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© 2009 Delmar, Cengage Learning Chapter 22 Physical Therapy Skills
© 2009 Delmar, Cengage Learning Career Highlight Physical therapy assistants are valuable members of the health care team Education requirements Licensure in most states Duties performed Required skills
© 2009 Delmar, Cengage Learning 22:1 Performing Range-of-Motion (ROM) Exercises Purposes of ROM Problems caused by lack of movement and activity –Contracture of muscles –Muscle and joint function –Circulatory impairment –Mineral loss –Other problems (continues)
© 2009 Delmar, Cengage Learning (continues) 22:1 Performing Range-of-Motion (ROM) Exercises (continued) Types of ROM –Active ROM –Active assistive ROM –Passive ROM –Resistive ROM
© 2009 Delmar, Cengage Learning Performing Range-of-Motion (ROM) Exercises (continued) Proper terms for movement of each joint; see Fig in text Principles to observe while performing ROM
© 2009 Delmar, Cengage Learning 22:2 Transfer (Gait) Belts, Crutches, Canes, or Walkers Patients may require aids, or assistive devices, for ambulation Type used depends on injury and patient’s condition Certain points must be observed when a patient uses crutches, canes, a walker, or a transfer belt (continues)
© 2009 Delmar, Cengage Learning Transfer (Gait) Belts, Crutches, Canes, or Walkers (continued) Remain alert at all times while ambulating Transfer (gait) belt Basic principles for ambulating a patient with a transfer belt Crutches—artificial supports Basic principles for ambulating a patient with crutches (continues)
© 2009 Delmar, Cengage Learning Transfer (Gait) Belts, Crutches, Canes, or Walkers (continued) Cane—provides balance and support Basic principles for ambulating a patient with a cane Walker—has four legs Basic principles for ambulating a patient with a walker
© 2009 Delmar, Cengage Learning Summary Always check ambulation aids before using Make sure aid is properly fitted to patient Use gait taught by therapist Be alert to patient safety at all times
© 2009 Delmar, Cengage Learning 22:3 Administering Heat/Cold Applications Cryotherapy—use of cold for treatment Applied to the skin –Pain relief –Reduce swelling –Control bleeding Moist cold Dry cold (continues)
© 2009 Delmar, Cengage Learning Administering Heat/Cold Applications (continued) Thermotherapy—use of heat for treatment Applied to the skin –Pain relief –Increase drainage and stimulate healing –Fight infection and increase circulation –Muscle spasm relief –Increase muscle mobility (continues)
© 2009 Delmar, Cengage Learning Administering Heat/Cold Applications (continued) Moist heat Dry heat Effect of heat and cold applications on blood vessels Doctor’s order is required for a heat or cold application (continues)
© 2009 Delmar, Cengage Learning Administering Heat/Cold Applications (continued) Checkpoints while application in place Alertness required Safety precautions Standard precautions (continues)
© 2009 Delmar, Cengage Learning Administering Heat/Cold Applications (continued) Basic principles for applying an ice bag or ice collar Basic principles for applying a warm-water bag (continues)
© 2009 Delmar, Cengage Learning Administering Heat/Cold Applications (continued) Basic principles for applying an aquathermia pad Basic principles for applying a moist compress Basic principles for administering a sitz bath
© 2009 Delmar, Cengage Learning Summary Doctor’s order required for all heat or cold applications Follow correct procedures to prevent injury to patient Check patient and condition of skin frequently
Copyright © 2009 Elsevier Canada, a division of Reed Elsevier Canada, Ltd. Chapter 24 Exercise and Activity.
Chapter 20 Sports Medicine Health Care Science Technology Copyright © The McGraw-Hill Companies, Inc.
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Patients at risk: Impaired mobility due to injury, disease Receiving medications that alter mental status Be disoriented due to change in environment.
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1Elsevier items and derived items © 2007 by Saunders, an imprint of Elsevier, Inc. Chapter 1 The Health Care System.
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