Special Case Lab guide 2

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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?

Crossing the legs 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?

Positioning him sidelying to rest Signup and view all the answers

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

Frequency and method of repositioning Signup and view all the answers

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

Adducting the operated leg during movement Signup and view all the answers

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

Allowing the patient to mobilize without supervision Signup and view all the answers

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

Patient safety, comfort, and access Signup and view all the answers

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

Patient's immediate comfort Signup and view all the answers

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

Positioning to optimize interaction with the environment Signup and view all the answers

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

Teaching hip precautions Signup and view all the answers

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

Airway clearance Signup and view all the answers

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

Trunk and extremities supported for comfort Signup and view all the answers

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

Performing ankle and knee exercises Signup and view all the answers

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

His strength is greatly diminished due to SCI. Signup and view all the answers

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

Gravity creating shearing forces Signup and view all the answers

Identifying patient special needs is emphasized in which context?

Both short-term and long-term positioning Signup and view all the answers

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

Stretching and massaging the tight right pectoralis major muscle Signup and view all the answers

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

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

What does proper bed mobility techniques aim to achieve?

Support patient movement and comfort Signup and view all the answers

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

Enhancing long-term functional positions Signup and view all the answers

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

Preparing for the fitting of her prosthesis Signup and view all the answers

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

Access to call for help Signup and view all the answers

What position is Miss Piggy in when her session begins?

Supine in bed Signup and view all the answers

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

Right upper extremity mobility Signup and view all the answers

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

Wrist Flexion Contracture Signup and view all the answers

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

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

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

Stronger Side 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?

Lean back slightly and use their strong leg 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?

Shift weight towards the stronger side Signup and view all the answers

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

Engaging in activities on uneven surfaces Signup and view all the answers

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

Reaching across their body with arms and pushing through elbows Signup and view all the answers

What movement should a patient avoid to maintain postural stability?

Rapid or jerky movements 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?

Hip Flexion Greater than 90 Degrees Signup and view all the answers

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

Plantar Flexion Contracture 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?

Rolling Towards the Operated Side Signup and view all the answers

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

Shoulder Flexion 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?

Operated Leg Abducted to Non-Operated Side Signup and view all the answers

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

Crossing the Legs While Sitting Signup and view all the answers

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

Knee Flexion Contracture Signup and view all the answers

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

Maintaining Spine Alignment During Movement Signup and view all the answers