DOES NOT IMPACT:
- Eye movements
- Bladder control
- Sensory function
- Cognition
Medical Management of Amyotrophic Lateral Sclerosis correct answers - NO CURE
- Medicate to manage symptoms: Saliva production, depression, cramping, pain
- Ventilation
- Feeding tube
OT role in Managing Amyotrophic Lateral Sclerosis ( MD) correct answers • Support family
needs - education, reassurance
• Assist the individual by compensating for declining motor function through:
- Occupation focus
- Exercise and activity
- Assistive technology and equipment
Friedrich's Ataxia Symptoms correct answers Average of onset : 5-15 years. It is inherited
- Ataxia (lack of voluntary coordination)
- Scoliosis
- Loss of sensation
- Diabetes
- Dysarthria (Difficult / unclear speech)
- Shortened life expectancy
It is caused by a DEGENERATION TO THE SPINAL CORD AND PERIPHERAL NERVES
2 stages of Frederich's Ataxia correct answers 1) Ambulatory stage
The person is mobile BUT:
,- Mild scoliosis
- Decrease in reflexes
- Loss of hand function
- Diminished sense of touch
- Unsteady gait
2) Non-ambulatory stage
- wheelchair bound
- Has head, neck and face ataxia which makes it hard to sit upright
OT role in Frederich's Ataxia correct answers - Family and client support
- Assist in maintaining functionality despite loss of function
*Assist with declining hand function
* Using walker
* Sense of touch
* falls risks
ADDRESS ATAXIA:
- Address emotional fatigue
- Adapted equipment
- Modify occupations
- Stabilise and support
Guillain Barre syndrome symptoms correct answers an AUTOIMMUNE inflammation of the
myelin sheath of peripheral nerves and spinal roots. It is caused by : Viral infection,
immunisation or surgery
SYMPTOMS:
- Weakness in DISTAL arms and legs which slowly progresses towards the trunk
- Bilateral weakness
- Issues with swallowing, breathing , speaking, Heart rate and blood pressure
- CAN RECOVER
OT Role in Guillain Barre Syndrome correct answers - Psychological Support
- Eduction
- Preventative strategies - i.e. stretching
- Programming for increasing movement - pay attention to muscle tightness and fatigue
TAKE IT SLOW - Ensure the patient is working at their MAXIMUM CAPACITY
6 criteria for being diagnosed with Polio correct answers 1) Had polio myelitis
2) Had a period of recovery
3) Gradual / sudden onset of fatigue and weakness
4) Difficulty breathing + swallowing
5)Lasts for greater than a year
6) All other potential causes ruled out
What are the 6 understandings shared by client and therapists in relation to oedema correct
answers 1) CAUSE
2) HOW did it become chronic?
3) WHEN did it start?
4) EXPECTED course and severity
5) What are the TREATMENT options?
6) How will we IMPLEMENT these into the person's everyday life?
Vessel Structure correct answers ARTERIES:
- Smaller in diameter
- Have smooth muscle
- Contractile and elastic
- Red in colour
VEINS:
- greater diameter
- Flattened and thin
- Less smooth tissue
- Have values
- Purple in colour
LYMPHATICS:
- Comparable to veins
- Found in the tissues in greater numbers
Valves and muscle pump correct answers Valves:
- Foldings of tunica intimacy ( endothelial cells)
- Help prevent the back flow of blood and lymph
- More found in lymph and veins (where pressure is low, helps push against gravity)
- Work with Muscle pump
MUSCLE PUMP:
, - Veins and lymph encased within muscles
- Muscles contract and push blood up towards the heart
Capillaries and fluid exchange and Starling's hypothesis correct answers BLOOD
CAPILLARIES:
- Exchange occurs within the tissues , except cartilage and epithelia
LYMPHATICS:
- Large unctions in the single layer endothelial cells
- Originate as terminal lymphatics
- Small filaments attache to surrounding connective tissue
STARLING'S HYPOTHESIS
- Fluid moves from an areas of high fluid pressure to low fluid pressure / an area of low colloid
osmotic pressure to high colloid osmotic pressure
What causes oedema correct answers - An imbalance / disturbance is hydrostatic and osmotic
forces
- Abnormal accumulation of interstitial fluid
CAN BE CAUSED BY:
- increased permeability of capillaries
- Impaired fluid transport (i.e. poor muscle pump, weakened valves)
- Decreased lymph flow
Physiological and clinical effects of oedema correct answers PHYSIOLOGICAL:
- Separation of tissues ( swelling of tissue spaces)
- Poor material exchange due to swelling
- Loss of tissue function
- Swelling of veins and lymphatics
- Valves no longer touch = don't work
- Changes in metabolic function
CLINICAL:
- Swelling (high protein vs low protein swelling)
- Pain and discomfort
- Reduced wound healing
- Skin changes
- Loss of function
- Infection and cellulitis
Different types of Odema correct answers 1) Lymphatic oedema
- Primary ( an individual is born with deficits in their lymph system)
- Secondary
2) Venous oedema
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller FullyFocus. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.79. You're not tied to anything after your purchase.
