Quiz 2 Flashcards

1
Q

Level 4 dependency

A

total dependance
ie. hoyer or transfer chair

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2
Q

level 3 dependency

A

extensive assistance with no manual lifting
ie. hoyer
stand-assist?

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3
Q

Level 2/1 dependency

A

limited assistance

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4
Q

Total body lift indications

A

level 3 or 4
no direct therapeutic intevention process
Pts. who are not able to bear weight through LE
unable to perform seated lateral transfer

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5
Q

sit to stand lift indications

A

able to bear some weight through LE
able to flex major LE joints
able to maintain sitting balance
able to help with transfer

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6
Q

What types of devices are used with lateral transfers?

A

slippery sheets
air assisted devices
rigid transfer boards
patient rollers

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7
Q

Bed mobility tasks in supine

A

hook lying
bridging
scooting
rolling
supine sitting

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8
Q

bed mobility tasks in sitting

A

scooting sideways

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9
Q

THR precaustions

A

adduction, flexion, IR

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10
Q

Hemiplegia

A

roll onto involved side

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11
Q

back surgery

A

perform logroll

segmental rotation is contrainidicated

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12
Q

complete SCI

A

no mvmt or sensory below level of injury

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13
Q

incomplete SCI

A

some sensory or motor function below injury is preserved

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14
Q

tetraplegia( quadraplegia)

A

T1 or above

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15
Q

Paraplegia

A

T1 or below ( no UE involvement)

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16
Q

C6 with spinal rotation

A

can perform rolling independent

17
Q

C6 without spinal rotation

A

do no have motor control to perform bed mobility independently

18
Q

Redness persisting x time is a concern

A

20 min

19
Q

LE Amputee

A

-more susceptible to contractures
-transfemoral amputations are at risk for contractures in hip flx abd and er
-transtibial are at risk for contractures same as hip + knee flx

20
Q

Total Hip Pts.

A

-posterior approach
-precautions:flx,add,IR
-should be in supine but when being transfered should not break precautions but be put on involved side unless in pain

21
Q

CVA pt.

A

-develop tone on one side
-roll onto involved side
-at risk for distractive F and edema formation

22
Q

High risk for skin breakdown during Supine

A

heels
ischial tuberosity
occiput
scapula
sacrum
spinous process

23
Q

High risk for skin breakdown during Side Lying

A

med and lat malleloli
med and lat condyles
greater troch
side of face
humeral head

24
Q

High risk for skin breakdown during Prone

A

iliac crest
chin
side of face
anterior knee
dorsal surface of foot

25
Q

High risk for skin breakdown during Sitting

A

heels
ischial tuberosity
scapula
spinous process
elbows
occiput
sacrum

26
Q

Support needed during supine

A

Pillows needed at:
head
heels
lumbar spine

prevent prolonged plantar flexion

27
Q

Prone position

A

contraindicated for people with spine problems

promotes drainage from the mouth and useful for clients after mouth surgery

pillow under head and abdomen

28
Q

Side lying position

A

relieves pressure in sacrum and heels

most of weight is distributed to lateral aspect of scapula, ilium, and greater troch

pillows needed at head, knees, hold above arm up

29
Q

Sims position

A

prevents aspiration of fluids in unconsciuos patients

reduces body pressure

used of patients undergoing perineal exam

comforts pregnant women

promote alignment of the body in this position

30
Q

How can you progress transfers?

A

encourage independence

decrease amount of people helping then decrease amount of assistance being given