Exam 3: Patient Skills - March 24th Lateral Transfers

Question 1

Talk through how a patient would independently transfer a patient from a bed to a chair with a sliding board

Answer 1

Have the patient shift to the side opposite of the transfer. Place the board under the lifted side and other end over the wheelchair seat. Place one hand out of the board on the chair, push down with both hands and lift, shift, and lower as needed

Question 2

Talk through how a clinician would assist a patient in transferring with a sliding board

Answer 2

The clinical typically guards from the front and assist with hip movement centrally, directing distally as needed. Making several small movements may be needed

Question 3

A pivot transfer’s primary action occurs at the ____ and requires ____ ____ on at least one LE

Answer 3

feet; weigh bearing

Question 4

In regards to pivot transfers, the transfer should occurs towards the patients (stronger/weaker) side

Answer 4

stronger

Question 5

Explain the ready position of the patient during an assisted pivot transfer

Answer 5

Feet back with inner foot slightly forward, trunk flexed, hands placed on armrests

Question 6

Explain the ready position of the clinician during an assisted pivot transfer

Answer 6

In front of patient with hips and knees flexed, wide staggered stance. Inner foot slightly posterior, grip on gait belt

Question 7

Blocking the knee during a pivot transfer creates ______ moment to counteract the flexion moment at the patient’s hips and knees

Answer 7

extension

Question 8

During knee blocking, contact should be make at the patients (proximal/distal) tibia

Answer 8

proximal

Question 9

What type of knee block can be used during an assisted pivot transfer

Answer 9

1: 1
2: 1
2: 2

Question 10

What type of knee block should be used during a depended pivot transer

Answer 10

2:2

Question 11

Describe the clinician’s position during a dependent pivot transfer

Answer 11

In front of the patient with hips and knees flexed. Inner foot slightly posterior with a grip on a gait belt

Question 12

Describe how a patient with unilateral limited WB would perform a transfer from standing to sitting

Answer 12

slide affected LE forward before rising
Hold NWB limb slightly off the ground during pivot
pivot uninvolved side through small hops, extend knee of involved LE before sitting

Question 13

Describe how a patient with THA posterior approach would transfer from one chair to another sitting platform

Answer 13

scoot forward without flexion the trunk beyond 60-90
extend knee on involved LE before standing while avoiding trunk flexion while pushing into standing
also avoid IR during pivot and flexion while back to sitting

Question 14

What are the different levels of transfers

Answer 14

Dependent, assisted, modified independent, and independent

Question 15

Which type of level of transfer is minimal or no active participation by the patient

Answer 15

dependent

Question 16

Which type of level of transfer involves some participation by the patient

Answer 16

assisted

Question 17

Which type of level of transfer is when the patient performs the transfer independently with transfer devices

Answer 17

modified independent

Question 18

Which type of level of transfer is fully completed by the patient without transfer devices

Answer 18

independent

Question 19

What are the 6 levels of assitance

Answer 19

Stand by assistance/supervision
Close Guarding
Contact Guarding
Minimal Assistance
Moderate Assistance
Maximum Assistance

Question 20

Which level of assistance includes verbal cues

Answer 20

stand by assistance/supervision

Question 21

Which level of assistance involves close proximity to provide physical assist if needed

Answer 21

close guarding

Question 22

Which level of assistance involves contact providing occasional balance and physical assist

Answer 22

contact guarding

Question 23

Which level of assistance involves the therapist providing up to 25% assist

Answer 23

minimal assistance

Question 24

Which level of assistance involves the therapist providing up to 50% assist

Answer 24

Moderate assistance

Question 25

Which level of assistance involves the therapist providing up to 75% assist

Answer 25

maximum assist

Question 26

What are the 5 different types of assists

Answer 26

Set up/monitoring environment
equipment
verbal cues
balance control
physical assist for lifting or supporting

Question 27

In regards of the amount of assistance, how many personnel should assist and how is it indicated on a chart

Answer 27

as many people as it takes to assist. Will be indicated on a chart like x2 or x3 etc.

Question 28

Explain how a clinician should transfer a patient through a doorway in a wheelchair if the door opens away from the patient

Answer 28

The clinician should back up and push the door with the hip to open it. Then the clinician should keep the door open with the foot as they pull the wheelchair backward through the door

Question 29

Explain how a clinician should transfer a patient through a doorway in a wheelchair if the door opens toward the patient

Answer 29

The wheelchair needs to face forward but with enough room for the clinician to open the door. The clinician should use one hand to hold the door open and one hand to support the wheelchair. Then the clinician should use their foot to hold the door open as they wheel the patient through the door

Question 30

Explain how a patient would independently transfer through a doorway if the door opens away from the patient

Answer 30

The patient should push the door open wide and quickly propel the WC through the doorway while using frontrigging or hand to block the door from closing

Question 31

Explain how a patient would independently transfer through a doorway if the door opens towards the patient

Answer 31

The patient should pull the door open wide and propel the WC through the doorway. Uses frontrigging or hand to block the door from closing