Mobility 2 Flashcards
What is another word for a mobile floor lift?
A Hoyer lift
What kind of lift is a sara lift?
Sit to stand lift
When would we use a hoyer lift
- unable to weight bear
- unable to maintain upright posture
- uncooperative
- above a certain weight range
How many healthcare workers are needed for a mobile floor lift?
2
Who can we use the sara lift on?
- Those who can weight bear on at least one leg or partially on both
- Those who have trunk control
- Can follow instructions, be cooperative
How many healthcare workers are needed for a sara lift
2
When would we not use a sara lift (what contraindications)
- Ab wounds
- Pregnancy
- Shoulder injuries
- Colonostomy
Who would we use a ceiling mounted lift on?
The same as mobile floor based lift
What does the client need to be able to do to use a tub chair lift?
- Have control of trunk
- Lift legs
- Cooperative/follow instructions
What 4 things do we assess our client for, before choosing a lift
- Ability to understand
- Ability to cooperate
- Physical ability
- Weight
What is the WRHA’s definition of restraints?
anything that restricts/reduces voluntary movement or freedom implemented to ensure safety of self, others or physical environment
What are the 4 categories of restraints
- Physical or mechanical
- Chemical
- Environmental
- Emergent
What are the 5 kinds of chemical restraints
- Sedatives
- Hypnotics
- Antipyschotics
- Antidepressants
- Anxiolytics (anti-anxiety)
When does a medication become a restraint?
When it is not required for treatment of a clients medical or psychiatric symptoms
What are 3 environmental restraints
- Removal of aid (walker, cane)
- Isolation
- Seclusion
When is the only time seclusion allowed?
in Mental Health and Emergency
When is the only time 4 to 6 point restraints are allowed?
In emergent restraints and require constant observation
Is a front closing seatbelt considered a restraint?
No
What are we assessing before using restraints
- Is it being used to prevent harm from patient or others
- Is it being used to perform medically necessary diagnostics or treatments which could not be performed any other way
What can we do to prevent having to use restraints?
- Frequent orientation and opportunity for elimination, nutrition, etc
- Personal items
- Use wandering devices
- Constant care
If restraints are necessary, what should be done before they are used?
- Consider legal implications
- Use least restrictive possible
- Physician order required
- Obtain informed consent from client, family, etc
How often do restraints need to be monitored?
Every 2 hours
How often are restraints monitored for pediatrics or ICU
every hour
How often do we check restraints on an emergent patient?
15-30 minutes for the first 2 hours, every 30 minutes after
How often do restraints need to be removed?
Minimum of 10 minutes every 2 hours
Are we allowed to use jackets and vest restraints?
No according to WRHA
Do we keep restraints on when a person is on the toilet?
no
What are 7 things that need to be documented about restraints
- reason and type
- any monitoring
- observations (consciousness, respiration)
- Assessments
- Physicians order
- Indication of consent
- If refused, document why, when and how
What can improper use of restraints cause?
- Injury/death
- Psychological harm
What is range of motion
The max amount of movement available at a joint
When assessing ROM, what 5 things are we looking for?
- Stiffness
- Swelling
- Pain
- Limited movement
- Unequal movement
When would we not perform ROM
On joints that are swollen, painful, inflamed or have an active disease process
What does active ROM maintain
maintains or increases muscle strength/endurance, flexibility and prevents contractors
What is active/assistive ROM?
Patient can do ROM to a certain point but then needs a little more help
How many times do we perform each movement for passive ROM and how many times per day?
5 times per day, each sequence 2-3 times per day
Full external shoulder rotation is contraindicated in ______
A paralyzed shoulder joint
What are some age considerations when performing ROM with older adults
- May have reduced ROM
- Emphasis on achieving ROM to carry out ADL
- May have reduced activity tolerance
What does passive ROM do in preterm babies?
Helps with bone development
What does ‘tummy time’ in infants help?
Prevent flattened skull and improve muscle strength
What is lateral flexion in the neck/cervical spine
Being able to tilt head toward each shoulder
What kind of joint is in the wrist?
Condyloid Joint
What kind of joint is in the foot
Gliding joint
What does a thromboembolic device do?
Prevent blood clots
What are 3 contraindications of compression/antiembolism stockings
- Skin lesions
- Gangrene
- Vein Ligation
How often do compression socks need to be changed
Every shift
