bed mobility Flashcards
bridging
lying down lifting butt of bed
hook lying
pre bridge position
long sitting
holding upper body up with arms LE outstretched
half kneeling
kneeling lunge
kneeling
both knees kneeling
quadruped
CAT COW position for yoga
indipendent
patient is able to consistently perform skill safely with no one present
supervision
pt requires someone within arms reach as precaution low prb
close guarding
stand by assist
person assisting is positioned as if to assist with hands raised but not touching pt
contact gaurding
therapist is positioned as with close guarding but hands on pt
min assis
75 % of task
mod assis
25-75% of task
max assis
less than 25% of task
dependent
pt does not attempt to participate
FWB (full weight bearing)
no restriction only to pt discomfort
PWB partial weight bearing
prescribed amount as percentage of pt BW
TTWB toetouch weight bearign
toes may rest on ground in standing but extremity NWB
NWB non weight bearing
foot may not come into contact with floor
Scoot up and down in supine
Step 1 Hook lying position Elevate and retract scapula while extending and slightly abducting the shoulder Step 2 Maintain neck in flexion Press the feet and elbows into the bed Elevate the hips and trunk Step 3 Extended lower extremities Depress scapulae
scooting sideways
Step 1 Hook lying position Place elbows into bed Step 2 Press into feet and elbows Lift hips and trunk Step 3 Move hips to the right Step 4 Move trunk to side using elbows and trunk flexion, not head Step 5 Completed
rolling supine to right side
Step 1 Position patient to allow room for rolling to right Turn head and look in direction of rolling Step 2 Abduct right shoulder to provide stability Reach left arm across body Step 3 Place left foot on bed Adduct hip Step 4 Press into foot to initiate hip movement Continue to reach across body Step 5 Completed roll Step 6 Reposition for comfort
Supine to Sit through Side-lying
Step 1
Position with adequate space to roll to the right
Step 2
Complete supine to side lying
Place left hand on the bed in front of chest
Step 3
Move lower extremities off the edge of the bed
Push into left hand to lift trunk off bed
Step 4
Abduct right shoulder, then extend right elbow to complete motion
Step 5
Completed
scooting in sitting
Step 1
Abduct right shoulder and place hand on bed
Step 2
Lean trunk to right
Unweight hips using elbow extension and scapular depression
Shift pelvis to right and up on the left side
Step 3
Shift left side of pelvis forward
Repeat steps 1 to 3 on the other side
Providing Assistance in Bed Mobility
Maintain good body mechanics
Use bed height to your advantage
Utilize the draw sheet
Direct distally, control centrally
Gait belts
If contact guard or minimal assistance:
Provides a contact point for control of the patient’s movement from a proximal position
If moderate or maximal assistance:
Provides a mechanical advantage in the transfer
