Lecture 3 - PDSB Training

Question 1

what is the goal and PDSB approach/philosophy?

Answer 1

goal: Helping patients move from dependence to greater independence

philosophy/approach

• Principle driven not technique based
• There is no recipe or “magic formula”.
• The client/patient is asked to participate to the extent of his or her abilities.
• Need to take into account the experiences of each caregiver.
• Focus placed on logic and common sense.
• Aims to develop solutions to problems.

Objectives:

• Learn how to transfer clients safely using the appropriate level of assistance.
• Choose safe and effective methods based on the possibilities and limitations of the work situation.
• Provide clear instructions appropriately adapted to partners (clients or co-workers).
• Share relevant safety information with members of the team.
• Analyze the components of transfer situations and identify and correct any aspects considered to be inadequate or unsafe.

Question 2

what is the Global Approach to the Work situation?

Answer 2

caregiver performs tasks to assist a client in a particular working environment, with specific equipment and in a specific amount of time. The situation is governed by how the work is organized.

The work situation model illustrates the link between these different elements that makes each work situation unique.

Question 3

Some basics before PDSB

Answer 3

1) lever arms - stay close to the patient
2) base of support - Wide stance with good back posture/positioning
3) caregiver weight shift - Forward backward weight shift, Lateral weight shifting, Counterweight

natural client movements: roll, slide, pivot

Question 4

what are the PDSB principles?

Answer 4

P: Preparation

1. Collect information (Check on the patient’s abilities: attention span, ability to move his arms and legs, ability to maintain a seated position without support)
2. Make a decision
3. Communicate (Be positive : say what to do rather than what not to do, be concise, name the action or movement to be performed step-by-step)

P: Positioning: feet apart, feet pointed to facilitate movement, back = no twisting, straight back, knees bent

H: Hold: Solid grip, Gentle hold, Close contact, Arms wrapped around client, Use handles, Block sliding points, Encourage client to participate

M: Movement: see image

Question 5

list the 3 levels of assistance

Answer 5

1) Supervision
2) Partial Assistance
3) Complete Assistance

Question 6

describe: supervision LOA

Answer 6

• Able to perform the natural movement required for the transfer.
• Needs help to choose and direct his/her actions: lacks initiative and motivation, is fearful, has memory problems, is disoriented about what movements to make, is apathetic, hesitant, etc

Question 7

describe: partial assistance LOA

Answer 7

• Inadequate strength to initiate the natural movement required for the transfer.
• Weight bearing still possible.
• Balance and/or coordination problems.
• Able to choose and direct his/her actions or must be helped to choose and direct his/her actions.

Question 8

describe: complete assistance LOA

Answer 8

• Unable to perform the natural movement required for the transfer him/herself.
• No weight bearing
• Unable to make a significant effort in the transfer.
• Able or unable to choose and direct his/her actions.