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27 Cards in this Set

  • Front
  • Back
type of transfer depends on: 7
diagnosis, strength, flexibility, balance, endurance, tolerance for upright position, motor control
Procedure for transfer: 6
introduction, explanation, consent, description and demonstration, have pt explain, perform (encourage pt part., use good posture and body mech)
Dependent Transfers: 5
mechanical lift (safety)
3 person lift
2 person lift (hi/floor to WC)
1 person lift (mat to WC)
draw sheet
Assisted Transfers: 3
sliding board
standing pivot
low pivot
prevalence of back injury
80% suffer at least 2 days
14% suffer at least 2 weeks
10-20% undergo surgery
body mechanics
use of one's body to produce motion that is safe, energy conserving and anatomically and physiologically efficient and that leads to the maintenance of balance and control
Why is it important to practice proper posture and body mechanics?
reduce personal injury
pt safety
reduce energy expenditure
show pt correct example
Biomechanics of the spine
L is main load bearing center
T/L-spring quality-higher loads
position affects loads on spine
distance and density of object
position affects loads on spine
posterior herniation due to anterior force from forward flexion
factrors that influence loads on spine
position of spine
distance of obj from spine
size, shape, weight, and density
Body mechanics for lifting
keep L curve (decrease stress, facets closer to each other which increase stability and abs/quads/glut max are better able to fxn), tighten muscles, mentally prepare, don't bend at waist, don't twist, don't lift quickly, use momentum, use body as lever, keep COG close to obj COG, push pull slide not lift, prepare work area and pt, get help if needed
lifting techniques
deep squat, power lift, straight leg lift (something in way of knees), one leg stance (something light), half kneeling (put obj on knee), traditional, stoop (suitcase handle)
functions of documentation: 4
communication (ABC accurate, brevity, clarity)(punctuation, identification/date, compliance with guidelines)
legal record (informed consent, accurate description, confidentiality, corrections, consistent with clinic)
data analysis
SOAP note
content (what pt says, lifestyle)
progress/dc note
progress/dc note
problem list
long term goals (fxnal outcomes)
short term goals
tx plan (freq, dur, # of visits)
SOAP note
APTA documentation template
Examination (hx, systems review, test and measures)
Evaluation (diagnosis, prognosis, plan of care, anticipated goals)
Examination (Hx, learning styles)
Examination (review of systems, test and measures, tx documentation)
Evaluation (Diagnosis, Prognosis, optimal recovery, PT goals, outcomes)
Prognosis (plan of care, intervention/prevention criteria for DC)
FIM scores
7- complete independence
6- modified independence (assistive device)
5-supervision/set up
4- minimal contact (>75%)
3- moderate assistance (50-74%)
2- maximal assistance (25-50%)
1- total assistance (<25%)
Pressure Ulcers
a wound that develops due to pressure to soft tissue that exceeds the normal capillary pressure of the local circulation and shear force to superficial skin
primary risk factors for pressure ulcers
extrinsic: pressure to tissue overlying bony prominences, shear, friction
intrinsic: nutrition, decreased sensory awareness, medical conditions, tobacco products
purpose of pt positioning:
prevent soft tissue and joint contractures
provide pt comfort
provide support/stability of trunk and ext
provide access to areas to be treated
promote efficient fxn of pt organ systems
provide position changes to relieve prolonged pressure to soft tissue, bony prominences, and circulatory and neurologic structures
Staging of pressure ulcer
I--non-blanchable erythema, skin is intact, area redness, 1-3 weeks to heal
II--partial thickness skin loss that involves epidermis and dermis, begins at surface and progress deeper, 2-4 weeks to heal
III--full thickness that involves damage or necrosis of subcutaneous tissue, extends to but not through underlying fascia, starts from inside out
IV--full thickness skin loss, extensive destruction, tissue necrosis, damage to muscle,bone,and supporting structures,tendon, from inside out
prevention/intervention ov pressure ulcer
pressure relief (positioning, education, equip)
pressure/shear reduction (assistive devices (beds), orthotic devices, protective devices, supportive devises)
guidelines for pt positioning
avoid wrinkled linen
inspect skin
protect bony prominence
ensure pt safety
protect soft tissue, circulatory, and neurological structures
purpose of draping