Women’s Health

Women’s Health Pregnancy - Educate patient abt the importance of weight gain during pregnancy Pelvic organ prolapse - TX: work PF muscle coordination, Tra, MF Strength training pelvic floor for UI and FI Pregnancy back pain - Contraindications: stim, deep heat, traction Back pain is worse in pregnancy bc modalities are contraindicated Lymphatic - Management of lymphatic disorders: Avoid inflammatory and fatty foods, especially trans fat, increase potassium rich foods Lymphatic types o o o Primary Issue with lymp sys Uncommon Congenital - Secondary o Injury to structures could be from radiation exposure o Dependent: Long periods of sitting, bulging, skin pigmentation changes (brown) o Lipedema: Autosomal dominant, smaller upper body, larger lower body, bruising, pitting, ankle cut off, high BMI Lymphedema S&S - Pitting Weeping: Fluid leaks and that is considered disease prevention/control N&T Limb heaviness Fine motor coordination disruption Cellulitis, delayed wound healing Pitting lymphedema - Press for 5-10 s Depression is measured in mm Excess fluid Absence= hard adipose or fibrotic tissue (+) stemmer sign Exercise - AROM Stretching Low resistance Compression stockings Low endurance activities Therapeutic Medications Anti epileptic drugs - At risk for seizures (triggered w lights and sound, make considerations) Vomiting, headache, GI issues, sedation, rashes, dermatitis Have ataxic gait: long and short term med General Anesthetics Post surgery - Bronchial secretions may accumulate bc drug depresses mucus clearance Issue: Stays in lungs, causes infections, get PTs to get up and move Exceptions to not staying in bed: DVT Muscle relaxants - Very addictive: Do conservative modalities, work on flexibility, BW strengthening, natural supplements Opioid Analgesics - Don’t take too much or share bc its addictive and OD chances increase Respiratory depression is what causes death NSAIDs - Control fever At risk for brain bleed due to anticoagulation - Take it w food to decrease GI upset Benzodiazepines - Peak blood levels 2-4 hrs post hour admin (do rehab then) At risk for falls Older Adult Goals to age successfully - Absence of disease High cognitive and physical function Meaningful social interactions Due to aging - Cells, tissue, organ loss of 1-3% per year beginning at 30 Heart, lungs, kidneys see greatest impact 20: heart pumps 10x blood needed after 30 1% reserve loss each year Cell tissue/organ loss begins at 30 Power is lost quicker than strength Grip strength slightly associated w power Falls: STEADI and FRAX= screening tools Old people: Get them to move to prevent issues, improve sleep, decreases anxiety/depression, decreases falls Parkinson’s symptoms - Bradykinesia: Slowing down of spontaneous movement, “frozen”, routines take hours Postural instability: Lean forward, backward, or fall easily Tremor: Rhythmic back and forth thumb w forefinger, pill rolling (occurring in foot or jaw is rare) Rigidity: When set muscles contract while others relax More likely to fall, shorter stride, lower cadence