Final Exam: Transfers and Wheelchairs Flashcards

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1
Q

Put the steps of an independent sliding board transfer to the left bed to wheelchair in the correct order:

  1. Remove board
  2. Lean trunk to the right. Place one end of board under left hip and other end over wheelchair seat
  3. Angle right side of wheelchair close to bed. Secure surfaces
  4. Lift, shift, and lower hips. Repeat as needed
  5. Place left hand out on board and press down with both hands
A

3, 2, 5, 4, 1

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2
Q

List the steps of how a patient would perform an independent sliding board transfer to the left bed to wheelchair

A

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

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3
Q

During sliding transfers, what should we make sure that the patient does not do

A

grasp the end of the board or place fingers through the handle during the lateral shift

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4
Q

During a clinician assisted sliding board transfer, the clinician typically guards from the (front/back)

A

front

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5
Q

During a clinician assisted sliding board transfer, the clinician will assist with hip movement CCDD as needed. What does CCDD stand for?

A

control centrally, direct distally

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6
Q

During a pivot transfer, the primary action occurs at the (legs/feet) and the transfer occurs toward the patient’s (weaker/stronger) side

A

feet; stronger

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7
Q

True or False:

Pivot transfers do not require WB on at least one lower extremity

A

false

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8
Q

During an assisted pivot transfer, explain how a clinician would first set up the environment (Hint: There’s 5 things)

A
  1. Ensure appropriate footwear
  2. Remove obstacles including leg/arm rests
  3. Equalize surface height
  4. Secure both surfaces
  5. Use a gait belt
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9
Q

For an assisted pivot transfer, what does the “ready position” look like for the patient

A

hips scooted forward
Feet back with inner foot slightly forward
Trunk flexed
Hands placed on armrests

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10
Q

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

A
  1. Lift, forward shift, and lower (push up)
  2. Alternate weight shifts (side to side)
  3. Forward hip slide (pelvic slide)
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11
Q

For an assisted pivot transfer, what does the “ready position” look like for the clinician

A

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

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12
Q

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

A

extension; flexion

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13
Q

During an assisted pivot transfer, knee blocking contact is at the patient’s (proximal/distal) tibia

A

proximal

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14
Q

What are the three types of knee blocks for an assisted pivot transfer

A

1: 1
2: 1
2: 2

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15
Q

What type of knee block is used for a dependent pivot transfer

A

2:2

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16
Q

What is the clinician’s ready position for a dependent pivot transfer

A

In front of patient
hips and knees flexed
inner foot slightly posterior
grip on gait belt

17
Q

Is a squat or standing pivot transfer used if the patient cannot bear enough weight in the LE’s

A

squat

18
Q

Is a squat or standing pivot transfer used if the patient may pause when in an upright position

A

standing

19
Q

When is a transfer complete?

A

When the patient is safely and comfortably positioned and has a way to call for assistance

20
Q

Patient’s with a THA posterior approach, should avoid (internal/external) rotation and trunk flexion beyond _____ degrees at all times

A

Internal rotation; 60 to 90

21
Q

What are the 4 different levels of transfers

A

dependent
assisted
modified independent
independent

22
Q

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

A

dependent

23
Q

Which level of transfer has some participation by the patient

A

assisted

24
Q

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

A

modified independent

25
Q

Which level of transfer is when the patient fully completes a transfer without devices

A

independent

26
Q

What are the 6 levels of assistance

A
Stand by assistance/supervision
close guarding
contact guarding
minimal assistance
moderate assistance
maximum assistance
27
Q

Which level of assistance includes verbal cues

A

stand by/supervision

28
Q

Which level of assistance requires close proximity to prove physical assist if needed

A

close guarding

29
Q

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

A

contact guarding

30
Q

Which level of assistance occurs when the therapist provides up to 25% assist

A

minimal assistance

31
Q

Which level of assistance occurs when the therapist provides up to 50% assist

A

moderate assist

32
Q

Which level of assistance occurs when the therapist provides up to 75% assist

A

maximum assistance

33
Q

What are the 5 different types of assistance

A
set up/monitoring environment
equipment
verbal cues
balance control
physical assist for lifting or supporting
34
Q

What is the amount of assistance and how is the amount of assistance indicated when charting?

A

It is the number of personnel and it is indicated by x2 or x3 when charting