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 (D)</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 (D)</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 (D)</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 (D)</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 (C)</p> Signup and view all the answers

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

<p>Patient safety, comfort, and access (B)</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 (D)</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 (C)</p> Signup and view all the answers

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

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

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

<p>Performing ankle and knee exercises (D)</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. (A)</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 (A)</p> Signup and view all the answers

Identifying patient special needs is emphasized in which context?

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

What does proper bed mobility techniques aim to achieve?

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

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

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

What position is Miss Piggy in when her session begins?

<p>Supine in bed (D)</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 (A)</p> Signup and view all the answers

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

<p>Wrist Flexion Contracture (D)</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 (B)</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 (D)</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 (D)</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 (D)</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 (B)</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 (C)</p> Signup and view all the answers

What movement should a patient avoid to maintain postural stability?

<p>Rapid or jerky movements (C)</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 (B)</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 (C)</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 (A)</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 (C)</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 (B)</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 (C)</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 (C)</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 (C)</p> Signup and view all the answers

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