Terms in this set (89)
ADL activities of daily living
skills that are required on a day to day basis. seven categories are
3) toilet hygiene
7) functional communication
activity professional (OBRA)
enhance a resident's life. decrease the negative impact of illness, injury, and institutalization. CTRS, OT
name of federal legislation that outlines the minium requirements for facilities in the United States.
adult day care
day treatment centers for adults who require some supervision and structured activity to be able to remain at home instead of a health care facility. Provide help in ADL, cognitive and sensory stimulation
temporary vacation or break given to those who take care for one or more individuals who are ill or disabled
advanced activities of daily living
1) basic environmental community safety
2) community mobility skills
3) consumer skills
4) community resource identification
5) advanced dressing skills
6) time management skills
7) social interaction skills
instrumental/ independent IADLS
tasks that are required to live independently in the community. include preparing meals, shopping, managing money, using phone, and taking medications
legal document that describes what a person wants to hav hapen if they are incapacitated and unable to make decisions about health care for themselves.
-durable power of attourney
-conservator= person who has assumed control over financial and or personal affairs for an individual who is incompetent or disabled.
assumption that one's age is preferable to another. older people requently experience age discrimination because people assume they are less capable because of their age
appearance that a patient is anxious because they are demonstrating motor restlessness. therapy goal= determine if cues or triggers that proceeded agitation can be identified
provide an individual with nourisment. usually referring to the delivery of nourishment through a tube
patients who are not able to take food through their mouth, so they need to be fed through tubes.
gastric gavage tube
tube inserted into the nasal passage then pushed down into the stomach or the intestines
nasogastric tube (NG tube)
tube that is placed down the patient's nose into the patient's stomach.
to qualify, must have developed significant multipe cognitive deficits which reduce independent functioning, and disturbance in exectutive functioning (planning, organizing, and sequencing)
disturbed orientation in respect to time, place or person
illness or condition which is marked by a progressive loss of intellectual mctions. the ndividual wll demonstrate an up and down course of cognitive ability on a day to day basis with an overall decrease. ability to use information stored in memory will decrease. ability to exercise good judgment, exectutive functions and abstract reasoning will decrease
obsolete term replaced by dementia
treatment intervention used with patients who have a significant cognitive loss. frequent introduction of objects to stimulate the senses
brain structures associated with emotion and memory. stimultion of the area produced vivid auditory and visula hallucinations of previous experiences. proposed as the "seat" of emotions
the physiological process of retaining information as a result of nerve stimulation
the system that describes how individuals store the input
short term memory
memory refers to the storage of information that the individual is using or has just used. immediate memory, working memory, primary memory and buffer memory.
long term memory
contains past learned information including information related to concepts and words, rules and past experiences. recent memory, recent past memory, remote memory and secondary memory
retrival of memory
cognitive process of locating information previously entered into long term memory in a manner that is usable and contextual
Mini-Mental Status Examination
assessment tool measures cognitive functioning. tests:
-attention and calculation
nonproductive, xcessive, motor and cognitive behaviors in response to personal tension or neurological impairment
a story told over and over again to the same person. may be something they have experienced or something they are making up
combination of symptoms that tend to become more pronounced in the evenings. primary symptoms are agitation, disorientation and emtional stress. three hypothesis are: decreased sensory imput, progressive fatigue and dehydration
dilation or bulging out of the wall of an artery or vein. may rupture and cause a spontaneous hemorrhage
feeling of pain in the chest and perception of difficulty in breathing (due to pain) as a result of the heart's reacion to overexertion or excitement
abnormal immobility of a joint as a result of a buildup of fibrous tissue or bony tissue forming a bridge across the joint
narrowing of the aortic valve. the valve that helps control the movment of oxygen rich blood from left ventricle to the aorta
an uneven or unusal beat in the rythm of the heart
disorder characterized by thickening, calcification and loss of elasticity of the blood vessels that is common among older people. blood supply is reduced most often in the lower extremidies and the cerebrum
too much cholesterol builds up in the blood and accumulates in the walls of the blood vessels, generally affecting the largge vessels coming from the heart. leisons leading cuase of cardiac disorders.
degenerative changes nd deformities in the joints. wear and tear
affeccts the lining of your joints. your body mistakenly attachks the lining of your joints causing them to swell and can result in bone erosion or joint deformity
gout (uric acid crystals)
painful, destructive join disease which is cause when the body inadequately deals with the build up of uric acid. painful swelling, chills and fever. progressively worse.
tick-borne inflamatory disease which initially causes fever, stiffness and rash. arthritis like symptoms and cardiac problems appear later stages
movement of a body part cause by another person or machine
voluntary done movement through patient's use of his or her own muscles
range of motion
degree of motion of a joint. primary causes are
-connective tissue or neuromuscular disease
-tissue pathology due to trauma
-congenital or acquired deformities
surgical reconstruction of a joint required because of trauma or ankylosis or to reduce excessive motion of the joint.
residential setting where adults can reviece assistance with some ADL. 24 hour supervision. keeping the resident as independent as possible. designed to promote autonom, privacy, and independence
account for nearly 20 percent of all injuries and illnesses in the workplace. National Institute for Occupational Safety and Health believe most effective way to prevent it is redesiging the work environment and work tasks to reduce the hazards of lifting
sensory systems that affect balanace- visual system
provides brain with external, static references. harder time adjusting to changes in the intensity of light and greater difficulty with depth preception. may find it harder to maintain functional and safe postural stability
sensory systems that affect balanace-vestibular system
inner ears. information about the position of his or her head relative to the rest of the body and information about acceleration and deceleration
sensory systems that affect balanace-propioceptive system
receptors in the muscles, tendons, and joints. information about the position of his or her body including sensation of movment. poor feedback allow patient to misjudge where thier body is in relationship to the environment
sensory systems that affect balanace-usculoskeletal systems
provides structure and form to the body. decrease in strength and timing of muscle contractions increase sway as individual ages
individual's concious awareness of kinetic sensations of his or her body. ie: position of a body part, preception of movement perception of weight or pressure.
integrated action of all the senses that helps a person know his or her position location orientation and sense when and how much their body parts have moved
bed sores (decubitus ulcer or pressure sore)
injury to the skin and other body tissues that results from being in bed. prolongued period of pressure on one part of the body cuases it
air fluidized bed
mattress fillled with silicone pebbles suspended inside the mattress by a constant flow of air. used for patients at risk of bed sores. potential to make patient feel isolated. hard to move the bed
mattresses use for patients who have intact skin or low grade pressure sores. slightly more theraputic surface for skin. placed over existing mattress
low air loss bed
multiple independelntly inflated air sacs that allow an equal distriution of pressure over the body regardless of the position
oscillating support bed
beds that rock the patient in a 124 degree arc from side to side. movement relieves pressure on any one part of the body. wedged into position in the bed with foam wedges and supports.
static air bed
water mattress. compartments for air or water which ither allow the gradua movement between cells or mechanically fore the movement between cells to reduce pressure on the skin
type of surface perscribed for patients with skin integrity problems. purpose is to prevent skin breakdown. select a surface that can relieve pressure and shear forces that produce pressure ulcers
measurement of the volume of pressure of blood on the walls of the arteries. recorded as a fraction. top number is systolic (strength exerted by heart when it is pumping) bottom number is diastolic (pressure exerted on the arteries when heart is resting)
persistently elevated blood pressure.
factors that inluence blood pressure
position of patient- lying down has lower bp
activity- exertion during activity raise bp
ingested substance- coffee, tobacco and medications
time of day- loest when waking up and higher in afternoon
gender- women have lower bp
pain and emotions- both raise bp
carpal tunnel syndrome
compression of median nerve proximal to wrist. experience weakness, pain, tingling burning and aching. sensory loss in first three fingers
what is compressed when you have carpal tunnel
tube inserted into the body to help facilitate the addition or removal of fluids
placed into the bladder and secured for multiple uses. two or three lumen contained in one tube. use a balloon type device to prevent the catheter tube from falling out. closed system to prevent infection
tube inserted into the urethra to allow continuous emptying of the bladder. will need to empty the foley catheter bag.
cerebrovascular accident (CVA)
stroke. restricted blood suppoly to some part of the brain.
blood clot within a cerebral artery. leading to a blockage of the vessel. a type of CVA
closure of a blood vessel, closing off.
escape of a large amount of blood from a ruptured vessel.
lack of awareness of one side of the body and space. usually seen in people with right CVA. show neglect to left of the midline.
lack of awareness of one sie of the body
transient ischemic attack
mini strokes. temporary symptoms of CVA lot may have occulded and the blood vessel and then released.
similar to late onset dementia in the types of cognitive losses demonstrated by the patient. measureable step-downs due to CVA
inability to recognize objects or to misjudge one's object's relationship to another object. inabilty to distinguish context, significance of an ojbect, intensity of an object, previously familiar object
loss or decrease in ability to speak, understand, read or write.
a speech disorder where the patient seems to randomly toss together words without any meaning or sense. seen in patients with aphasia or schizophrenia
lipid. production of bile acids and steroid hormones. high blood cholesterol is a risk factor in the development of coronary heart disease.
culprit in coronary heart disease. bad cholesterol
desirable. good cholesterol
illnesses that are prolonged. don't resolve spo
acronym used to list common causes of urinary incontinence.
excess urine output
what are common causes of disk injuries in the back?
Clot within the heart thst msy lead to an abstraction
Impairment in voluntary movement
Feeling of intestinal discomfort. Takes place after a person has eaten. Sign of underlying disorders and ulcers
Difficulty swallowing due to loss of neurological function