Assessment skills.txt

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Author:
jpowell22
ID:
133340
Filename:
Assessment skills.txt
Updated:
2012-02-06 21:27:02
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lecture
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Description:
maureen lecture
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  1. What are some of the things you assess on a patient? (10)
    • mental
    • ROM
    • strength (mmt)
    • mobility
    • balance coordination
    • sensation
    • vitals
    • hearing
    • pain
    • symmetry differences right to left
  2. What does A&Ox3 mean?
    alert and oriented x3...person, place, time
  3. Before begining treatment, you assess skin condition, what should you look for?
    • color
    • integrity
    • tenderness
    • muscle guarding
  4. When should you assess skin condition?
    before, during, and after
  5. What post treatment changes should you note?
    • pt reports more/less pain
    • skin color
    • skin integrity
    • treatment tolerance
    • muscle guarding (improve/worsen)
  6. What is the definition of pain?
    unpleasant sensation and emotional experience usually caused by tissue damage or noxious stimulant
  7. What is the pattern theory?
    we need to track the pattern of pain (if knee hurts worse in morning or at night)
  8. What is the gate-control theory?
    Melzack and Wall

    is we stimulate another nervous system other than the pained one, itlll kinda close off the gait to pain
  9. What is acute pain?
    • short term; begining of pain
    • 0-4 days ish
    • red, hot, swollen
  10. What is subacute pain?
    • little healing happening, calming down
    • 4-14 days ish
  11. What type of pain lasts over 14ish days?
    chronic
  12. What type of pain is felt in a location different (distant) from the cause of pain?
    referred

    heart attack pts may feel pain in left arm
  13. What are pain receptors called?
    nociceptors
  14. What are some types of pain scales?
    • McGill - has pic and questionaire
    • VAS (visual analog scale) - mark x on scale
    • 0-10 verbal - say number
    • oucher - smiley face for kids
  15. We use heat for what type of pain?
    chronic
  16. We use cold for what type of pain?
    acute, subacute
  17. What should we document after treatment?
    • position during treatment
    • treatment - modality, intensity, what area, any changes in area
    • pt tolerance
    • plan
  18. What factors play a role in the decision of a modality?
    • depth of modality penetration
    • depth of tissue to be treated
    • size of area to be treated
    • vigorous, moderate, or mild heating
    • primary treatment goals - tissue nutrition, extensibility, pain relief

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