Class, Name 20. What factors determine the type of mobility aid chosen for a pat
ID: 123085 • Letter: C
Question
Class, Name 20. What factors determine the type of mobility aid chosen for a patient? tapotement. 21. Describe the following Swedish massage strokes: (a) pétrissage, (b) effleurage. (C) Critical Thinking Write the answer to each question on the lines provided 1. Why is it important to check a chemical cold pack for leaks before applying the pack to the patient? 2. How might a reduction in a patient's ROM affect the type of mobility device the patient should be using? 3. Why is it important that a patient not lie on a heating pad? 4. Why is it important to ensure that a patient knows how to perform exercises correctly? 5. Why might a doctor prescribe cryotherapy, thermotherapy, or some other type of therapy in addition to exercise therapy for a patient with a sports injury? 6. What should you do if a patient who uses a walker tells you there are steps in his house? 752 Chapter 54 Physical Therapy and RehabilitationExplanation / Answer
20. ANS: Patient mobility chosen factors:
1. Height of the center of gravity above the base of support: When you squat down to improve your stability, you lower your center of gravity, or decrease the height of the center of gravity above the base of support. Conversely, standing up straight raises the center of gravity above the base of support and decreases stability.
2. Location of the center of gravity projection within the base of support: Imagine that you drop a plumb line straight down from your center of gravity. That line is referred to as the vertical projection, of your center of gravity within the base of support. If the projection moves outside the base of support, you become very unstable and will fall without corrective muscle action.
3. Body mass or body weight: A body’s mass (or weight) contributes to stability. Simply stated, heavier bodies are harder to move and hence are more stable. Lighter bodies are moved more easily and are less stable.
4. Friction: The amount of frictional resistance at the interface between the ground and any contact points (e.g., foot or shoe) contributes to stability and mobility.
21. ANS: Swedish massage techniques are different from other massage. These techniques apply deeper pressure than other kind of massages and they are also known to increase oxygenation of blood and release metabolic waste such as lactic and uric acids from the tissues of the muscles. Swedish massage is known to help with reducing joint pain and stiffness, and has also been known to help those with osteoarthritis.
A. Petrissage: This is the technique of kneading the muscles of the body to attain deeper massage penetration. The thumbs and the knuckles of the fingers are used to knead the muscles of the body and to squeeze them to prepare them for the other Swedish massage techniques that follow.
B. Effleurage: These are the sliding or gliding Swedish massage techniques that cover different areas of the body. They are long sweeping strokes that alternate between firm and light pressure and with can be performed using the palm of the hand or the fingertips. The knots and tension in the muscles tend to get broken with this massage technique.
C. Tapotement or Rhythmic Tapping: This technique of Swedish massage, as the name suggests consists of rhythmic tapping that uses the fists of the cupped hands. This helps to loosen and relax the muscles being manipulated and also helps to energize them.
1. ANS: Ice packs (cooling unit) are plastic blow moulded article which are manufactured by combination of LDPE / HDPE Polyethylene granules. The mouth of the ice packs (cooling unit) is capped with plug made up of LDPE (Low Density Polyethylene) granules and sealed by heat to avoid any leakages & damage to the ice pack. It is because these packs can make with some chemicals, if the pack leaks, the chemicals could cause more damage to patient. Ex: Eye damage cases while using ice packs.
2. ANS: Passive and active range of motion (ROM), as well as the assumed positions of the joints, should be measured. This component of the examination may be performed with the patient supine or sitting on a mat. ROM affects the selection, fitting, and modification of devices.
Ex: An individual with a fixed elbow flexion contracture who needs to use a cane, crutch, or walker will need a forearm platform.
Assistive devices can reduce the patient ROM affect. Impairments of strength, power, or endurance are often major factors contributing to a patient's need for an assistive mobility device and will affect which device is most suitable for an individual. It can improve balance, assist propulsion, reduce load on bones in motion.
3. ANS: Never lie on top of a heating pad when in use. Lying with a heating pad or hot water bottle under you will result in a much greater risk that you will burn your tissue. By applying your body weight to the surface of the heating pad you will compress the tissue and greatly reduce the blood circulation where the skin is being heated. When heat is trapped in that area because of the pressure of your body on the heating pad, and the heated tissue does not have circulating blood to cool it as would normally occur because of the pressure of your body on the heating pad, tissue burning easily develops.
Please remind this note: Answering to many questions is against to CHEGG RULE