Rehab-Ch8

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Author:
laneaustin
ID:
244484
Filename:
Rehab-Ch8
Updated:
2013-11-02 10:41:43
Tags:
transfers
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Description:
transfers
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  1. What is a transfer?
    The safe movement of a person from one surface or location to another or from one position to another.
  2. What are bed mobility activities?
    • rolling side to side
    • moving up or down in bed
    • transitioning from supine to prone
  3. What are bed mobility activities labeled as for billing purposes?
    • pre-transfer activity
    • or
    • functional mobility training
  4. What are the levels of assistance needed for transfer, ambulation, or bed mobility?
    • Independent (I)
    • Modified Independent (Mod. I)
    • Stand by assistance (SBA)
    • Contact Guard Assistance (CGA)
    • Minimal Assistance (Min. asst.)
    • Moderate Assistance (Mod. asst.)
    • Maximal Assistance (Max. Asst.)
    • Dependent
  5. What are the elements of transfers that need to be documented?
    • amount or type of asst.
    • number of people asst-ing
    • time it took for transfer
    • level of safety demonstrated
    • level of consistency of performance
    • special equipment used
    • type of transfer
    • specific cues or direction pattern used
  6. How can you be safe during transfers?
    • wear proper shoes
    • use a gait belt
    • anticipate --> have a back up plan!
    • know your surroundings
    • does the pt have tubes or drains? where are they?
    • know your pt, yourself, and who's helping!
  7. Organization of pt transfers:
    • know the pt. diagnosis
    • Know the level of transfer
    • Make your own assessments
  8. Organization of transfer pertaining to the pt
    • instruction of:
    • direction of movement
    • type of transfer
    • hand/foot placements

    demonstrate!
  9. Take into consideration for SAFE transfers:
    • stay close to the pt. but don't block line of sight
    • give clear instructions
    • clarify direction of transfer to weak or strong depending on pt
    • practice the components of transfer
    • USE GAIT BELT
  10. Precautions for THA pt's:
    • AVOID:
    • adduction
    • rotation
    • flexion >90*
    • OK:
    • hip extension-neutral
    • abduction during mobility transfers
    • recliner w/c recommended
  11. Precautions for LBP, Trauma, post op-laminectomy:(Avoid?)
    • AVOID:
    • lumbar rotation and side bending
  12. What is ok for LBP, Trauma, post op-laminectomy pt's for transfer?
    • trunk flexion
    • logrolling w/ hip and knees flexed
  13. Precautions for LBP, trauma, post op-laminectomy:  (Avoid?)
    • AVOID:
    • DO NOT PULL ON EXTERNAL FIXATOR
  14. Precaution for Hemiplegia pt:
    do not pull on involved LE
  15. Precaution for Burn pt's:
    avoid sheering forces on fragile skin/skin grafts
  16. Precautions for all orthopedic pt's:
    weight bearing status & restrictions
  17. Types of transfers
    • stand pivot
    • sitting transfer
    • recumbent/ lateral transfer
    • floor to chair
    • car/toilet/bath transfers
  18. Know your pt's diagnosis:
    NWB
    Non-weight bearing
  19. Know your pt's diagnosis:
    TTWB
    Toe-touch weight bearing
  20. Know your pt's diagnosis:
    PWB
    partial weight bearing
  21. Know your pt's diagnosis:
    WBAT
    Weight bearing as tolerated

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