C6 Injury and Wheelchair Use

Questions and Answers

What stage of the Rancho Los Amigos Levels of Cognitive Functioning is indicated by a patient who starts to squeeze the therapist's hand upon command and recognizes their mother?

II-generalized response

IV-confused-agitated

V-confused-inappropriate

III-localized response (correct)

In spinal cord injury rehabilitation, which of the following best describes a patient who is lethargic and oriented to name only?

Obtunded and aware of surroundings

Sleepy with full orientation

Lethargic and demonstrating confusion (correct)

Confused and disoriented

What is a reasonable expectation for a patient with C4 quadriplegia regarding self-care ability and mobility?

Independent feeding without an assistive device

Transfer from wheelchair to bed independently

Use of a power wheelchair (correct)

Donning a shirt independently and pants with minimal assistance

Which of the following describes the best goal-setting strategy for a therapist working with a patient recovering from traumatic brain injury?

Combining long-term goals with immediate achievable ones Signup and view all the answers

A patient who is orientated to person, but confused about time and place could be classified as which of the following?

Confused-inappropriate Signup and view all the answers

What cognitive stage is characterized by inconsistent responses but still includes some level of awareness, such as recognizing a familiar person?

III- localized response Signup and view all the answers

Which of the following assistive devices is most suitable for a patient unable to transfer independently due to severe mobility limitations?

Power wheelchair Signup and view all the answers

What might be the first sign of progress in physical rehabilitation for a patient sustaining a traumatic brain injury?

Squeezing the therapist's hand in response to a command Signup and view all the answers

Which level of arousal describes a patient who requires continual stimulus to stay awake?

Obtunded Signup and view all the answers

What is the first aspect to assess in a patient who has experienced a recent stroke?

Mental status Signup and view all the answers

In the context of traumatic brain injury recovery, which statement is true regarding mental status assessment?

It can indicate the patient's level of consciousness and interaction. Signup and view all the answers

Which of the following best defines the role of patient goal setting in therapy?

To establish personalized treatment objectives. Signup and view all the answers

Which condition is associated with a patient who is sleepy but can be easily roused during an examination?

Lethargic Signup and view all the answers

In spinal cord injury rehabilitation, which factor is essential for developing a care plan?

Social and environmental factors impacting recovery. Signup and view all the answers

Which assistive device is typically used for enhancing mobility in patients with severe weakness?

Power wheelchair Signup and view all the answers

What is a common misconception about the arousal state of a patient in a stupor?

They are unresponsive to external stimuli. Signup and view all the answers

Which type of wheelchair control is most suitable for a client with a C6 injury operating on even terrain?

Power wheelchair with head controls Signup and view all the answers

What is the expected healing time for fractures in children with osteogenesis imperfecta?

Heals within the normal timeframe Signup and view all the answers

What should be the primary goal for a person with C7 quadriplegia regarding wheelchair use?

Operation of a wheelchair without power controls Signup and view all the answers

In the context of spinal cord injury rehabilitation, what is a realistic functional goal for a patient with a C6 injury when negotiating terrain?

Utilize a power wheelchair on even terrain Signup and view all the answers

Which symptom is NOT characteristic of a person with drop attacks following a spinal cord injury?

Bilateral arm paralysis Signup and view all the answers

When setting therapy goals for a patient with spinal cord injury, which of the following is considered unrealistic?

Achieving independent ambulation on level surfaces Signup and view all the answers

What is a common misconception regarding the functional abilities of a patient with a C6 spinal cord injury?

They can negotiate uneven terrain without help Signup and view all the answers

What should a therapist focus on when discharging a patient with a spinal cord injury after meeting therapy goals?

Providing ongoing community support Signup and view all the answers

Study Notes

Wheelchair and Spinal Cord Injuries

A client with a C6 spinal cord injury retains control of head, neck, diaphragm, deltoids, biceps, and wrist extensors for movement on even terrain.
A manual wheelchair is appropriate for navigating uneven surfaces for those with C6 injury.
Patients with C7 quadriplegia can operate a wheelchair without power control, emphasizing independent mobility without assistance.

Healing Times and Injuries

In children with osteogenesis imperfecta, fracture healing occurs within the normal healing timeframe.
Healing time remains unchanged for patients with spinal cord injuries, regardless of injury severity.

Cognitive Functioning and Patient Assessment

A patient suffering from C4 quadriplegia demonstrates lethargy, and is oriented to his name only, indicating a need for stimulus to maintain consciousness.
Patients with traumatic brain injuries may exhibit varying levels of responsiveness; an 18-year-old male may be assessed at Rancho Los Amigos Level II (generalized response) or III (localized response) based on his interactions.

Patient Examination and Assessment Priorities

During initial assessments for patients with a recent stroke, mental status should be assessed first to establish subjective reliability.
A lethargic patient remains interactive, in contrast to those in a stupor, who do not respond to stimuli.

Key Goals for Rehabilitation

Goals for patients recovering from spinal injuries often focus on independence in activities like transfers and self-feeding.
Realistic long-term goals must be established for self-care and mobility, adapting to the patient’s functional capacity and level of support needed.

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Description

This quiz explores the capabilities and control of clients with a C6 injury using wheelchairs with power hand controls. It focuses on negotiating different terrains and understanding the functions retained at this injury level. Test your knowledge on wheelchair mobility and client care.