Hip flexion
Knee flexion
Pelvic retraction
Hip external rotation
Ankle plantarflexion/inversion
**It is ok if you have a stroke pt lie on the hemiplegic side. |
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Term
| Correct CVA positioning--Supine |
|
Definition
Scapula protracted
Hand elevated at heart level or above
Involved pelvis protracted |
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Term
| Correct CVA Positioning--sidelying non-hemi side |
|
Definition
Hand elevated
Head neutral
Pillow at trunk to prevent rolling
(Note pillow-folding technique to maintain sidelying) |
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Term
| Correct CVA positioning-sidelying on hemi-side |
|
Definition
Scapula in full protraction
On scapula, not GH joint
Uninvolved LE supported
Head neutral
Pillow at trunk to prevent rolling |
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Term
| LE Amputation "position of comfort" |
|
Definition
Transfemoral:hip flexion, abduction, ER or hip flexion and adduction
Transtibial: hip flexion, abd, ER and knee flexion |
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Term
| Correct Positioning S/P LE Amputation |
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Definition
*Hip neutral, knee extended
*Minimize sitting time
*Prone position helps prevent contractures |
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Term
| Short-term v long term goals |
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Definition
ST:safety, patient comfort, ability to perform/receive intervention
LT:Safety, Prevention(contracture, pressure ulcers), Comfort-secondary |
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Term
| Negative effects of prolonged immobility |
|
Definition
| skin breakdown, UTIs, Edema (especially in extremities), CA loss (osteoblasts outrun osteoclasts), deconditioning, balance impairment, joint and tissue contractures |
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|
Term
| Goals for long-term positioning |
|
Definition
protect bony prominences
prevent contractures
provide support and stability
access as needed
efficient organ function
accomodate special needs |
|
|
Term
| People with increased risk of pressure ulcers |
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Definition
| impaired circulation, think or fragile (friable) skin, impaired sensation (lose sensory input that lets you know to turn over in your sleep), urinary and/or bowel incontinence (chemotherapy; chemical burn from urination example), weight loss and muscle wasting "cachexia". |
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Term
| blanching test that does not result in reduction of redness is considered what stage of pressure ulcer? |
|
Definition
|
|
Term
| Positions to avoid after transfemoral amputation |
|
Definition
Hip flexion
Hip abduction
Hip external rotation |
|
|
Term
| Positions to avoid with positioning transtibial amputation |
|
Definition
|
|
Term
| Precautions of THA (assuming posteriolateral approach) |
|
Definition
DO NOT:
*flex hip> 60-90* (or trunk rotation w/ respect to hip
*adduct hip past 0*
*IR hip past 0*
Combining motions of hip flexion, adduction and IR greatly increases the risk of prothesis dislocation |
|
|
Term
| Correct positioning S/P THA |
|
Definition
*Supine with abduction wedge, HOB <70-90*, hip in neutral rotation
*Sidelying on UNINVOLVED side, upper leg supported
**Pillows and abduction wedges can be used** |
|
|
Term
| Positions of comfort to avoid with burns |
|
Definition
*neck flexion
*shoulder adduction
*elbow flexion
*hip flexion
*knee flexion
pt. really wants to put skin in loose position. This causes deformities! Ex: Can't close eyes, mouth, etc. You will have to put a slight pull that skin. |
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Term
| Flexion and extension occur around what axis? |
|
Definition
|
|
Term
| Abduction and Adduction occur around what axis? |
|
Definition
|
|
Term
| Rotation occurs around what axis |
|
Definition
|
|
Term
| PROM occurs in what part of the mobility to stability path? |
|
Definition
|
|
Term
| AROM occurs in what part of the mobility to stability path? |
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Definition
| Controlled/dynamic stability |
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Term
|
Definition
*history
*gait
*POSTURE/OBSERVATION
*selective tissue tension tests
*AROM
*PROM
*palpation
*strength tests
*neurological tests
*special tests
*biomechanical evaluation |
|
|
Term
|
Definition
ROM is NOT stretching! does not increase joint range
*joint v muscle
**uniarticular muscle
**biarticular muscle:hamstring hip and knee. Hamstring length v hip joint range. Slacken the muscle around the joint. |
|
|
Term
|
Definition
*active movement would cause damage to tissues or excess C-P stress
*the pt is unable to perform the movement in a safe and effective manner |
|
|
Term
|
Definition
Preserves existing ROM
Minimizes adaptive shortening of mm
Minimizes development of adhesions
Helps maintain muscle elasticity
May enhance local circulation
Enhances kinesthetic awareness |
|
|
Term
| Contraindications and Precautions of PROM |
|
Definition
CONTRAINDICATIONS
*During stages of tissue healing in which PROM could inhibit healing
*When pt experiences severe muscle guarding (muscle spasming)
*When strong muscle guarding is accompanied by increased pain
PRECAUTIONS:
*when it temporarily increases the patient's pain or discomfort
*when it elicits undesired muscle tone
*when the pt is able to perform AAROM effectively |
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Term
| AROM Benefits/Indications |
|
Definition
*increases the strength of very weak muscles
*maintains ROM gained by passive stretching
*helps maintain joint and soft tissue mobility
*helps maintain tissue nutrition
*helps prevent blood clotting
*increases kinesthetic awareness
*fosters normal patterns of coordinated movements |
|
|
Term
| AROM Contraindications/Precautions |
|
Definition
CONTRAINDICATIONS:
*PROM plus
*pain throughout the motion or persisting after the activity
*development of an undesired C-P response
*worsening of condition
PRECAUTIONS:
*PROM plus
*pain with the activity
*increased physiological risk |
|
|
Term
| Self-Range of Motion Benefits |
|
Definition
*pt participation and control
*Efficient
*can be done at home
*can be done frequently
*fosters independence
(needs to be monitored) |
|
|
Term
|
Definition
hypotonicity: flaccid, post-stroke
hypertonicity: spasticity
rigidity |
|
|
Term
|
Definition
Hard
Firm:stretch
Soft
Empty: sign of pain |
|
|
Term
| Important Aspects of Performing ROM |
|
Definition
*Stabilize proximal joint
*Support limb for PROM
*Parameters of ROM
**Frequency=once or twice a day
**Repetitions=10
**Speed=4-5 secs |
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|
Term
| Advantages and disadvantages of anatomical plane ROM |
|
Definition
ADVANTAGES:
fuller extent of range
isolates structures
systematic
DISADVANTAGES
nonfunctional |
|
|
Term
|
Definition
Measure from the sole of the shoe to the popliteal fold.
Subtract the thickness of the compressed cushion if one is being used.
Add ~2 in. (footrest clearance) to determine chair’s front rigging length (seat-to-footplate lengthg). |
|
|
Term
|
Definition
Height varies depending on level of support needed.
For standard wheelchair, measure from the seating surface to the inferior angle of the the scapula, or to axilla, and subtract ~4 in.
Add compressed cushion thickness if one is being used |
|
|
Term
|
Definition
Position upper arm close to trunk, and flex elbow to 90°.
Measure from olecranon process vertically to the seating surface.
Add compressed cushion thickness, if one is being used.
Add 1 in. to determine height of wheelchair armrest. |
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|
Term
| Confirming Wheelchair Fit |
|
Definition
Seat width: two fingers (vertical or horizontal) between hip and side of wheelchair
Seat depth: two fingers horizontally between popliteal fold and front edge of seat
Seat height: two fingers horizontally between front surface of chair and distal thigh
Legrest length: two fingers vertically between footplate and floor
Back height: two fingers vertically between top of wheelchair back and patient’s axilla |
|
|
Term
| Average adult sizing for standard wheelchair |
|
Definition
Seat height: 19.5-20.5 inches
Seat depth: 16 inches
Seat width: 18 inches
Back height: 16-16.5 inches
Armrest height: 9 inches above chair seat |
|
|
Term
|
Definition
Instruct in good posture, pressure relief, propulsion, negotiate a variety of surfaces, transfers, care.
Patients will have to have a training period
Operate all aspects of the wheelchair
Properly propel wheelchair
Negotiate a variety of surfaces
Transfer in and out of wheelchair |
|
|
Term
| Wheelchair Propulsion: Independent, Level Surfaces |
|
Definition
Both hands
Start at 10 o’clock; release at 2 or 3.
Turn by moving one pushrim forward while holding the other still or pulling back on it.
One or both feet
Good shoe grip
Low enough chair seat
Combined use of hands and feet (unilateral or bilateral) |
|
|
Term
|
Definition
Stand by Assist (SBA)—no touching
Contact Guard Assist (CGA)—just in case
Minimal Assistance (Min)—pt does ~75%
Moderate Assistance (Mod)—pt does ~50%
Maximal Assistance (Max)—pt does ~25%
Total Assistance—pt does not help
Level 4 – Total Dependence
Level 3 – Extensive Assistance
Levels 2 or 1 – Limited Assistance or Supervision
Level 0 – Independent |
|
|
Term
|
Definition
CGA/SBA = limited assistance
Mod/Max = extensive assistance |
|
|
Term
|
Definition
| Motor learning is the internal process a person follows to perform a skilled activity. Learning a skill comes from practice, experience, and attention. |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Application of a learned skill to a similar task. A patient learns to transfer from a wheelchair to a mat table and then is able to use the same or similar concepts to transfer from a wheelchair to a car |
|
|
Term
|
Definition
Intrinsic: proprioceptive, visual, vestibular, cutaneous. Occurs naturally as a result of the movement, but attention may need to be drawn to it by the PT.
Extrinsic: auditory, tactile |
|
|
Term
| Knowledge of Performance vs. Results |
|
Definition
Knowledge of results: Augmented (extrinsic) feedback about the end result
Knowledge of performance: Augmented feedback about the quality of the performance |
|
|
Term
|
Definition
Cognitive stage- “what to do” .
Associative stage- “how to do it”
Autonomous stage- “how to do it well” |
|
|
Term
|
Definition
Looks messy, disorganized. Performance is very dependent on the environment and sensory input.
Demonstrate, engage cognitively, practice in a non-distracting environment, lots of extrinsic feedback re: the movement pattern |
|
|
Term
|
Definition
Looks more consistent with fewer errors; motor strategy refined
Give moderate assistance, less extrinsic feedback; encourage attention to intrinsic feedback; provide knowledge of performance and of results |
|
|
Term
|
Definition
Looks more coordinated; can do it without thinking about it; stable performance even when situations and environmental inputs change
Introduce new variables (environments, speed, etc.), vary the environment, minimize extrinsic feedback |
|
|
Term
| When Using Physical Restraints |
|
Definition
Pay close attention to positioning
Consider angle of pelvic belt
Watch for skin breakdown
Use only quick-release knots
Do not secure restraint to a moveable object
Have restraint secure but not too tight
Always replace existing restraints after physical therapy session
What’s the goal? Can it be reached another way? |
|
|
Term
|
Definition
| to restrain a person's freedom of movement for the purpose of protecting that person or others from injury. The most common types of physical restraints are belts and soft wrist restraints used to keep a patient in a bed or chair. |
|
|
Term
|
Definition
maintaining pt safety
managing agitation/aggression
behavioral control
decreasing fall risk*actually increases the risk of injury from fall*
Preventing removal of tubes and lines |
|
|
Term
|
Definition
| Physical, chemical, environmental |
|
|
Term
| When choosing a restrictive device |
|
Definition
| Always seek the least restrictive option! |
|
|
Term
|
Definition
Accessibility
Americans with Disabilities Act
Universal Design
Visitability |
|
|
Term
| Accessibility Regulations over time |
|
Definition
Rehabilitation Act of 1973:all federal funded organizations
Fair Housing Act Amendments:1980 apply to multifamily construction built after 1980s
Americans with Disabilities Act (ADA): 1990 expanded accessibility to the private sector to improve employment opportunities as well as environmental access to retail suppliers |
|
|
Term
|
Definition
Title 1:Employment (15+)
Title II:public services and transport
Title III:public accommodations
Title IV:telecommunications
Title V:other |
|
|
Term
|
Definition
| PHYSICAL ACCESSIBILITY: ADA provides standardized space requirements for accessibility |
|
|
Term
|
Definition
| FUNCTIONALLY EQUIVALENT: telecommunication services for consumers with disabilities, notably those who are deaf or hard of hearing and those with speech impairments. |
|
|
Term
|
Definition
any change in the work environment or way things are done that enables a person with a disability to enjoy equal employment opportunity
Must be provided to qualified individuals unless it poses an undue hardship |
|
|
Term
| Reasonable accommodations include |
|
Definition
Flexible work schedules
Providing qualified readers or interpreters
Adjustment or modifications of examinations, training materials, or policies
Rearranging workspace to accommodate necessary equipment
Reassignment to vacant positions |
|
|
Term
| The gist of ADA has to do with |
|
Definition
getting to and in places, being able to engage in customary activities.
Going to restaurants, movies, work, etc. |
|
|
Term
Route of entry measurement requirements
for passage width (1 and 2 w/cs), doorway width, 360 turn. |
|
Definition
Minimum width for a single w/c passage: 36 inches
Minimum width for 2 w/cs to pass is 60 in.
Minimum doorway width: 32 inches
Minimum space for a w/c 360 turn is 60 in. |
|
|
Term
| Route of Entry-Ramp Grade |
|
Definition
1:12; overall rise of < or = to 30 inches
Min width: 36in
Handrail ht min 34 in. max 38
LANDINGS at top and bottom must be at least 60 inches in length |
|
|
Term
| What group does accessibility not take into account |
|
Definition
|
|
Term
| General interior design elements |
|
Definition
36 in doors throughout
Lever door handles
Easy travel paths and absence of trip hazards
Appropriate lighting and raised outlets
Lowered light switches and raised outlets
Consider the user with the layout and materials/products used |
|
|
Term
|
Definition
User-friendly for all
Based on 7 principles developed by a group of designers, architects, engineers
"Getting it right" at the design stage
NCSU, not regulated!!! |
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Term
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Definition
| design made to appeal to all, not segregate and/or stigmatize one group (ex:power doors at convenient entrances, adaptable seating in theaters) |
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Term
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Definition
| provides choice in method of use (right vs left hand); ATM used at different heights, with visual, tactile, and auditory feedback |
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Term
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Definition
| simplify, arrange info consistent with importance, universal symbols;moving sidewalk in airport, escalator in mall. Shouldn't need an instructors manual to use fire extinguisher. |
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Term
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Definition
| multiple simultaneous communication modes (telling you, PP, handout, experience); large print, braille, auditory instructions and feedback (redundant cuing) in elevator. |
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Term
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Definition
| Warnings about errors, failsafe mechanisms. Double cut car key-no right-side-up; "Do you really want to delete this file?" on computer, GFI outlets. |
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Term
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Definition
| lever door handles, touch lamps |
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Term
| Size and space for approach and use |
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Definition
| Controls on front with space in front, room for walkers or person to help. |
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Term
| 3 basic visitability requirements |
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Definition
one zero-step entrance
doors with 32 in of clear passage space
one bathroom on the main floor you can enter in a w/c
"when someone builds a home, they're not just building it for themselves, that home's going to be around for 100 years." |
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Term
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Definition
relatively new concept:applies to single-family residences
Considers the social aspects of access in the"gap" between public places and one's own home
Focuses primarily on physical mobility access |
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Term
| Environmental assessment purpose |
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Definition
to assess the degree of safety, function, and life quality of the pt. in the home, community, and work place.
to provide recommendations to ensure the greatest level of functional independence. |
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Term
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Definition
ICF model:neither body structure/body function data nor environmental data alone is sufficient to base "predictions" of activity and participation.
Ideally, assessment of the person in natural context yields the most realistic data. |
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Term
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Definition
Capacity vs Performance
Where we provide our services v where the pt lives |
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Term
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Definition
Tape measure issues
Getting in the door |
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Term
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Definition
Access to environmental controls: ventilation, illumination
Communication access (routine and emergency)
Emergency egress
Seating choices
Access to food, beverage, utensils, appliances
Caregiver burden |
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Term
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Definition
Habits:responding to contextual cues vs. applying new learning.
Hands free? carrying task materials from room to room (cordless phone dilemma)
Personal perceptions of the person/environment fit
Tolerance for change |
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Term
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Definition
*Identify needs and solutions
*Advocate for pts
*Listen to pt, they are the experts in their lived experience of their disabilities
*when pts are "non-compliant" the environment may be the problem factor-not their characteristics or motivation |
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Term
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Definition
Accuracy
Visual appeal and ease of understanding
Positive, constructive |
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