NOTCE Exam Questions and Answers All Correct

NOTCE Exam Questions and Answers All Correct Pre-prosthetic LE phase purpose - Answer-learn how to manage the stump and regain lost strength and endurance Interventions in LE pre-prosthetic phase - Answer-figure eight method wrapping to reduce edema promote skin health: inspection with long-handled mirror after and prior to wrapping, wash limb daily with mild soap and pat dry, take circumference measurments to determine when stump is ready for prosthesis prevent contractures: prone lying, amputee board increase U/E strength and endurance decrease pain and desensitize residual limb increase mobility: transfer, wheelchair and bed mobility training assess the home for accessibility LE Postprosthetic phase purpose - Answer-learning to function with prosthesis Interventions in LE postprothetic phase - Answer-increase mobility: walking on uneven surfaces improve posture: practice balance activities and weight bearing assist in developing new body image: educate on grieving process, training program to integrate prosthesis into body scheme Preprosthetic UE interventions - Answer-wound care: massage for adhesions, circulation and desensitization decrease pain and desensitize: tapping, vibration, pressure, various textures edema: bandage or shrinker sock, recording limb length and circumference promote skin healing: same as LE- track sensory impaired limb with vision maintain PROM and AROM: exercises that mimc mvmts required for prosthesis improved independent living skills: adaptive equipment, one-handed techniques Prosthetic phase UE interventions - Answer-improve independent living status education regarding prosthetic components: sock hygeine, care, wearing schedule, controls, functional training ALS (progressive bulbar palsy, progressive spinal muscle atrophy, primary lateral sclerosis) - Answer-destruction of motor neurons within the spinal cord, motor cortex and brainstem focal weakness beginning in the arm, leg or bulbar (muscles of mouth or throat) Symptoms: dropping objects, slurred speach, fatigue, marked muscle atrophy, weight loss, spasticity, muscle crampling and fasticulation (twitching of muscle at rest) fatal with mean duration of 2-4 years