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Techniques > Mobility 2 > Flashcards

Mobility 2 Flashcards

1
Q

What is another word for a mobile floor lift?

A

A Hoyer lift

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2
Q

What kind of lift is a sara lift?

A

Sit to stand lift

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3
Q

When would we use a hoyer lift

A
  • unable to weight bear
  • unable to maintain upright posture
  • uncooperative
  • above a certain weight range
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4
Q

How many healthcare workers are needed for a mobile floor lift?

A

2

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5
Q

Who can we use the sara lift on?

A
  • Those who can weight bear on at least one leg or partially on both
  • Those who have trunk control
  • Can follow instructions, be cooperative
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6
Q

How many healthcare workers are needed for a sara lift

A

2

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7
Q

When would we not use a sara lift (what contraindications)

A
  • Ab wounds
  • Pregnancy
  • Shoulder injuries
  • Colonostomy
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8
Q

Who would we use a ceiling mounted lift on?

A

The same as mobile floor based lift

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9
Q

What does the client need to be able to do to use a tub chair lift?

A
  • Have control of trunk
  • Lift legs
  • Cooperative/follow instructions
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10
Q

What 4 things do we assess our client for, before choosing a lift

A
  • Ability to understand
  • Ability to cooperate
  • Physical ability
  • Weight
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11
Q

What is the WRHA’s definition of restraints?

A

anything that restricts/reduces voluntary movement or freedom implemented to ensure safety of self, others or physical environment

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12
Q

What are the 4 categories of restraints

A
  • Physical or mechanical
  • Chemical
  • Environmental
  • Emergent
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13
Q

What are the 5 kinds of chemical restraints

A
  • Sedatives
  • Hypnotics
  • Antipyschotics
  • Antidepressants
  • Anxiolytics (anti-anxiety)
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14
Q

When does a medication become a restraint?

A

When it is not required for treatment of a clients medical or psychiatric symptoms

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15
Q

What are 3 environmental restraints

A
  • Removal of aid (walker, cane)
  • Isolation
  • Seclusion
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16
Q

When is the only time seclusion allowed?

A

in Mental Health and Emergency

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17
Q

When is the only time 4 to 6 point restraints are allowed?

A

In emergent restraints and require constant observation

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18
Q

Is a front closing seatbelt considered a restraint?

A

No

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19
Q

What are we assessing before using restraints

A
  • 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

20
Q

What can we do to prevent having to use restraints?

A
  • Frequent orientation and opportunity for elimination, nutrition, etc
  • Personal items
  • Use wandering devices
  • Constant care
21
Q

If restraints are necessary, what should be done before they are used?

A
  • Consider legal implications
  • Use least restrictive possible
  • Physician order required
  • Obtain informed consent from client, family, etc
22
Q

How often do restraints need to be monitored?

A

Every 2 hours

23
Q

How often are restraints monitored for pediatrics or ICU

A

every hour

24
Q

How often do we check restraints on an emergent patient?

A

15-30 minutes for the first 2 hours, every 30 minutes after

25
Q

How often do restraints need to be removed?

A

Minimum of 10 minutes every 2 hours

26
Q

Are we allowed to use jackets and vest restraints?

A

No according to WRHA

27
Q

Do we keep restraints on when a person is on the toilet?

A

no

28
Q

What are 7 things that need to be documented about restraints

A
  • reason and type
  • any monitoring
  • observations (consciousness, respiration)
  • Assessments
  • Physicians order
  • Indication of consent
  • If refused, document why, when and how
29
Q

What can improper use of restraints cause?

A
  • Injury/death

- Psychological harm

30
Q

What is range of motion

A

The max amount of movement available at a joint

31
Q

When assessing ROM, what 5 things are we looking for?

A
  • Stiffness
  • Swelling
  • Pain
  • Limited movement
  • Unequal movement
32
Q

When would we not perform ROM

A

On joints that are swollen, painful, inflamed or have an active disease process

33
Q

What does active ROM maintain

A

maintains or increases muscle strength/endurance, flexibility and prevents contractors

34
Q

What is active/assistive ROM?

A

Patient can do ROM to a certain point but then needs a little more help

35
Q

How many times do we perform each movement for passive ROM and how many times per day?

A

5 times per day, each sequence 2-3 times per day

36
Q

Full external shoulder rotation is contraindicated in ______

A

A paralyzed shoulder joint

37
Q

What are some age considerations when performing ROM with older adults

A
  • May have reduced ROM
  • Emphasis on achieving ROM to carry out ADL
  • May have reduced activity tolerance
38
Q

What does passive ROM do in preterm babies?

A

Helps with bone development

39
Q

What does ‘tummy time’ in infants help?

A

Prevent flattened skull and improve muscle strength

40
Q

What is lateral flexion in the neck/cervical spine

A

Being able to tilt head toward each shoulder

41
Q

What kind of joint is in the wrist?

A

Condyloid Joint

42
Q

What kind of joint is in the foot

A

Gliding joint

43
Q

What does a thromboembolic device do?

A

Prevent blood clots

44
Q

What are 3 contraindications of compression/antiembolism stockings

A
  • Skin lesions
  • Gangrene
  • Vein Ligation
45
Q

How often do compression socks need to be changed

A

Every shift

Techniques (7 decks)

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