Assistive Devices for Arthritis
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Questions and Answers

What is the primary purpose of using extended-handle devices in arthritis interventions?

  • To decrease pain in the hands
  • To promote mobility in the legs
  • To increase joint strength
  • To compensate for loss of proximal ROM and strength (correct)

    • What is an important factor to consider when suggesting assistive devices to clients with arthritis?

  • The device's weight
  • The client's Receptiveness to using a device (correct)
  • The device's cost
  • The device's appearance

    • Why may some clients only need to use assistive devices on certain days?

  • Because they need to rest their joints
  • Because they need to conserve energy
  • Because they only experience symptoms on certain days (correct)
  • Because they are still learning to use them

    • What is an important aspect of client education in arthritis management?

    <p>All of the above</p> Signup and view all the answers

    What is the goal of client education in arthritis management?

    <p>To empower clients and lead to positive changes in pain reduction, psychological status, disease management, self-efficacy and overall health promotion</p> Signup and view all the answers

    What should the therapist consider when suggesting assistive devices to clients with arthritis?

    <p>The client's goals and activity demands</p> Signup and view all the answers

    What should the therapist consider when evaluating the effectiveness of an assistive device?

    <p>All of the above</p> Signup and view all the answers

    Why is it important to educate clients about the disease process in arthritis management?

    <p>To empower clients and lead to positive changes in pain reduction, psychological status, disease management, self-efficacy and overall health promotion</p> Signup and view all the answers

    What is the primary goal of splinting in arthritis?

    <p>To maximize function</p> Signup and view all the answers

    What is a benefit of community land- and water-based exercise classes for people with arthritis?

    <p>Offers social interaction and peer support</p> Signup and view all the answers

    What should a therapeutic activity avoid in people with arthritis?

    <p>Patterns of deformity</p> Signup and view all the answers

    What is an important consideration when deciding on an appropriate splinting plan?

    <p>What benefits will a splint provide?</p> Signup and view all the answers

    What is a benefit of gradual progression of repetitions or resistance in exercises for people with arthritis?

    <p>It helps to reduce pain</p> Signup and view all the answers

    What should a therapist consider when prescribing an appropriate splinting plan?

    <p>The pathomechanics of the disease process</p> Signup and view all the answers

    What is the main purpose of joint protection techniques?

    <p>To reduce pain and inflammation in the involved joints</p> Signup and view all the answers

    What should clients do when experiencing pain from an acute episode of inflammation?

    <p>Rest and avoid activity to prevent further joint damage</p> Signup and view all the answers

    What is an indication for splinting in arthritis?

    <p>Decreasing pain</p> Signup and view all the answers

    What should an activity avoid in people with arthritis?

    <p>Overstressing joints</p> Signup and view all the answers

    Why is it important for clients to monitor their symptoms?

    <p>To identify signs and symptoms of inflammation and take action</p> Signup and view all the answers

    What is the goal of fatigue management?

    <p>To save and expend energy wisely</p> Signup and view all the answers

    Why is it important for clients to understand the disease process of RA?

    <p>To understand that prolonged synovitis can lead to irreversible joint damage and disability</p> Signup and view all the answers

    What is the importance of respecting pain in joint protection?

    <p>It prevents further joint damage by stopping activities before pain occurs</p> Signup and view all the answers

    What should clients do when experiencing pain lasting for more than 1 or 2 hours after an activity?

    <p>Modify the activity to reduce joint stress</p> Signup and view all the answers

    What is the benefit of clients understanding the rationale behind joint protection and fatigue management techniques?

    <p>It increases the likelihood of behavior change and improved function</p> Signup and view all the answers

    Study Notes

    Environmental Modifications

    • Assistive devices, alternative methods, and environmental modifications can increase clients' independence, ease, and safety in completing meaningful occupations with less pain and stress on their joints.

    Assistive Devices

    • Extended-handle devices (e.g., dressing sticks, sock aids, shoe horns, bath sponges, hairbrushes, toilet aids) are used to compensate for loss of proximal ROM and strength.
    • Devices with built-up handles (e.g., eating utensils, button aids, writing implements) are used to compensate for limited hand function.
    • The therapist should consider the client's goals, factors, activity demands, and contexts when suggesting assistive devices.
    • Important factors to consider when selecting an assistive device include:
      • Is the client receptive to using the device?
      • Will the device reduce pain, joint stress, energy demands, or time expenditure?
      • Is the device easy to use?
      • Is the device acceptable to the client in terms of appearance, cost, and maintenance needs?
      • Is the device likely to cause any negative effects?

    Client and Family Education

    • Client education is essential for empowering clients and leading to positive changes in pain reduction, psychological status, disease management, self-efficacy, and overall health promotion.
    • Important educational aspects include:
      • Disease process
      • Symptom management
      • Joint protection and fatigue management
    • Disease process education should cover:
      • Type of arthritis
      • Basic underlying pathology
      • Medications and medication side effects
      • Risks of prolonged synovitis in RA (e.g., irreversible joint damage and potential disability)
    • Symptom management education should cover:
      • Monitoring for signs and symptoms of inflammation
      • Recognizing pain as a signal to modify activities
      • Integrating rest, exercise, splinting, and PAMs into daily routine
      • Family members' understanding of the client's abilities and when to assist
    • Joint protection and fatigue management education should cover:
      • General principles of joint protection and fatigue management
      • Reducing internal and external joint stress, pain, and inflammation
      • Preserving joint integrity during ADL performance
      • Saving and expending energy wisely

    Joint Protection and Fatigue Management

    • Respect pain as a signal from the body that something is wrong
    • Avoid activities that cause pain and inflammation
    • Gradually progress repetitions or resistance
    • Engage in community-based exercise classes specifically designed for people with arthritis
    • Organize the environment, pace activities, and rest to moderate fatigue

    Therapeutic Activity

    • Performance of therapeutic activities offers physical and psychological benefits
    • Discussing current and past hobbies or completing an interest survey can help determine appropriate activities
    • A carefully chosen and graded activity can encourage ROM and strength
    • Activities should be nonresistive, avoid patterns of deformity, and not overstress joints

    Splinting

    • Splinting is an integral component of arthritis treatment
    • The goal of splinting is to maximize function
    • Important factors to consider when deciding on a splinting plan include:
      • Primary goals for splinting
      • Benefits of splinting
      • Limitations of splinting
      • Joints involved in the splint design
      • Effect of splinting on unsplinted joints
      • Previous splints tried or worn
      • When to wear the splint

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    Description

    This quiz covers the use of assistive devices to increase independence and ease for individuals with arthritis, focusing on devices that compensate for loss of proximal ROM and strength.

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