Bed mobility.txt

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Bed mobility.txt
2012-01-11 20:01:57

maureen lecture
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  1. What is the purpose of adjusting patient position?
    • prevent contracture
    • prevent pressure
    • improve independence
  2. Who are standard wheelchairs used for?
    pts <200lbs, not going to be very active in it
  3. What does a reclining w/c do?
    • back of it partially/fully reclines
    • for pts who are in the w/c most of the time and need med. treatment that requires reclining
    • has elevating leg rests
  4. What type of w/c reclines back, has many angles, and the whole chair is capable of moving back with the recline?
  5. What are the characteristics of an amputee w/c?
    rear wheel axles are 2 inches posterior to normal to help widen BOS
  6. What type of w/c is best for a hemiplegic and why?
    low seat - lower to ground for easier movement
  7. What are the characteristics of a sports w/c?
    very light, angled wheels for sharper turns, lower seat back
  8. Power w/c's can be operated by what?
    joystick, sip&puff
  9. What is our goal for patients in wheelchairs?
    maximize residual function, make what they have left better and stronger
  10. What 5 things need to be measured to get proper measurements for a wheelchair?
    • seat height/length
    • seat depth
    • seat width
    • back height
    • armrest
  11. What do you measure for w/c seat height?
    from heel to popliteal fold +2"
  12. What do you measure for seat depth?
    measure posterior buttocks to popliteal fold -2"
  13. What do you measure for seat width?
    widest aspect of buttocks, hips, and thighs +2"
  14. What do you measure for back height?
    from seat to axilla while shoulder are flexed at 90, then -4"
  15. What do you measure for the w/c armrest?
    from seat to olecranon with elbows flexed at 90 then +1"
  16. What are the pressure points from sitting in a wheelchair?
    • inferior angles scapulae (pointy tip of shoulderblade)
    • ischial luberosities (buttocks)
    • vertebral spinous processes (vertebrae poking out of back)
    • greater trochanters (hip bones)
    • lateral femoral condyles (outside knee area)
    • sacrum (tailbone)
    • medical humeral epicondyle (inside of arm by elbow)