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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
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What does A&Ox3 mean?
alert and oriented x3...person, place, time
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Before begining treatment, you assess skin condition, what should you look for?
- color
- integrity
- tenderness
- muscle guarding
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When should you assess skin condition?
before, during, and after
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What post treatment changes should you note?
- pt reports more/less pain
- skin color
- skin integrity
- treatment tolerance
- muscle guarding (improve/worsen)
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What is the definition of pain?
unpleasant sensation and emotional experience usually caused by tissue damage or noxious stimulant
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What is the pattern theory?
we need to track the pattern of pain (if knee hurts worse in morning or at night)
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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
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What is acute pain?
- short term; begining of pain
- 0-4 days ish
- red, hot, swollen
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What is subacute pain?
- little healing happening, calming down
- 4-14 days ish
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What type of pain lasts over 14ish days?
chronic
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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
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What are pain receptors called?
nociceptors
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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
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We use heat for what type of pain?
chronic
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We use cold for what type of pain?
acute, subacute
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What should we document after treatment?
- position during treatment
- treatment - modality, intensity, what area, any changes in area
- pt tolerance
- plan
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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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