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The ADLs You Didn't Know You Were Missing

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1.  Which of the below was suggested as a question to help screen for constipation? Do you experience the "eternal wipe"? Do you experience pain with arousal? Do you experience leakage of urine or stool? Do you have to strain to start elimination?

2.  What is the purpose of the Bristol stool scale? It is an assessment of the patient's intake of fluid and/or food It gives patients a reference point to discuss stool consistency and/or shape Allows patients to track stooling frequency It is an assessment of the amount of blood in stool

3.  Which of the following was NOT listed as a reason to work on breathing? Helps facilitate carbon dioxide exchange with muscles, allowing them to work more efficiently Helps facilitate central nervous system "quieting" Helps facilitate appropriate GI system functioning Helps facilitate appropriate pelvic floor relaxation and activation

4.  What is the goal with cough training? Teach patients to cough 3 times to fully clear the lungs Teach patients to breathe deeply prior to coughing to "prep" the lungs Teach patients how to use their pelvic floor to displace the pressure from the cough "up and out" instead of diffusely Teach patients to do 2 quick coughs followed by 1 long one to prevent pneumonia by regularly clearing the lungs

5.  What is the ideal position for stool elimination? Sitting Standing Shallow squat or "toilet hover" Deep squat

6.  Which of the following is suggested to help patients manage constipation? Abdominal massage Appropriate dosing of fiber with good balance of soluble and insoluble fiber Appropriate hydration All of the above

7.  What is the purpose of timed voiding? Prevent the bladder from filling past 60% Re establish accurate communication between the brain and the bladder Cause detrusor overactivity to help with elimination Void frequently enough that urgency is not an issue

8.  Which of the following was NOT a suggestion to help patients with genital desensitization? Perform penetration regardless of how it feels with the expectation that it will desensitize over time Participate in non penetrative arousing touches Progressive touching until penetration is tolerable Mindfulness

9.  Which of the following was NOT listed as a suggestion to help patients achieve proper hydration? Titrate fluid intake starting with half your body weight in ounces, then up or down until urine is clear Drink non water drinks have the same hydration properties as water Limit caffeine as it is a bladder irritant Try to stop large amounts of fluid several hours before bedtime

10.  Which of the following is a sign of constipation in children? Anxiety about toilet usage Rectal bleeding Frequent soft bowel movements All of the above