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Flashcards in Acute Care/Ambulatory Aids Deck (27)
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1

What is another name for the acute phase of healing?

Inflammatory phase

2

What is the purpose of the acute phase of healing?

1 Defend against foreign intruders
2 remove damaged tissue and debris
3 immobilize area

3

What is the acronym associated with acute treatment?

Protect
Rest
Ice
Compress
Elevate
Support
(PRICES)

4

In what direction should wrapping for compression occur?

Distal to proximal

5

What is the purpose of intermittent compression?

Reduction of acute or chronic edema

6

What is the most common form of intermittent compression treatment?

Intermittent sequential graded compression (3 compartments: distal, intermediate, and proximal)

7

Intermittent compression can also be combined with what other therapy?

Cooling

8

How does elevation help with the acute phase?

Gravity augments the lymph flow

9

How long does it generally take for elevation above heart level to aid with edema reduction?

20 minutes

10

What are ways in which the "S" component of the acronym "PRICES" can be used for the acute phase?

Support: nutritional, education, referral for emotional support, bracing/taping/crutches/etc.

11

What is a consequence with bracing for acute conditions?

Inhibition of muscle action

12

When the integrity of a joint is not severely compromised is it better to be weight bearing or non-weightbearing?

Weight bearing

13

What are the measurements for fitting crutches?

6" from outer margin of shoe, 2" in front of shoe, 2" below axilla

14

At what degree should the elbow be flexed when appropriately fitting for crutches?

30 degrees

15

What is crutch palsy?

Temporary or permanent paralysis due to pressure on axillary nerve and vessels

16

What is the gait called with crutches when the affected foot is fully elevated?

Tripod gait (non-weight bearing)

17

Which form of the tripod gait is easier and requires less coordination?

Swing-to gait by bringing the foot to the crutches

18

Which form of the tripod gait is faster and requires more coordination?

Swing-through gait by the foot landing in front of the crutches

19

What is another name for the form of the tripod gait that has partial weight bearing?

Four-point gait

20

What is the four-point gait?

Affected leg and crutches move forward together

21

What are the two gait options for using crutches up and down the stairs?

Tripod gait or handrail gait

22

Which gait is preferred and considered safer when using crutches up and down stairs?

Handrail gait

23

When using the handrail stair gait with crutches, in which hand should both of the crutches go?

On the affected limb side

24

When going UP the stairs with crutches, which leg goes first?

Good leg

25

When going DOWN the stairs with crutches, which leg goes first?

Bad leg (crutches go down first)

26

How long should a cane be for an individual?

Up to the superior aspect of the greater trochanter of the femur

27

On which side does the cane go?

OPPOSITE of the side of involvement (moves with involved side)