Special Case Lab guide 2
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Questions and Answers

What is the primary aim of positioning for patients with transtibial amputations?

  • To prevent common contractures (correct)
  • To enable floor transfers
  • To enhance overall mobility
  • To improve blood circulation
  • In which position should a patient post-surgery with a transtibial amputation be placed to minimize the risk of contractures?

  • Sitting with knees flexed
  • Lying flat on their back
  • Supine with elevated legs
  • Sidelying toward prone (correct)
  • What is a common outcome for patients with a posterior approach total hip arthroplasty (THA)?

  • Limited hip flexion only
  • Severe restrictions in hip movements (correct)
  • No restrictions on motion
  • Increased hip extension
  • What movement is the least recommended for a patient recovering from a posterior THA when getting out of bed?

    <p>Crossing the legs</p> Signup and view all the answers

    What is crucial to consider when positioning a patient with a left hip flexion impairment getting ready to walk in parallel bars?

    <p>Positioning him sidelying to rest</p> Signup and view all the answers

    What should a caregiver always consider when helping position a patient in a hospital setting?

    <p>Frequency and method of repositioning</p> Signup and view all the answers

    Which of the following movements would likely compromise precautions for a patient post-anterior THA?

    <p>Adducting the operated leg during movement</p> Signup and view all the answers

    What is one critical action to avoid when working with a patient post-CVA?

    <p>Allowing the patient to mobilize without supervision</p> Signup and view all the answers

    What is the primary consideration for short-term patient positioning?

    <p>Patient safety, comfort, and access</p> Signup and view all the answers

    Which of the following is NOT a factor to consider for long-term patient positioning?

    <p>Patient's immediate comfort</p> Signup and view all the answers

    In terms of biomechanics, which strategy is essential for movement and injury prevention?

    <p>Positioning to optimize interaction with the environment</p> Signup and view all the answers

    What is the primary therapeutic goal for Ernie during the therapy session?

    <p>Teaching hip precautions</p> Signup and view all the answers

    Which aspect is included in the S.P.A.C.E acronym for long-term positioning?

    <p>Airway clearance</p> Signup and view all the answers

    What is a key component of the short-term positioning checklist?

    <p>Trunk and extremities supported for comfort</p> Signup and view all the answers

    Which activity is NOT included in the therapy goals for Oscar?

    <p>Performing ankle and knee exercises</p> Signup and view all the answers

    What is the most appropriate reason for Gonzo's need for approximately 50% assistance in bed mobility?

    <p>His strength is greatly diminished due to SCI.</p> Signup and view all the answers

    Which of the following factors should be minimized when positioning a patient for the long-term?

    <p>Gravity creating shearing forces</p> Signup and view all the answers

    Identifying patient special needs is emphasized in which context?

    <p>Both short-term and long-term positioning</p> Signup and view all the answers

    What is one of the therapeutic interventions planned for Gonzo during his session?

    <p>Stretching and massaging the tight right pectoralis major muscle</p> Signup and view all the answers

    What should be emphasized in the patient education for Oscar's spouse regarding positioning?

    <p>To explain the reasons for proper positioning to enhance comfort and safety</p> Signup and view all the answers

    What does proper bed mobility techniques aim to achieve?

    <p>Support patient movement and comfort</p> Signup and view all the answers

    What is a primary long-term goal in patient positioning?

    <p>Enhancing long-term functional positions</p> Signup and view all the answers

    What is the primary goal for Miss Piggy during her therapy session?

    <p>Preparing for the fitting of her prosthesis</p> Signup and view all the answers

    Which of the following should be assessed for patient safety during short-term positioning?

    <p>Access to call for help</p> Signup and view all the answers

    What position is Miss Piggy in when her session begins?

    <p>Supine in bed</p> Signup and view all the answers

    What range of motion exercise is specifically targeted for Oscar in this context?

    <p>Right upper extremity mobility</p> Signup and view all the answers

    Which condition can develop as a result of poor positioning and muscle tone?

    <p>Wrist Flexion Contracture</p> Signup and view all the answers

    What is the primary reason to never use the affected limb as a stabilizer during rehabilitation?

    <p>It may lead to further injury or poor motor patterns</p> Signup and view all the answers

    From which side is it generally easier for a patient post-CVA to come to sitting EOB?

    <p>Stronger Side</p> Signup and view all the answers

    When teaching a patient post-CVA to get their leg onto the bed from sitting EOB, what should they do first?

    <p>Lean back slightly and use their strong leg</p> Signup and view all the answers

    What should a patient post-CVA do to improve leverage when lowering themselves to the bed on the weaker side?

    <p>Shift weight towards the stronger side</p> Signup and view all the answers

    Which of the following techniques is NOT recommended for a patient with postural stability dysfunction?

    <p>Engaging in activities on uneven surfaces</p> Signup and view all the answers

    To assist a patient with SCI in rolling in bed, which method should they use?

    <p>Reaching across their body with arms and pushing through elbows</p> Signup and view all the answers

    What movement should a patient avoid to maintain postural stability?

    <p>Rapid or jerky movements</p> Signup and view all the answers

    What is the primary movement restriction for a patient who has undergone a total hip arthroplasty using the posterior approach?

    <p>Hip Flexion Greater than 90 Degrees</p> Signup and view all the answers

    Which of the following is NOT a common contracture observed in patients with transtibial amputations?

    <p>Plantar Flexion Contracture</p> Signup and view all the answers

    What movement should be avoided by a patient with a posterior approach total hip arthroplasty when getting out of bed?

    <p>Rolling Towards the Operated Side</p> Signup and view all the answers

    Which of the following movements would a patient with post-stroke flexion (PSF) be advised to avoid?

    <p>Shoulder Flexion</p> Signup and view all the answers

    In what position should a patient with a posterior approach total hip arthroplasty ideally keep their legs while seated?

    <p>Operated Leg Abducted to Non-Operated Side</p> Signup and view all the answers

    What could potentially break movement precautions for a patient after undergoing a THA with a posterior approach?

    <p>Crossing the Legs While Sitting</p> Signup and view all the answers

    Which of the following contractures is most likely to develop due to prolonged sitting after a transtibial amputation?

    <p>Knee Flexion Contracture</p> Signup and view all the answers

    What should a caregiver consider when teaching a patient with a spinal cord injury to roll in bed?

    <p>Maintaining Spine Alignment During Movement</p> Signup and view all the answers

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