Questions and Answers
What is the movement of the thumb required to pick up cans?
CMC palmar abduction
What movement of the thumb puts it in hitchhiking position?
CMC extension
What is the best strategy to manage dry mouth due to medications?
Sipping water or sucking on ice/candies presents a possible choking risk.
Large amounts of caffeine can cause serious reactions when taken with which medications?
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Leaning against the counter or a stool when cooking requires what?
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What is visual agnosia?
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What is ideational apraxia?
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What is anosognosia?
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What is asomatognosia?
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What is the best way to increase muscle to attain full range of motion (ROM)?
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What is the best step to enhance an elder's compliance with a home health intervention program after discussing goals?
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What is the normal elbow ROM?
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What are hemi-height chairs used for?
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What are signs of autonomic dysreflexia?
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What is the positioning for a person experiencing autonomic dysreflexia?
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What is Rancho level VII ADL performance?
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What abilities are tested in an on-the-road driving evaluation?
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What does Finkelstein's test identify?
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What does Phalen's test identify?
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What does Froment's sign identify?
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What is presbycusis?
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When is the use of a lap tray permissible?
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What kind of socket is required for an individual with a short below-elbow amputation?
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What are PNF-slow reversals?
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What is an important precursor to the ability to set goals in a person with depression?
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When a client is having trouble identifying their goals, what is the best approach to handle this?
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In a cooperative group, the therapist acts as what?
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Study Notes
Thumb Movements
- CMC palmar abduction is the movement of the thumb necessary for grasping objects like cans.
- CMC extension positions the thumb for the hitchhiking gesture.
Managing Medication Side Effects
- To alleviate dry mouth caused by medications, sipping water or sucking on ice/candies should be approached with caution due to choking risks.
- High caffeine intake can lead to severe reactions, especially when combined with MAOI inhibitors.
Cooking and Support
- Leaning against a counter or stool while cooking can decrease stability and increase energy expenditure, negatively impacting the performance of fine motor tasks in meal preparation.
Neurological Conditions
- Visual agnosia is characterized by an inability to recognize familiar objects despite normal visual function.
- Ideational apraxia refers to difficulty performing purposeful motor tasks, whether autonomously or upon request.
- Anosognosia involves a person's lack of awareness or denial regarding their paralysis severity.
- Asomatognosia results in the inability to recognize one's own body parts.
Rehabilitation and Aging
- To enhance muscle strength for achieving full range of motion, resistive activities against range of motion should be employed.
- For elder compliance with home health interventions, integrating learned strategies into new tasks fosters generalization and active participation in goal setting.
Range of Motion and Seating
- Normal elbow range of motion is between 0 to 135-150 degrees.
- Hemi-height chairs, designed for individuals with mobility challenges, can hinder taller individuals as they are low to the ground to assist with propulsion.
Autonomic Dysreflexia
- Symptoms of autonomic dysreflexia include profuse sweating and headaches.
- Positioning a person with autonomic dysreflexia upright helps manage elevated blood pressure.
Cognitive and Driving Assessment
- Driving evaluations assess tactile skills related to driving, including reaction to road changes and traffic risks, alongside cognitive abilities.
Diagnostic Tests
- Finkelstein's test indicates pain related to de Quervain's tenosynovitis, affecting the abductor pollicis longus and extensor pollicis.
- Phalen's test assesses median nerve compression within the carpal tunnel.
- Froment's sign tests for ulnar nerve dysfunction through a pinch grip action.
Hearing Loss and Communication
- Presbycusis denotes age-related sensorineural hearing loss; clear and slow speech enhances communication with the elderly.
Safety and Restraints
- A lap tray may serve as a permissible restraint to ensure safety, provided it enhances function and follows attempts with less restrictive measures.
Amputation and Prosthetics
- Individuals with short below-elbow amputations require fixed elbow sockets for stability due to the absence of natural forearm rotation.
Proprioceptive Neuromuscular Facilitation (PNF)
- PNF slow reversals facilitate increased range of motion through alternating isotonic contractions of opposing muscle groups.
Goal Setting in Therapy
- Addressing an individual's depression involves developing their capacity to challenge and correct negative thinking.
- Engaging clients in discussions about personal importance aids in identifying their goals, emphasizing a client-centered approach.
Group Therapy Dynamics
- In cooperative group settings, the therapist plays the role of an advisor, encouraging mutual responsibility among members for feedback and problem-solving.
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