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26 Cards in this Set
- Front
- Back
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What is the definition of Transfer |
a safe movement of a person from one surface to another, or from one position to another. |
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SBA |
stand by assist- patient requires verbal or tactile cues but not guarding them with contact. physical therapist is close by to help if the patient falls. Example: reminding them of hand placement |
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CGA
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contact guard assist- hands on the safety belt, likely the patient is going to need assistance.
physical therapist is in contact with the patient |
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Dependent |
total assist |
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the level of assist is based on what? |
it is based on what the patient is doing, not what the therapist does |
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what are the levels of assistant |
independent, SBA, CGA, mid, mod, max, and dependent |
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independent |
not assistance need from therapist |
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min assist |
patient 75% or more /therapist 25%-minimal assistance |
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mod assit |
patient 50%-74%, therapist 50%-26% |
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max assist |
patient 25%-49%, therapist doing most of work |
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when do you use CGA |
1. first time you have treated the patient 2. patient is unsteady 3. patient has multiple loss of balance |
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What are the precautions when transferring a patient |
1. Predetermined the pt's mental & physical status, including WB status 2. Clothing & footwear suitable for transfer 3. Mentally prepare transfer activities 4. Instruct patient slowly & concisely & allow time for process 5. Safety belt must be on 6. Be alert for unusually events to occur 7. don't grab patient's clothing 8. Don't allow patient to grab around your neck 9. Position yourself to guard & protect patient throughout transfer 10. Be aware of anything attached on the patient (cath, IV, ect.) |
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what is considered proper footwear? |
close toed shoes with laces tied, grippe socks |
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what type of footwear should you avoid? |
slippers w/ slick soles or slip ons sandals smooth leather sole socks w/o shoes |
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prior to performing a transfer, what should you clarify with the patient |
what their home environment is, WB status, their restrictions, make sure the patient is aware of their participation if any. |
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you should always make sure you have what before you begin a transfer? |
informed consent |
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you should always give the patient an opportunity to do what before you transfer them |
give the patient an opportunity to replay what you have asked of them. |
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what type of questions should you avoid when speaking with a patient |
avoid "do you understand the instructions" most respond "yes" even if they do not |
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what are the precautions for THR (total hip replacement) |
within the 1st 2 weeks- Avoid hip adductions, rotation, flexion greater then 90 degrees |
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what are the precautions of low back trama |
avoid excessive lumbar rotation-- teach log rolling |
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what are the precautions of SCI (spinal cord injury) |
avoid distraction or rotational forces in the area---log roll do supine to sit and monitor BP (they may faint) |
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what are the precautions for burns |
avoid a shearing force, make sure they lift before shifting |
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what are the precautions for hemiplegis |
avoid pulling on the involved extremity |
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what are the types of transfer |
1. standing, dependent pivot 2. standing, assisted pivot 3. sitting assisted (with or w/o equip) 4. sitting dependent (1,2,3 man lifts, mechanical) 5. Recumbent (pt unable to assist or be place in a seated position) |
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what are the transfer guidelines |
1. instruct patient on expectations and what you are doing 2. use gait belt and be aware of placement and make sure of no abdominal incision 3. proper footwear 4. have them move to the edge of the surface (scooting) 5. Lean forward- "nose over toes" 6. Transfer to the strong side 7. 45 degree angle surface to surface. |
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what are the mobility activities |
1. Supine to side-lying 2. supine to prone 3. side-lying to sitting 4. sitting to side lying 5. stand to sit 6. sit to stand 7. moving to the edge of the bed-bringing, by segments 8. moving up/down in bed- bridging or draw sheet. |
