Keske Lec 2, Functional Assessments/transfers

Front 1

What does "WHO" stand for?

Back 1

World Health Organization

Front 2

What does "SNS" stand for?

Back 2

Signs and Symptoms

Front 3

Subjective changes reported by a patient is called what?

Back 3

Symptoms

Front 4

Describe what an impairment is.

Back 4

Loss or abnormaility of anatomical, physiological or psychological structure or function

Front 5

What is a functional limitation?

Back 5

The inability to performe an action or activity in a way it is done by most people.

Front 6

What does physical function refer to?

Back 6

Sensory-motor skills necessary for the performance of usual daily activities. Getting out of bed, walking, climbing stairs are examples of physical function activities

Front 7

Will the loss of a LE cause a functional limitation?

Back 7

Yes. Functional limitations is the inability to perform an action or activity in a way it is done by most people

Front 8

Psychological function has two components. What are they?

Back 8

Mental Function and Affective Function

Front 9

What is mental function?

Back 9

It referes to the intellectual or cognitive abilities of an individual, such as initiative, attention, concentration, memory, problem solving or judgement

Front 10

What is Affective Function?

Back 10

Refers to the affective skills and coping as the more traumatic and stressful events each person encounters over the course of a lifetime. Factors such as self-esteem, attitude toward body image, anxiety, depression, and the ability to cope with change are examples of affective function

Front 11

What is social function?

Back 11

Refers to an individual's performace of social roles and obligations

Front 12

Describe disability

Back 12

* Social disadvantage
* A label of society
* Any restriction or lack of ability to perform an activity in a manner or within the range considered normal for a human being
* An impairment or defect of one or more organs or members

Front 13

What is BADL and describe

Back 13

Basic Activities of Daily Living. Sensory-motor skills underlie the tasks of daily self-care such as feeding, dressing, jygiene and physical mobility

Front 14

What is IADL and describe

Back 14

Instrumental Activities of Daily Living. Include wide range of high-level tasks and activities such as manage personal affair, cooking, shopping, home chores & driving

Front 15

What is the ultimate objective of rehabilitation

Back 15

To return the individual to the highest level of function as possible

Front 16

What does premorbid mean?

Back 16

Before the injury. We want to return a pt to the highest level of function, not premorbid.

Front 17

What is "Intrarater"?

Back 17

The SAME person administering a test

Front 18

What is "Interrater"?

Back 18

Me, you and anyone else administering a test

Front 19

What is an environmental barrier?

Back 19

Physical impairments that prevent optimal function in their surroundings

Front 20

Barriers are not always physical. Name other functional barriers

Back 20

Motivational
attitudinal
financial
safety

Front 21

goals need to be _______ to the learner.

Back 21

Significant

Front 22

What is the most important factor when sending someone home?

Back 22

Safety

Front 23

Name three types of assessments

Back 23

* Self report
* On-site measurement of the environment
* Tools that measure reported or observable functional limitations

Front 24

How long does a ramp need to be?

Back 24

1 foot for every inch of rise. If you need to get up 36", your ramp needs to be 36' long.

Front 25

What are two general areas you will look at when doing a home assessment?

Back 25

Accessibility of the exterior
Layout of the interior

Front 26

What do you need to bring with you when doing an assessment?

Back 26

Tape measure and something to document with

Front 27

When looking at the exterior, what do you need to look at?

Back 27

Drive (uneven)
Stairs/ramp
Handrails
Entrance
Lighting
Cover (from rain/snow)

Front 28

When looking at the interior, what do you need to look for?

Back 28

Go through a "day" w/ the pt. from the time they open their eyes to the time they go to bed. Think through getting out of bed, going to bathroom, kitchen, living room, etc.

Front 29

Name 9 general rules for transfers

Back 29

* Transfer high to low
* Transfer toward unaffected side
* Keep your COG low
* Make the pt a part of you
* Use proper body mechanics
* Set up the area first
* Pivot
* Explain first
* safety, safety, safety

Front 30

Name some transfer equipment available to assist in transfers

Back 30

* Gait belt
* Transfer/sliding boards
* Overhead trapeze
* Grab bars
* Mechanical lifts

Front 31

A patient is able to consistently perform a skill safely with no one present. They are considered....

Back 31

Independent

Front 32

Patient requires someone within arms reach as a precaution. Low probability of pt having a problem requiring assistance. They need....

Back 32

supervision

Front 33

If you are positioned as if to assist, with hands raised but not touching patient; full attention on patient; fair probabilty of pt requiring assistance, they need....

Back 33

Close guarding

Front 34

You are positioned as with close guarding, with hands on pt but not giving any assistance. High probability of pt requiring assistance. You are ....

Back 34

Contact guarding

Front 35

Pt is able to complete majority of the activities w/o assistance. Pt provides 75%. This is considered what kind of assistance?

Back 35

Minimum assistance

Front 36

Pt is able to complete part of the activity w/o assistance. Pt provides 50-75%. This is considred what kind of assistance?

Back 36

Moderate assistance

Front 37

The pt is unable to assist in any part of the activity. Pt provides 25-50%. This is considered what kind of assistance?

Back 37

Maximimum assistance

Front 38

The number of people needed should be added to the Maximum Assist

Back 38

Generally, a maximum of 3 people, otherwise they get in the way of each other.

Front 39

Why should your notes be conservative in the assist level?

Back 39

Better to have the next person who takes care of the pt to be overly cautious, than not to be prepared enough

Front 40

Name 8 types of transfers

Back 40

1) Standing, dependent pivot
2) Standing, assisted pivot
3) Standing, Standby pivot
4) Standing, independent pivot
5) Sitting, assisted transfer
6) Sitting, independent transfer
7) Sitting, dependent lift
8) Recumbent, dependent lift

Front 41

Describe the Standing, dependent pivot

Back 41

Pt is elevated to a standing position, and pivoted so that the back is towad the object to which the person is lowered. You may be required to lift the pt to a standing position, to stabilize the knees and hips for the pivot, and to assist the pt to sitting.

Front 42

Describe the Standing, Assisted pivot

Back 42

Pt must be able to provide minimal (25%) to Maximal (75% or more) physical effort during the transfer. Safety is often an issue w/ this transfer, so must be alert at all times

Front 43

Describe the Standing, standby pivot

Back 43

The assistance required may vary from verbal cueing to close or casual guarding. Safety is still a concern with this type of transfer, and you must be alert to provide protection when needed

Front 44

Describe the Standing, independent pivot

Back 44

The pt is able to perform the entire transfer safely & consistently w/o any physical or verbal assistance

Front 45

Describe the Sitting, assisted transfer

Back 45

Pt is able to move from one surface to a second surface while in a sitting position w/ the assistance of at least one person. Transfer may require the use of a sliding board, overhead bar, overhead straps, or other equipment. Must be guarded & protected during transfer

Front 46

Describe the Sitting, Independent transfer

Back 46

Pt is able to move safely & efficiently from one surface to a second surface while in a sitting position, w/o assistance from another person. Pt still may need to use sliding board, overhead bar, straps or other equipment

Front 47

Describe the Sitting, dependent lift

Back 47

1, 2, or 3 persons may be required to lift & move the pt from one surface to a 2nd surface. A mechanical lift may be used instead of multiple people. Pt is unable to physically assist w/ the transfer.

Front 48

Describe the Recumbent, dependent lift

Back 48

Pt is physically unable to assist w/ the transfer and is unable to be placed in a sitting position. 1, 2, or 3 persons or special equipment is required to lift and move the pt from one surface to another. Equipment may be mechanical lift, mechanical transfer stretcher, mattress pad, bed liner or plastic transfer board