Bed Mobility

Question 1

where should the therapist’s and patient’s COG be in relation to the BOS?

Answer 1

above

Question 2

fact:

Answer 2

always stabilize trunk using the isometric contractions of extensors and abdominals

Question 3

what should you do if person has a cognitive issue?

Answer 3

ask them to repeat it back to you

Question 4

what is the level of assist called where: pt needs assistance w. problem solving, requires verbal cues, requires set-up

Answer 4

stand-by assist/supervision

Question 5

when does a pt have the “significant liklihood” of requiring assistance?

Answer 5

contact guard

Question 6

what is described as dependent?

Answer 6

Max A X 2 & Mod A X 2

Question 7

what percent of pressure ulcers occur in hospitals?

Answer 7

40%

Question 8

what kind of posture aids in a pressure ulcer?

Answer 8

posterior pelvic tilt

Question 9

what are the extrinsic factors for a pressure?

Answer 9

moisture, heat, friction/shear, posture

Question 10

what are the intrinsic factors for a pressure?

Answer 10

nutrition, infection, immobilization, poor sensation, age, competence

Question 11

which protein is essential in wound healing? where is it produced?

Answer 11

albumin

liver

Question 12

what pressure do albumin an prealbumin maintain?

Answer 12

colloid osmotic pressure

Question 13

what is the value of total protein?

Answer 13

5.5-9 g/dL

Question 14

what is the value of albumin?

Answer 14

3.5-5.5 g/dL

Question 15

what is the value of prealbumin?

Answer 15

16-35 mg/dL

Question 16

what is the best position to prevent pressure ulcers?

Answer 16

prone

Question 17

where do pressure ulcers mostly develop in sidelying?

Answer 17

between knees

Question 18

where do pressure ulcers mostly develop in supine?

Answer 18

ITs

Question 19

how often should you turn a pt who is w/c dependent?

Answer 19

15 mins

Question 20

what is a pressure ulcer mainly due to?

Answer 20

shear forces

Question 21

what are the goals for repositioning to reduce complications at bedrest?

Answer 21

skin breakdown
pulmonary system
MSK deformities
Prevent neuro compression

Question 22

if you are putting a pt in a new position, how often should you check their skin?

Answer 22

after every 5-10 minutes

Question 23

where does redness mainly occur on bony prominences?(7)

Answer 23

between knees, ankles, malleoli, greater troch, sacrum, elbows, base of skull

Question 24

what is the resting position of the joints?

Answer 24

ankles in PF, knees in flexion, hips in ER, elbows in flexion, humerii at side, C spine to side of environmental stimuli

Question 25

what can pillows under knees cause over time?

Answer 25

flexor contracture

Question 26

what are 2 reasons for why you should turn someone in prone position?

Answer 26

to avoid hip/knee flexor contracture

there could be drainage if person has excessive pulmonary issues

Question 27

when turning supine to prone, where do your hands go?

Answer 27

adducted

Question 28

what are the positives to sidelying position?

Answer 28

comfort and relief of pressure

Question 29

if pt cannot tolerate supine to longsitting, what should you ask them to perform instead?

Answer 29

supine to sidelying

Question 30

in supine to sit, which arm should the pt flex?

Answer 30

elbow on side of roll

Question 31

in supine to sit (pivot), where should the therapist place arms under the pt?

Answer 31

under trunk and under the thighs

Question 32

during supine to sit, what should you watch out for in a neuro pt?

Answer 32

shoulder dislocation

stimulation if there is neglect