Podcast
Questions and Answers
What is the correct order of donning PPE, specifically gloves, gown, and face mask?
What is the correct order of donning PPE, specifically gloves, gown, and face mask?
In the context of lifting and moving objects, which is the best technique for transferring items from a grocery cart to a car trunk?
In the context of lifting and moving objects, which is the best technique for transferring items from a grocery cart to a car trunk?
What does AMAP/ANAP stand for in patient care?
What does AMAP/ANAP stand for in patient care?
What key points of control should be focused on when assisting a patient with rolling?
What key points of control should be focused on when assisting a patient with rolling?
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What kind of transmission is indicated if a patient develops an infection after interacting with a toy brought in by a visitor?
What kind of transmission is indicated if a patient develops an infection after interacting with a toy brought in by a visitor?
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Which lifting technique should be taught to a patient with hip or knee problems who wants to lift a light object from the floor?
Which lifting technique should be taught to a patient with hip or knee problems who wants to lift a light object from the floor?
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When seeing a patient under contact precautions, what type of PPE is necessary, and when should it be donned and doffed?
When seeing a patient under contact precautions, what type of PPE is necessary, and when should it be donned and doffed?
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Which lifting technique is considered most effective for bulky or unwieldy equipment?
Which lifting technique is considered most effective for bulky or unwieldy equipment?
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What is the primary reason for using person-first language when discussing patients?
What is the primary reason for using person-first language when discussing patients?
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What technique should be utilized when moving a bulky or unwieldy object to maintain balance?
What technique should be utilized when moving a bulky or unwieldy object to maintain balance?
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In regards to lifting patients with hip or knee problems, which lifting technique is recommended?
In regards to lifting patients with hip or knee problems, which lifting technique is recommended?
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Which component is critical to include when introducing yourself to a patient?
Which component is critical to include when introducing yourself to a patient?
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What should be done prior to any interaction with a patient?
What should be done prior to any interaction with a patient?
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What is the correct order for donning personal protective equipment (PPE)?
What is the correct order for donning personal protective equipment (PPE)?
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Which of the following is true regarding indirect contact transmission?
Which of the following is true regarding indirect contact transmission?
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What is the key focus when assisting a patient with rolling in bed?
What is the key focus when assisting a patient with rolling in bed?
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When moving a patient with weakness using a gurney, which technique is most appropriate?
When moving a patient with weakness using a gurney, which technique is most appropriate?
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What is a major rule to follow when doffing PPE?
What is a major rule to follow when doffing PPE?
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Which approach is recommended for educating patients about an intervention?
Which approach is recommended for educating patients about an intervention?
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When managing patient interactions, how should emotional stages impact engagement?
When managing patient interactions, how should emotional stages impact engagement?
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Which technique is preferred to reduce strain while pushing or pulling an object?
Which technique is preferred to reduce strain while pushing or pulling an object?
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What is the significance of keeping the load close to the body when lifting?
What is the significance of keeping the load close to the body when lifting?
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Which strategy should be prioritized when assisting a patient to progress toward independence in mobility?
Which strategy should be prioritized when assisting a patient to progress toward independence in mobility?
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In biomechanical approaches to rehabilitation, what outcome is favored when using pushing instead of pulling techniques?
In biomechanical approaches to rehabilitation, what outcome is favored when using pushing instead of pulling techniques?
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Which principle of Dynamic Systems Theory is essential when facilitating patient engagement techniques?
Which principle of Dynamic Systems Theory is essential when facilitating patient engagement techniques?
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What critical component should be avoided to promote positive therapeutic alliance in patient interactions?
What critical component should be avoided to promote positive therapeutic alliance in patient interactions?
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When considering the stage of loss or injury, which factor does NOT significantly impact a patient's presentation?
When considering the stage of loss or injury, which factor does NOT significantly impact a patient's presentation?
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Which outcome is least likely from using pushing techniques in patient mobilization?
Which outcome is least likely from using pushing techniques in patient mobilization?
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What is the most effective way to educate a patient about rehabilitation interventions?
What is the most effective way to educate a patient about rehabilitation interventions?
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In the context of providing patient care, which of the following practices best supports achieving a wide base of support?
In the context of providing patient care, which of the following practices best supports achieving a wide base of support?
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Which of the following statements best illustrates the principle of leading movement with a distal component of the body?
Which of the following statements best illustrates the principle of leading movement with a distal component of the body?
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Which of the following concepts emphasizes the importance of adapting to changes in a patient's environment while facilitating their independence?
Which of the following concepts emphasizes the importance of adapting to changes in a patient's environment while facilitating their independence?
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In the context of physical therapy, what is the recommended sequence for progressing a patient’s movement activities?
In the context of physical therapy, what is the recommended sequence for progressing a patient’s movement activities?
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What is a key principle of the CCDD decision-making guide when assisting a patient to stand up from a sitting position?
What is a key principle of the CCDD decision-making guide when assisting a patient to stand up from a sitting position?
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What is the significance of using 'teach back' methods during patient interactions?
What is the significance of using 'teach back' methods during patient interactions?
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In the context of maintaining a therapeutic alliance, which approach is most effective in engaging a patient with significant fears regarding mobility?
In the context of maintaining a therapeutic alliance, which approach is most effective in engaging a patient with significant fears regarding mobility?
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How should physical therapists balance the goals of mobility and stability during patient rehabilitation?
How should physical therapists balance the goals of mobility and stability during patient rehabilitation?
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Which element is crucial in establishing a therapeutic alliance during the initial interaction with a patient?
Which element is crucial in establishing a therapeutic alliance during the initial interaction with a patient?
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What does the principle of AMAP/ANAP advocate for when creating therapeutic interventions?
What does the principle of AMAP/ANAP advocate for when creating therapeutic interventions?
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Which decision-making guide highlights the significance of clear goals and desired outcomes in patient rehabilitation?
Which decision-making guide highlights the significance of clear goals and desired outcomes in patient rehabilitation?
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What approach should be taken to effectively communicate with patients during therapy sessions?
What approach should be taken to effectively communicate with patients during therapy sessions?
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When applying principles of biomechanics in rehabilitation, which of the following statements is most accurate?
When applying principles of biomechanics in rehabilitation, which of the following statements is most accurate?
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In the context of biomechanics in rehabilitation, why is it important to start with the end goal in mind?
In the context of biomechanics in rehabilitation, why is it important to start with the end goal in mind?
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Which method is least effective for engaging patients in their therapy processes?
Which method is least effective for engaging patients in their therapy processes?
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Which of the following best describes the concept of 'Progressing Toward Independence' in patient care?
Which of the following best describes the concept of 'Progressing Toward Independence' in patient care?
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In evaluating a patient with mobility issues, why is understanding the 'Person-Task-Environment' framework critical?
In evaluating a patient with mobility issues, why is understanding the 'Person-Task-Environment' framework critical?
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Study Notes
Patient Interactions
- Pre-Interaction: Wash hands, review patient history, prepare equipment.
- Introduction: Introduce yourself and your role, verify patient identity, explain the purpose of the visit, and follow clean techniques.
- Communication: Use clear and simple language. Avoid jargon.
- Education: Use visual aids, break down instructions into manageable steps, check for understanding.
- Person-First Language: Avoid language that dehumanized or emphasizes their disability.
Patient Positioning
- Leaning in Wheelchair: Provide support at the pelvis and shoulder, adjust the base of support, lower the center of mass.
- Rolling: Focus on guiding the patient's shoulder and pelvis.
- Stage of Loss or Injury: Understand the stages of loss or injury, as they can impact patient engagement, compliance, and motivation.
- AMAP/ANAP: Encourage patients to engage as independently and as functionally as they can.
Coughing
- Cough Etiquette: Cover mouth with elbow or tissue, throw away tissue, wash hands.
Infection Control
- Contact Precautions: Gown and gloves. Don outside the room or in an anteroom, doff in the same area.
- Airborne Precautions: N95 mask. Don before entering the room, doff after exiting in an anteroom or immediately outside of the patient’s room.
- Droplet Precautions: Face mask.
- N95 Mask: Filters out 95% of airborne particles.
- PPE Donning and Doffing Rule: Avoid touching the front of PPE.
- Transmission: Toy from a visitor can cause indirect contact transmission.
Body Mechanics:
-
Lifting Techniques:
- Diagonal Lift or Team Lift: For bulky/unwieldy equipment.
- Pivot Technique: For moving objects from equal heights.
- Golfer’s Lift: For patients with hip or knee problems.
- Deep Squat Lift: For small children.
- Partial Squat Lift or Stoop Lift: For lighter objects.
- Power Lift: For heavy objects.
- Pivot Transfer: For small, lightweight patients with weakness.
- Mechanical Lift: For larger, heavier patients unable to follow your instructions.
- Pushing vs Pulling: Push to protect your back and maximize body weight.
- Maximizing Stability: Widen your base of support, keep your line of gravity within your base of support, and lower your center of mass.
- Cardinal Rules: Keep load close to your body, avoid twisting, bend at knees and hips.
Decision-Making Guides
- Progressing Toward Independence: Movement progresses from simple to complex, dependence to independence, and stable to mobile.
- AMAP/ANAP (As Much As Possible; As Normally As Possible): Encourage patients to use their bodies as normally as possible to improve function.
- Person- Task- Environment: Consider the individual patient, the task they are trying to accomplish, and the environment they are in when determining interventions.
- CCDD (Control Centrally; Direct Distally): Controlling movement centrally (e.g., pelvis) facilitates proper movement distally (e.g., limbs).
- Biomechanics: Utilizing principles of biomechanics to inform decision-making in movement and injury prevention.
- Stability-Mobility Continuum: Balance mobility with stability.
- Focus on the Objective: Maintain clarity of purpose and "Begin with the End in Mind!" by focusing on patient goals.
Therapeutic Alliance
- Person-First Language: Utilize person-first language (e.g., "person with a disability") or identity-first language (e.g., "disabled person") as appropriate.
- Patient Introduction & Consent: Always start with complete introductions, obtain permission, and obtain consent to treat.
- Clear Instructions: Implement clear, concise instructions before tasks and brief, specific verbal cues during skills.
- Teach Back: Use "teach back" to ensure understanding and foster patient buy-in.
Body Mechanics
- Pushing vs. Pulling: When possible, push objects instead of pulling. Pushing allows for a larger base of support, lower center of mass, and utilizes larger muscles while directing force towards the desired motion.
- Avoid Twisting: Avoid twisting motions, especially when lifting.
Infection Control
-
Donning and Doffing PPE:
- Always wash hands before donning and doffing PPE.
- Donning order: Gown, mask, gloves.
- Doffing order: Gloves, gown, mask.
- Contact Precautions: When seeing a patient with contact precautions, don gloves and gown at the doorway. Doff gloves outside the room and gown immediately after leaving the room.
- Airborne Precautions: When seeing a patient with airborne precautions, don a mask (N-95) before entering the room, and ensure the room door is kept closed. Doff the mask after leaving the room, ideally in a designated area.
- Droplet Precautions: When seeing a patient with droplet precautions, wear a surgical mask in close proximity to the patient.
Other Key Points
- Patient Positioning: Assist patients to sit upright, maintain a wide base of support, and lower their center of mass to enhance stability.
- Stage of Loss or Injury: Consider the stage of loss or injury, as this can impact a patient's presentation.
- Patient Education: Use effective teaching techniques for patient education, including visual aids, demonstration, and repetition.
- Coughing Etiquette: When coughing, cover your mouth and nose with a tissue or your elbow.
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Description
Test your knowledge on effective patient interactions and positioning techniques. This quiz covers key concepts such as communication styles, patient education methods, and proper handling during patient movements. Understand the best practices to enhance patient engagement and support their independence.
