Lab 1-exam foundations(1)
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Texas Tech University *
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4301
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Health Science
Date
Feb 20, 2024
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docx
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Uploaded by CommodoreFieldOtter10
Name:______________ KIN 4338
Lab Activity-Exam Concepts
1. Indicate which of the following statements are S
statements, which are O
statements, which are A
statements, and which are P
statements:
a. Pt c/o L wrist pain. b. Pt will demonstrate a normal gait pattern 95% of the time within 3 wk. c. Flexion in lying reproduces pt’s worst R LE pain.
d. Pulsed US @ 1.5-2.0 W/cm2 to R upper trap for 5 min. e. States onset of pain was in July 2002.
f. AROM: WNL bilat LEs. g. AROM R shoulder to WNL within 2 mo. h. Will inquire if pt can be referred to orthopedist.
i. Pt was too groggy after pain medication and could not follow instructions well.
2. Write the 2-week goals for the following scenario:
Scenario A:
Dx: Fx R distal radius (Colle’s Fx). Elbow cast was applied 1 week ago.
S: “I am afraid of dropping things with this hand”
O: Appearance: fingers are slightly swollen and mildly red; capillary refill is >3s
A: Pt has difficulty with grip, 50% deficient vs the L hand. Sensation is intact to gross hand
P: Long-term goal: Improve grip strength to within 10% of L hand using a dynamometer. ---Short-term goal 1:
---Short-term goal 2:
Name:______________ KIN 4338
3. Read the following report and convert it into a SOAP note:
use attached sheet
When I saw the patient this morning he reported that he didn’t sleep well after his last treatment session. He reported that the pain in his right shoulder was more intense than it usually was after the treatment, going from a 3 to a 6 on the 10-point scale, and he thinks that it might be because of the new strength exercise that was added last time. Since he was sorer today I decided not to continue with the overhead lat pulldown exercise with 60 lb we started last time and to keep his shoulder exercises no higher elevation than 90°. I started out with ultrasound to the supraspinatus tendon at 1.5 W/cm2 for 5 min. The ultrasound was followed
by some joint mobilization, grade II for glenohumeral distraction, then grade III for anterior-posterior glides and inferior glides for about 5 min, and then I finished with more grade II distractions. After the mobilization he did his stretching exercises. The stretching exercises included stretches for 30 s each to his shoulder lateral rotators, flexors, abductors, and horizontal abductors. The strengthening exercises I had him do today included wall push-ups for 2 sets of 20, shoulder medial rotation in side-lying on his right side with 7 lb for 3 sets of 15, shoulder lateral rotation in side-lying on his left side with 5 lb for 3 sets of 15, shoulder abduction with him standing using 5 lb and going to only 45° for 3 sets of 20. I finished his treatment today with ice to the shoulder for 15 min. I instructed him to do only his usual range of motion exercises for flexion, abduction, lateral rotation, and horizontal adduction for his home program until the pain subsides to where it was before the last treatment. I also told him to put ice on the shoulder for 15 min at home if the pain increases again. He said he felt better after today’s treatment and thought he would sleep better tonight. Next time I’ll see how he
feels before we start his program. If he is better, I will try the lat pulldown exercise again but with less weight. If he still has more pain, I think I should probably refer him to the physician.
4. Three days ago a gymnast suffered a left grade II UCL sprain. You are going to start her on rehabilitation today.
a. What will your examination include before you begin her program?
b. What will be the determining factors in what to include in your treatment program today?
c. How will you know if you have provided an appropriate program for her?
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