Bed Mobility Flashcards
where should the therapist’s and patient’s COG be in relation to the BOS?
above
fact:
always stabilize trunk using the isometric contractions of extensors and abdominals
what should you do if person has a cognitive issue?
ask them to repeat it back to you
what is the level of assist called where: pt needs assistance w. problem solving, requires verbal cues, requires set-up
stand-by assist/supervision
when does a pt have the “significant liklihood” of requiring assistance?
contact guard
what is described as dependent?
Max A X 2 & Mod A X 2
what percent of pressure ulcers occur in hospitals?
40%
what kind of posture aids in a pressure ulcer?
posterior pelvic tilt
what are the extrinsic factors for a pressure?
moisture, heat, friction/shear, posture
what are the intrinsic factors for a pressure?
nutrition, infection, immobilization, poor sensation, age, competence
which protein is essential in wound healing? where is it produced?
albumin
liver
what pressure do albumin an prealbumin maintain?
colloid osmotic pressure
what is the value of total protein?
5.5-9 g/dL
what is the value of albumin?
3.5-5.5 g/dL
what is the value of prealbumin?
16-35 mg/dL
what is the best position to prevent pressure ulcers?
prone
where do pressure ulcers mostly develop in sidelying?
between knees
where do pressure ulcers mostly develop in supine?
ITs
how often should you turn a pt who is w/c dependent?
15 mins
what is a pressure ulcer mainly due to?
shear forces
what are the goals for repositioning to reduce complications at bedrest?
skin breakdown
pulmonary system
MSK deformities
Prevent neuro compression
if you are putting a pt in a new position, how often should you check their skin?
after every 5-10 minutes
where does redness mainly occur on bony prominences?(7)
between knees, ankles, malleoli, greater troch, sacrum, elbows, base of skull
what is the resting position of the joints?
ankles in PF, knees in flexion, hips in ER, elbows in flexion, humerii at side, C spine to side of environmental stimuli
what can pillows under knees cause over time?
flexor contracture
what are 2 reasons for why you should turn someone in prone position?
to avoid hip/knee flexor contracture
there could be drainage if person has excessive pulmonary issues
when turning supine to prone, where do your hands go?
adducted
what are the positives to sidelying position?
comfort and relief of pressure
if pt cannot tolerate supine to longsitting, what should you ask them to perform instead?
supine to sidelying
in supine to sit, which arm should the pt flex?
elbow on side of roll
in supine to sit (pivot), where should the therapist place arms under the pt?
under trunk and under the thighs
during supine to sit, what should you watch out for in a neuro pt?
shoulder dislocation
stimulation if there is neglect
