Levels of assistance and precautions Flashcards
Independent Level of Assistance
pt is able to do 100% of transfer. Needs no help from PT or assistive device
Modified Independence (Mod I)
pt is able to do 100% of the transfer but needs assistive devices
Supervision Level of Assistance (S)
pt is able to do transfer on their own but someone should be in the room if help is needed
Standby Assist Level of Assistance (SBA)
pt does not require physical contact but PT might need to have hands ready to help or might need to help with cueing or set up.
Contact Guarding Level of Assistance (CGA)
pt is able to do 95% of the transfer. They only require hand on the back or fingers slipped under the gait belt.
minimal assistance level of assistance (min A)
pt is able to do 75 - 94% of the task
moderate assistance level of assistance (mod A)
pt is able to do 26 - 74% of the task
maximal assistance level of assistance (max A)
only able to help with less then 25% of the transfer
dependent (D) or total assistance (total A)
pt is not able to help with any of the transfer and requires help for all of it.
FWB: full weight bearing
able to put full body weight through the extremity
WBAT: weight bearing as tolerated
pt able to fully weight bear however pain might be a limiting factor
PWB: partial weight bearing
pt is able to put 50% of body weight through the extremity
TTWB: toe touch weight bearing
only toes are allowed to touch the ground; primary only use limb for balance. less then 25% of body weight
heel touch weight bearing
only allowed to touch the ground with the heel of the foot; primary for balance. less then 24% of body weight
NWB: non weight bearing
no weight is allowed through extremity at all. Do not allow the pt to touch support surface.
weight bearing precautions for a total knee arthroplasty
do not normally have precautions. if anything might be WBAT
Total hip arthroplasty weight bearing precautions
if anything WBAT moving toward FWB
total knee arthroplasty positional precautions
limited ROM
total hip arthroplasty anterior approach positional precautions
no extension, external rotation, or adduction
when walking turn Toward the surgical side
total hip arthroplasty posterior approach positional precautions
no flexion, internal rotation, or abduction
when walking turn away from the surgical side
weight bearing precautions for open reduction internal fixation (ORIF)
typically NWB or PWB
positional precautions for open reduction internal fixation
make sure pt does not break weight bearing precautions and have assistive devices ready
sternal precautions (CABG)
no shoulder flexion over 90, no shoulder abduction over 90, no reaching behind the back, no weight bearing or pushing through the arms, no lifting more then 5-8 lbs. pt can hug a pillow with transferring or sneezing/coughing
Cervical spine precautions
no lifting more then 10 lbs, aspen collar in place at all times, ROM restrictions per surgeon, no shoulder flexion more then 90
Lumbar spine precautions
no twisting, no bending more then 90, minimize sidebending, LOG ROLL when moving from supine to sit or sit to supine
purpose of fowlers
assist in breathing, facilitate abdominal drainage, tension on abdominal sutures, facilitate eating, reading, socializing, and relaxed the large muscles of the back
high fowlers
75-90 degrees
semi fowlers
40-45 degrees
low fowlers
40 degrees
purpose of trandelenburg
helps with venous return for pts with poor peripheral perfusion or postural drainage
if a pt with a posterior hip approach is walking and is needed to turn which direction would they pivot?
AWAY from their involved side. ex right posterior hip turn to the left
if a pt with a posterior hip approach is wanting to squat pivot witch direction would they squat pivot
TOWARD the involved side
if a pt with an anterior hip approach is walking and is needed to turn which direction would they pivot?
TOWARD the involved side. ex if the right anterior hip turn to the right
if a pt with a posterior hip approach is wanting to squat pivot witch direction would they squat pivot
TOWARD from the involved side
