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neuro final study
4
Question | Answer |
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Most important initial intervention for complete paralysis of Guilliane Barre | PROM, positioning, splinting |
Speech therapist working on feeding skills for pt. with ALS in late stages, most appropriate intervention | implement pureed diet, allow adequate time to eat. |
Pt. d/c from rehab, parkinsons, risk for aspiration during feeding. Proper positioning during meals | seating pt. upright on firm surface with chin slightly tucked |
Pt. with MS fear of falling in shower, episodes of imbalance, best recommendation | demonstrate shower chair. |
MS pt. frustrated b/c dirty house, experiencing exhaustion, best strategy | alternate tasks sitting to standing. |
Guiiliane Barre pt. / OT recommend AE when | week before d/c |
Best group activity for parkinsons | Tai Chi |
Parkinsons aquatic exercizes/ three abilities needed | vestibular processing, postural control, muscle tone |
GBS/ good UE strength, which activity best | washing windows |
Addressing motor needs parkinsons pt | rhythmic exercise to music |
Parkinsons c hx fatigue | perform activities simplified to conserve energy |
Stress management session for MS pt. | self assessment |
Ordering w/c for MS pt., anticipate | further decline |
Early stages of ALS outpt. Intervention | work simplification and energy conservation |
MS d/c , I bathtub transfers with grab bars, recommend | moderately heated water |
MS, decreased sensation of buttocks and BLE, educate | self inspection for pressure sores |
Parkinsons seen for routine self-care activities | more easily performed if coordinated with time of meds. |
ALS, mild dysphagia, fatigued during meals, 1st intervention | eat 6 small meals a day. |
ALS swims 3x week to max strength and endurance. Initial 10 min. now 20 min. next step | increase to 25 min or tolerance |
Improve strength activities, pt. with MS complains of fatigue, most appropriate | give pt. rest break |