Advanced Manual Handling

Question 1

What do you need to assess for moving up the bed?

Answer 1

• Neck flexion
• Trunk flexion
• Elbow flexion
• Pushing through elbows
• Hip and knee flexion
• Pushing down through feet
• Clearing bottom from bed

Question 2

If using a slide sheet to move a patient up the bed, what direction does the opening need to be towards?

Answer 2

In the direction that the patient is moving e.g. towards the head of the bed

Question 3

What do you do if a patient cannot use their arms to assist in moving up the bed?

Answer 3

Have the patient cross their arms over their chest

Question 4

What do you need to assess for moving across the bed?

Answer 4

• Neck flexion
• Trunk flexion
• Elbow flexion
• Pushing through elbows
• Hip and knee flexion
• Bridging
• Able to add/abd legs

Question 5

In what order do you move body parts when moving across the bed?

Answer 5

Bottom first, then top of body, then feet across

Question 6

If using a slide sheet to move a patient across the bed, what direction does the opening need to be towards?

Answer 6

Towards the direction of movement

Question 7

What do you need to assess for rolling onto side?

Answer 7

• Moving arm across chest towards the side rolling to
• Turn head towards side rolling to
• Flex nee up on leg opposite to the side rolling to - able to push through foot to lift that side of bottom
• Trunk rotation

Question 8

What side do you stand on when doing a rolling onto side transfer?

Answer 8

On the side that the patient is rolling to

Question 9

If using a slide sheet to roll a patient onto their side, what direction does the opening need to be towards?

Answer 9

Opening away from the direction that the patient is rolling

Question 10

What do you need to assess for lying to SOEOB?

Answer 10

• Components of rolling onto side
• Hip and knee flexion
• Add/abd legs
• Push through arms
• Able to flex and laterally flex trunk

Question 11

What do you need to assess for sit to stand?

Answer 11

• Knee flexion
• Push through arms
• Lean forward
• Move bottom forward
• Quad strength
• Hip extensor strength
• Ankle DF/PF
• Grip strength

Question 12

During sit to stand what side do you stand on?

Answer 12

Affected or weaker side

Question 13

What do you need to assess for bed to chair - standing +/- frame?

Answer 13

Same as sit to stand

Question 14

Why would you do a pivot transfer?

Answer 14

If the patient did not have grade 3 or more leg strength / cannot stand upright

Question 15

What do you need to assess for bed to chair - slideboard?

Answer 15

• Trunk control and sitting balance
• Able to push down through arms/hands
• Able to lift bottom side to side