Final Exam: Transfers and Wheelchairs Flashcards
Put the steps of an independent sliding board transfer to the left bed to wheelchair in the correct order:
- Remove board
- Lean trunk to the right. Place one end of board under left hip and other end over wheelchair seat
- Angle right side of wheelchair close to bed. Secure surfaces
- Lift, shift, and lower hips. Repeat as needed
- Place left hand out on board and press down with both hands
3, 2, 5, 4, 1
List the steps of how a patient would perform an independent sliding board transfer to the left bed to wheelchair
Angle right side of wheelchair close to bed. Secure surfaces
Lean trunk to the right. Place one end of board under left hip and other end over wheelchair seat
Place left hand out on board and press down with both hands
Lift, shift, and lower hips. Repeat as needed
Remove board
During sliding transfers, what should we make sure that the patient does not do
grasp the end of the board or place fingers through the handle during the lateral shift
During a clinician assisted sliding board transfer, the clinician typically guards from the (front/back)
front
During a clinician assisted sliding board transfer, the clinician will assist with hip movement CCDD as needed. What does CCDD stand for?
control centrally, direct distally
During a pivot transfer, the primary action occurs at the (legs/feet) and the transfer occurs toward the patient’s (weaker/stronger) side
feet; stronger
True or False:
Pivot transfers do not require WB on at least one lower extremity
false
During an assisted pivot transfer, explain how a clinician would first set up the environment (Hint: There’s 5 things)
- Ensure appropriate footwear
- Remove obstacles including leg/arm rests
- Equalize surface height
- Secure both surfaces
- Use a gait belt
For an assisted pivot transfer, what does the “ready position” look like for the patient
hips scooted forward
Feet back with inner foot slightly forward
Trunk flexed
Hands placed on armrests
Before an assisted pivot transfer can occur, the patient must be in the ready position. Explain the different ways a patient could scoot his or her hips forward in a chair
- Lift, forward shift, and lower (push up)
- Alternate weight shifts (side to side)
- Forward hip slide (pelvic slide)
For an assisted pivot transfer, what does the “ready position” look like for the clinician
In front of patient
hips and knees flexed, wide staggered stance
inner foot slightly posterior
grip on gait belt
During an assisted pivot transfer, a clinician will block the knees. This creates an (flexion/extension) moment to counteract the (flexion/extension) moment at the patient’s hips and knees
extension; flexion
During an assisted pivot transfer, knee blocking contact is at the patient’s (proximal/distal) tibia
proximal
What are the three types of knee blocks for an assisted pivot transfer
1: 1
2: 1
2: 2
What type of knee block is used for a dependent pivot transfer
2:2