DTRs provide a daily presence in the facility for food and nutrition management and direct patient care in between the visits of the registered dietitian. DTRs are versatile employees who have been trained in both food service and clinical aspects of nutrition management and care.
How do you assess DTRs?
Testing the DTR is quick and easy but requires a proper technique for a reliable response. The examiner taps the muscle's tendon with an examination hammer, and the response is observed and graded. For effective and reliable results, the patient should be as relaxed as possible.
What are DTRs?
[1] Deep tendon reflexes or, more accurately, the 'muscle stretch reflex' can aid in evaluating neurologic disease affecting afferent nerves, spinal cord synaptic connections, motor nerves, and descending motor pathways.
What does DTR mean in pregnancy?
Deep tendon reflexes, magnesium, and calcium: assessments and implications. J Obstet Gynecol Neonatal Nurs. 2004 Mar-Apr;33(2):221-30.
What are the 4 types of reflexes?
There are different types of reflexes, including a stretch reflex, Golgi tendon reflex, crossed extensor reflex, and a withdrawal reflex.
Why are deep tendon reflexes important?
Tendon reflexes are important because they provide an objective sign indicating abnormality and some indication as to the level of the abnormality. Reflexes can be graded as absent, obtainable with reinforcement (see below), reduced, normal, increased and increased with clonus.
What does it mean if you have no reflexes in your legs?
When reflex responses are absent this could be a clue that the spinal cord, nerve root, peripheral nerve, or muscle has been damaged. When reflex response is abnormal, it may be due to the disruption of the sensory (feeling) or motor (movement) nerves or both.
What causes loss of reflexes?
Usually, absent reflexes are caused by an issue with the nerves in the tendon and muscle. You may have other muscle symptoms along with areflexia, like weakness, twitching, or atrophy.
What is DTR in dating?
What does DTR mean? It means "define the relationship." DTR basically calls for having a conversation in which you determine the nature of the relationship you share with someone, according to Lundquist. But it doesn't need to be as black and white as deciding whether you're choosing to be an exclusive couple or not.
What does DTR mean in the package?
Data Transfer Rate (DTR)
What does DTR mean urban dictionary?
Define The RelationshipThis is a substantial update on the first of those two pieces.] As you probably know, DTR means Define The Relationship. The Urban Dictionary defines the DTR this way: “When two people discuss their mutual understanding of a romantic relationship (casual dating, serious boyfriend, etc).”
What is DTR in physical therapy?
P-DTR® uses neural challenges specific to the involved receptors and muscle tests combined with proper stimulation of the deep tendon reflex to make immediate and lasting advances toward restored function.
What is a DTR in food service?
DTRs are versatile employees who have been trained in both food service and clinical aspects of nutrition management and care. The DTR designation complies with the latest CMS requirements as it is a national certification for food service management and safety from a national certifying body. In addition to their food service expertise, DTR’s have the clinical knowledge to work in a complementary role to that of your facility’s registered dietitian.
What is a DTR credential?
Encourage existing team members, or require new team members to obtain the DTR credential to elevate their professional status. DTRs are dietetics practitioners credentialed by the Commission on Dietetic Registration (CDR). All DTRs have a background in food science, nutrition, and food service management, have completed an education program ...
Keywords
Assessment of deep tendon reflexes (DTRs) is a skill we use daily in our clinical practice. Yet, the literature provides scant information on the physiology, proper technique, and research issues associated with deep reflexes.
What Are Deep Tendon Reflexes?
What exactly do the words deep tendon reflex mean? Does deep refer to a particular type of tendon or to a system of reflexes? When we perform this assessment, do we stimulate deep reflexes or do we stimulate deep tendons?
Why Do You Tap?
What does it mean when a patient has areflexia, hyporeflexia, normoreflexia, or hyperreflexia? To answer these questions, the nurse must have a basic understanding of the reflex arc and the conditions that cause changes in the reflex.
Where Do You Tap?
Once you realize the simplicity of deep reflexes, knowing all the possible places to find them is the next challenge. Although there are many locations to elicit the stretch reflex, this article focuses on common locations for assessing reflexes in high-risk obstetric patients.
How Do You Tap?
Once the tendon is located, six basic principles must be followed to correctly elicit a deep reflex response. Understanding these principles will help the nurse achieve accuracy and expertise.
How Do You Interpret the Results?
Because of scant information, the teaching of DTRs has generally been from a hands-on perspective. An experienced nurse, physician, or midwife generally teaches the novice practitioner how to perform and interpret the reflexes. Although ideal for retention of skills, this method is not ideal for reliably and consistently relaying information.
Recommendations for Research
Several potential study topics have emerged because of the paucity of research dealing with tendon reflexes. These recommended investigations would be clinically based, inexpensive, noninvasive, and easily testable. This combination of attributes makes research on reflexes well suited for clinical nurse investigators.
