Dutton Chapter 13 Flashcards
Level of Independence:
Independent
Assistance not required to complete task
Level of Independence:
Modified Independent
Adaptive or assistive equipment (furniture, bed rail, grab bars, transfer board)
Level of Independence:
Assisted
Oral or tactile cues from other person to perform activity safely and in acceptable time frame
Level of Independence:
Standby (supervisior)
Oral and tactile cues from other person in close, but not touching proximity
Level of Independence:
Contact guard
Clinician required to maintain contact with patient or safety belt to complete task. Contact guard usually required if there is loss of balance
Level of Independence:
Minimal Assist
Requires 25% assist from clinician to complete task
Level of Independence:
Moderate Assist
Requires 50% assist from clinician to complete task
Level of Independence:
Maximal assist
Requires 75% assist from clinician to complete task
Level of Independence:
Dependent
Unable to participate, clinician must provide all effort to perform task
Transfer Techniques/Risk of Injury Least to Most Stressful
Bathtub to chair
Bed to chair
Chair to Bed
Chair to toilet
Toilet to chair
Factors that Influence Decision making transfers:
Patient
-Weight, cooperation, fear, capabilities, precautions, head/trunk control, external devices
- Small movements allow for greater control over both movement and equipment
- More assistance allows for greater control and support
Factors that Influence Decision making transfers:
Environment
- Proximity, height difference and width of transfer surfaces
- Surfaces arranged to allow clinician to maintain upright posture that minimizes trunk flexion, achieve good stability and perfom unobstructed transfer
Major muscle groups involved with transfers
Elbow Extensors and Flexors
Shoulder Extensors and Flexors
Hip and Knee Extensors
