Bed Mobility & Transfers

Question 1

Define independent assistance

Answer 1

patient is able to consistently perform skill safely with no one present

Question 2

Define supervision assistance

Answer 2

patient requires someone within arm’s reach as a precaution

Question 3

Define close guard assist

Answer 3

the person assisting is positioned as if to assist, with hands raised but not touching patient; full attention on patient

Question 4

Define contact guard assist

Answer 4

the therapist is positioned as with close guard assist, with hands on the patient but not giving any assistance

Question 5

Define minimum assistance

Answer 5

patient can perform 75% of the task

Question 6

Define moderate assistance

Answer 6

patient can perform 25-75% of the task

Question 7

Define maximum assistance

Answer 7

patient can perform less than 25% of the task

Question 8

Define dependent

Answer 8

patient does not attempt participation

Question 9

Define full weight bearing (FWB) or weight bearing as tolerated (WBAT)

Answer 9

no restriction; limited only by patient’s discomfort

Question 10

Define partial weight bearing (PWB)

Answer 10

prescribed amount as a percentage of the patient’s body weight

Question 11

Define toe-touch weight bearing (TTWB) or touch-down weight bearing (TDWB)

Answer 11

toes may rest on the ground while standing, but the extremity is NWB; utilized for balance only

Question 12

Define Non-weight bearing (NWB)

Answer 12

foot may not contact the floor in standing

Question 13

When providing assistance in bed mobility utilize these 4 actions

Answer 13

• maintain good body mechanics
• use bed height to advantage
• utilize drawsheet
• direct distally, control centrally

Question 14

When assisting with transfers, utilize these 4 actions

Answer 14

• maintain spinal curvatures
• keep the load close
• wide BOS
• use large muscles

Question 15

What is the gait belt used for with a close-guard or min assist patient?

Answer 15

provides a contact point for control of the patient’s movement from a proximal position

Question 16

What is the gait belt used for with a mod or max assist patient?

Answer 16

provides a mechanical advantage in the transfer

Question 17

When applying a gait belt to a patient how should it fit?

Answer 17

low across hips and snug so that only two fingers fit inside