Exam 2 Material Flashcards
When would supine to sit through rolling be appropriate?
-older patients
-patients who need more assistance
-Lack of upper body strength
when would you use supine to sit through long sitting?
-ex. paralyzed from waist down
-spinal cord injury
-Knee injury
-Total hip replacement/hip precautions
a patient is performing 30% of the required work to roll to the side of the bed. The therapist is assisting with the other 65%. What level of assistance is the patient?
Max assist
A patient has been placed under toe touch weight bearing precautions to the L LE. Which of the following accurately describes precaution?
Patient is unable to put any weight on the L LE, but may use the toes on the ground to assist with balance
In the knee blocking decision; if both extremities are reliably strong is a knee block needed?
No blocking needed; guard
In the knee blocking decision; if both extremities are not reliably strong is a knee block needed? What is the next question
Is at least one leg reliably strong?
if yes=block unreliable leg
if no=is at least one leg partially reliable?
How do we know what knee to block if needed? Do we block one or both?
-Most of the time we are blocking the weak knee that could buckle
-Sometimes the PT may choose to block the strong knee (in certain situations)
-Can block just one (mainly) but can block both (depending on the type of transfer)
When knee blocking, where should the PT foot be?
on the OUTSIDE of the patient’s foot
When is a gait belt required? When should you put on the gait belt?
-If the patient needs contact guard assistance or more
-BEFORE/PRIOR to transfer (when they are seated, before they stand)
If the patient is at supervision level is a gait belt required or not?
It is your decision to use one or not but you want to consider how long they have been at this level to make that choice
When is a gait belt not required?
If the patient is modified independent or independent
Independent level of assistance
patient safe to perform activity alone; requires NO assistance or monitoring
Modified independent level of assistance
patient safe to perform activity alone; requires no assistance or monitoring BUT uses assistive device
Stand by assist/supervision level of assistance
Patient requires observation to complete the task; requires verbal cues or set-up of the environment
Contact guard assist level of assistance
Patient requires contact from the therapist; no lifting is required but contact for reassurance, balance, etc.
Minimal assistance level of assistance
Patient performs 75% or > of the task
Moderate assistance level of assistance
Patient performs 50-74% of task
Maximal assistance level of assistance
Patient performs 25-49% of task
Total assistance/dependent
Patient performs 0-24% of the task
Toe touch weight bearing (TTWB)
patient is unable to place any weight on the involved extremity, but may use toes on the ground to assist with balance
Partial weight bearing (PWB)
Patient is able to put a specified percentage of weight through the involved extremity
Weight bearing as tolerated (WBAT)
Patient determines the amount of weight bearing based on comfort
Full weight bearing (FWB)
patient is able to place full weight on the involved extremity
