Ch.26 Exercise & Activity Ch.39 Nervous & MS system disorder

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Created by:

ebecca1991  on January 25, 2012

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CNA

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Kate's CNA Class

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Ch.26 Exercise & Activity Ch.39 Nervous & MS system disorder

AFO
Ankle-foot orthosis
1/66
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Terms

Definitions

AFO Ankle-foot orthosis
BRP bathroom privileges
LNA Licensed nursing assistant
OBRA Omnibus Budget Reconciliation Act of 1987
ROM range of motion
abduction Movement away from the midline
adduction Movement towards the midline
ambulation the act of walking
atrophy any weakening or degeneration (especially through lack of use)
contracture The lack of joint mobility caused by abnormal shortening of a muscle
deconditioning the loss of muscle strength from inactivity
dorsiflexion raising the foot, pulling the toes toward theshin, bending of the foot or the toes upward
extension act of stretching or straightening out a flexed limb
external rotation turning the joint outward
flexion act of bending a joint
footdrop The foot falls down at the ankle; permanent plantar flexion
hyperextension excessive straightening of a body part
internal rotation turning the joint inward
orthostatic hypotension abnormally low blood pressure when the person suddenly stands up; postural hypotension
plantar flexion bends the foot downward at the ankle
range of motion ROM movement of a joint to the extent possible without causing pain
rotation turning the joint
supination turning the palm or foot upward
syncope the brief loss of consciousness caused by the decreased flow of blood to the brain; also known as fainting
ALS amyotrophic lateral sclerosis
CVA cerebrovascular accident
JRA juvenile rheumatoid arthritis
MS multiple sclerosis, morphine sulfate
PVS Persistent vegetative state
RA rheumatoid arthritis
TBI traumatic brain injury
TIA transient ischemic attack
amputation partial or complete removal of an extremity due to trauma or circulatory disease
arthritis inflammation of a joint or joints
closed fracture broken bone with no open wound
Compund fracture A fracture in which the broken end or ends of the bone have torn through the skin
fracture a break in a bone
Open fracture bone fracture that breaks through the skin
paraplegia paralysis of both legs and the lower part of the body
hemiplegia paralysis of one side of the body
quadriplegia paralysis of all four limbs
Simple fracture bone is broken cleanly; the ends do not penetrate the skin
tetraplegia paralysis of both arms and both legs; also known as quadriplegia
pronation turning the joint downward
Bedrest is order to: Reduce pain, reduce phyical activity, encourage rest, regain strength, and promote healing
bedrest with commode privileges The person used the command for elimination
Strict bedrest Everything is done for the person; no activity.
bedrest with privileges (BRP) The person uses bathroom for elimination
preventing orthostatic hypotension -Position the person in a Fowler's position
-Help the person out of bed,to a chair or stand
-Check person BP, respiration, and pusle with the person in a supine
bed board A piece of wood that is placed under the mattress to provide extra support; helps to keep the person's body properly aligned by preventing the mattress from sagging.
foot board devices used to prevent foot drop, a piece of wood or plastic placed at the end of the hospital bed and used for positioning the resident's feet
trochanter roll padding placed onsides of legs and feet of a client in bed, to prevent abnormal outward rotation and related sequela.
hip abduction wedges keep the hips abducted that placed between the person's legs
handle or bandgrips To prevent contractures of thumbs, fingers, and wrist by foam rubber sponges, rubber balls, and fingers cushions.
splints keeps elbows, wrists, digit joints, ankles in normal position. They are usually secured in place with Velcro.
Bed Cradles keeps weight of top linens off the feet & toes
Active range of motion movement of the joint controlled entirely by voluntary contraction-no assistance
Passtive range of motion Someone moves the person
Active -assistive range of motion patient does ROM with some assistance
parkinson's diseaseA motor disorder characterized by difficulty in initiating movements, slowness, and rigidity, masked facial expressions, muscle tremors, poor balance, and a shuffling gait.Also increases with the onset of old age, the symptoms of the disease result from the neurons in the midbrain nucleus called the substantia nigra which (normally release dopamine), and the buildup of protein aggregates containing a-synuclein
Multiple SclerosisLifelong chronic disease diagnosed primarily in young adults but affects three times more women and men. Progressive disease that causes destruction of the myelin in the spinal cord and brain, leading to sensory disorders and muscle weakness. Symptoms include numbness or pain on the skin, blurred/double vision, cognitive impairments, muscle weakness in the extremities, difficulty with coordination and balance, slurred speech, pee yourself, fatigue/depression. May be caused by autoimmune disease. Most important cells are lymphocytes, which break down the myelin, and then macrophages phagocytize the remains. (CC7.14;308)
relapsing-remitting this is by far the most common type of MS (85%). where people have defined attacks of worsening neuro function and then go back to partial or complete remission.
primary progressive Slow but steady worsening of disease from onset w/ NO remissions or relapses. Requires documented worsening over one year.
-10% of patients.
secondary progressive initial relapsing remitting MS
suddenly begins and decline without period of remission which usually start with flare ups.
progressive-relapsing Affects people with primary progressive MS. Flare-ups occur with new symptoms and more damage
Amyotrophic lateral sclerosis a rapidly progressive neurological disease that attacks the nerve cells responsible for controlling voluntary muscles, and are unable to move arms, legs, and body.

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