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2015年10月4日星期日

Physiotherapy and nursing

韌帶 ligament

腱 tendon
針灸 acupuncture
足弓 (扁平足)
日常生活活動 activities of daily living
姿位排痰法 postural drainage
體位引流︰將身體置放為利於引流痰的姿勢約15分鐘,利用地心吸力將痰排出
手法治療 (鬆肌肉、關節......指壓) manual therapy
牽引機 (拉頸、腰)
儀器治療 modality therapy
病人不適︰immediate manage + inform
stump bandaging
肺氣腫 emphysema
外展服務 outreach service
骨質疏鬆症 osteoporosis
estrogen retains calcium and enhances its absorption
手腕骨折 (哥利氏骨折)
自我照顧能力︰elimination (toileting), dressing (grooming), diet
肌肉張力 muscle tone = muscle tension is the continuous and passive partial contraction of the muscles, or the muscle's resistance to passive stretch during resting state
frozen shoulder rehabilitation exercises: hand behind back
胸肌 Pectoralis
網球肘
足底筋膜炎
diabetes / accelerated atherosclerotic vascular disease
face arm speech time
identity
短波治療機 dangerous (metal)
針灸忘拔針
平衡板 Wobble Board
手腕轉動器 Wrist Roller
(acmefitness.com)
手單車 Arm Ergometer
Pulley Rollator
Tilt Table
(medical-supplies-equipment-company.com)
O&T: Orthopedics & Traumatology
P&O: Prosthetics & Orthotics 義肢及矯型
GDH: Geriatric Day Hospital
GSA: General Service Assistant
CVMO: Community Visiting Medical Officer
HW: Health Worker 保健員
個人起居照顧員/護理員 Personal Care Worker
RA: Rehabilitation Assistant
PCA: Patient Care Assistant
CHF: congested heart failure
Hemi: hemiplegia
HI: head injury
AMA: Austin Moore Arthroplasty 半髖關節置換手術
NOF: Neck of femur
TOF: Trochanter of femur
疥瘡 scabies
cervical thoracic lumbar sacral coccygeal 7/12/5/5/4
Rx; treatment
HPI: history of present illness
拍痰︰percussion
震痰︰vibration
FWB/PWB/NWB
Active cycle of breathing techniques (ACBT) is a set of breathing exercises that loosens and moves the sputum from your airways…The ACBT exercises are breathing control, deep breathing and huffing which are performed in a cycle until your chest feels clear. (google)
靈敏訓練︰Agility Training
肱骨 Humerus
橈骨 Radius
尺骨 Ulna
腕骨 Carpals
掌骨 Metacarpals
指骨 Phalanges
髂骨 Ilium
股骨 Femur
恥骨 Pubis
坐骨 Ischium
髕骨 Patella
脛骨 Tibia
腓骨 Fibula
跗骨 Tarsals
三角肌
斜方肌
背闊肌
膕繩肌 Hamstring
股四頭肌 (股外側肌/股內側肌/股直肌)
腓腸肌 Gastrocnemius muscle
比目魚肌 Solcus muscle (內)
環腱 Achilles tendon
纖維關節
軟骨關節
滑液關節 synovial joint (球窩/樞紐hinge joint/鞍狀/車軸關節)
結締組織 connective tissue
半月板 Menisci
心房 atrium
心室 ventricle
中隔 septum
120/80 mmHg 140/90 mmHg 90/60 mmHg?
static stretch
Ballistic stretch
Dynamic stretch
Proprioceptive Neuromuscular Facilitation stretch
電熱墊用於受傷72小時後
冰袋<72小時
中風 3個月 復康黃金期
推法 stroking (light stroking/effleurage)
揉法 kneading
拿法 picking up
側掌擊法 hacking
intestinal obstruction
aspiration pneumonia

物理治療師是利用人體生理對物理刺激所作出的反應,治療病患和恢復身體活動能力。

扶抱基本手法
肩胛抱法︰面向長者,雙手穿過長者腋窩,抱著肩胛位置
穿臂握法︰站在長者後面,雙手穿過腋窩,抓握長者雙臂(關節位)

臥至坐
先將長者雙腿屈曲
轉側身(注意肩膊重心不要墮後)
雙腿放下床邊
扶長者坐起來,應托着長者肩膀,而不是頸部

輪椅至椅子
先把輪椅和椅子擺成90度角,避免將輪椅和椅子相對,也不要將輪椅和椅子平排
提醒長者配合轉移的動作
切勿彎腰,必要時可紮穏馬步
雙人輔助時,要同時發力
轉移前要鎖上輪椅煞掣
如輪椅可以拆除扶手和腳踏,會更方便

上落樓梯
好的上天堂,壞的落地獄
攙扶長者時,應支撐他的腋窩,切勿拉他的手臂

(http://ageing.hku.hk/ev/2c/page3.htm)

將助行器放前一步距離
弱腳向前
好腳跟上

扶抱輔助工具:
扶抱手帶 (transfer sling/board?)
扶抱腰帶 (transfer belt)
(rehabmart.com)
吊機 (hoist)

物理治療助理的職責︰負責病人運送及扶抱,活動帶領,預備、消毒和保養儀器,以及協助物理治療師為病人進行簡單的復康運動等工作。

長者宿舍--->安老院--->護理安老院--->護養院
(--->護理需要增加--->)

Patient care assistant (physiotherapy)
- To assist physiotherapists providing direct patient-care service in various settings.
- To assist physiotherapists in specialized patient-care service programs including operation and data collection etc.

Gowning (PPE)
Surgical mask, protective eyewear, cap, gown and gloves
(Keep gown and ties above floor when wearing.)
Degowning
Reverse order
(Unfasten the bottom then top ties for mask with ties)

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