Mod 4-7 Flashcards
Wheelchair Measurement: Seat width
measure posterior width (widest buttocks/thigh) & add 1.5 in
Wheelchair Measurement: seat depth
measure buttocks to popliteal space & subtract 2”
Wheelchair Measurement: seat height/leg length
measure heel to popliteal fold & add 2”
Wheelchair Measurement: back height
measure chair seat to bottom axilla (w/ shoulder 90 deg) & subtract 4”
Wheelchair Measurement: armrest height
measure seat chair to olecranon process (w/ shoulder 90 deg) & add 1”
modified independent
uses assistive device to be independent
Supervision assist (SVA)/ standby assist (SBA)
need verbal/tactile cues or assistance with device set-up
contact guarding (CGA)
w/ contact- hand on gait belt or body
minimal assistance (min A)
pt. complete >75% of task independently
moderate assistance (mod A)
pt. complete 50-74% of task
maximum assistance (max A)
pt. complete 25-49% of task
dependent
needs complete physical assistance
Describe bed mobility transfers:
supine to side-lying (& reverse)
sidelying to seated (& reverse)
log roll or segmental roll
use upper extremity to push up
- lay down by using elbow, and kicking legs up to bed
Describe standing transfers:
sit to stand (& reverse)
stand pivot
squat pivot
scoot them forward
brace their knees w/ yours
pt. push from armrest
point feet in direction of finish
Describe slide board transfer
guard/protect pt
angle board
scoot/pivot them on & they use fist to brace
move high to low surface
total hip precautions: anterior lateral approach
no hip extension past neutral
limited ext. rotation
total hip precautions: posterior lateral approach
no hip adduction, int. rotation, or hip flexion > 90deg
pulmonary artery catheter (PAC)
catheter into pulmonary artery for diagnostic use
-detect heart failure, sepsis etc
intracranial pressure (ICP)
measures pressure within skull
-keep head of bed raised & no isometrics
central venous pressure
measures BP in R atrium/superior vena cava
-assess filling of R ventricle
electrocardiogram
records heart’s electrical activity w/ HR, BP, RR
arterial line
continually monitor BP (usually radial artery)
intravenous line (IV)
in superficial vein of upper extremity for nutrients, meds, and blood collection
Hickman catheter
central venous catheter through superior vena cava & jugular vein
administers chemo, removes blood
nasogastric tube
from nostril to stomach to feed or remove food
gastric tube
directly into stomach for longer term
Foley catheter
uses bag to drain urine with gravity
-tube through urethra into bladder
suprapubic catheter
directly into bladder (long-term)