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508 > quiz 2 (bed mobility & wheelchair) > Flashcards

quiz 2 (bed mobility & wheelchair) Flashcards

1
Q

stability precedes . . .

A

mobility

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2
Q

maintaining precedes . . .

A

attaining

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3
Q

LARGE base of support (BoS) precedes . . .

A

small BoS

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4
Q

LOW center of gravity (CoG) precedes . . .

A

high CoG

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5
Q

considerations when working on bed mobility?

A

environment
equipment
clinical decision making

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6
Q

in supine: hooklying

A
  • hips and knees flexed
  • a component of bridging & rolling
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7
Q

why is rolling: supine to sidelying important?

A

important in prevention of pressure injuries

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8
Q

when mobility is impaired motion is used done how?

A

segmentally through sidelying

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9
Q

what are the special circumstances for bed mobility?

A

THA (posterior approach)
hemiplegia
back surgery (log roll)
spinal cord injury (SCI)

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10
Q

what are the precautions for posterior THA?

A

no internal rotation
no adduction
no flexion passed 90 degrees

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11
Q

what are the movements ALLOWED for a posterior THA?

A

60 - 90 degrees flexion
0 degree add
0 degree internal rotation

supine to sitting NOT through sidelying

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12
Q

its typically easier for a hemiplegia patient to sit up from sidelying on the _________ side.

A

weaker

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13
Q

what is important to avoid for a patient following back surgery?

A

AVOID segmental rotation of thoracolumbar spine

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14
Q

what is the best way for a patient following back surgery to move?

A

log roll

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15
Q

where is the transitional level between dependence and independence in bed mobility for SCI?

A

C6

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16
Q

for SCI many self-care activities are performed in what position?

A

long-sitting

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17
Q

what is a tilt table for?

A

controlled progression from supine to standing

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18
Q

what does a tilt table involve?

A

weight-bearing on at least one LE

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19
Q

the greater than incline then what?

A

the greater the WB force

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20
Q

generally a patient who tolerates ________ at ______ can tolerate standing upright.

A

20 mins
70 degrees

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21
Q

how many degrees would you typically tilt the table at a time?

A

~ 15 to 20 degrees at a time

22
Q

what is mobility orthosis:

A

postural support on a mobility base

23
Q

when selecting a WC what do you need to consider?

A

matching needs and resources

24
Q

what needs and resources do you need to consider?

A
  • patient’s goals and desires
  • anticipated use
  • patient’s abilities & limitations
  • patient’s size & weight
  • caregiver needs
  • financial, community & social resources
  • projected changes over time
25
Q

postural support of a WC includes:

A

seat
back
armrest
front rigging

26
Q

mobility base of a WC includes:

A

frame
axel
drive wheels, tires & locks
casters

27
Q

what is the axel of a WC?

A

the base

28
Q

what do caster wheels help with?

A

directional movement & turns

29
Q

controls of WC typically are what?

A

joystick, drive stick or hand grip

30
Q

types of wheelchairs:

A

lightweight
bariatric
standard
sport
electric
scooter
pediatric
integrated standing
reclining
tilt-in-space

31
Q

what is the optimal position for
WC measurements?

A

90 - 90 - 90

32
Q

positioning the ______ well will help position the rest of the body well

A

pelvis

33
Q

what should you be aware of when measuring seat depth?

A

beware of sacral sitting (do NOT want that)

34
Q

how do you measure seat depth?

A

measure back of hips to popliteal fold
subtract 2 inches to determine final seat depth

35
Q

how do you measure seat width?

A

measure distance between the outside edges of the hips
add 1 to 2 inches to determine final seat width

36
Q

how do you measure seat-to-floor height?

A

measure from the sole of the shoe to the popliteal fold
subtract the thickness of the compressed cushion (if there is one)

37
Q

how do you determine chair’s front rigging length?

A

Add ~ 2 inches (footrest clearance)

38
Q

how do you measure the seat back height?

A

for standard WC, measure from the seating surface to the inferior angle of the scapula, or to axilla and subtract ~ 4 inches

39
Q

how do you measure the armrest?

A
  • position upper arm close to trunk and flex elbow to 90 degrees
  • measure from olecranon process vertically to the seating surface
  • add 1 inch to determine height
40
Q

negative effects of ill-fitting chairs?

A
  • chair too wide or narrow
  • seat too shallow or too deep
  • inadequate cushioning
  • seat too low or high
  • back too low or high
41
Q

why are wheelies necessary?

A

for independent propulsion in a variety of settings

42
Q

competency checklist of powered scooters include:

A
  • speed control
  • effective breaking
  • maneuvering through doorways, bedrooms and bathrooms
  • smooth and safe parking at tables
43
Q

through doorways (dependent): door opens AWAY FROM patient

A

clinician moves backward

44
Q

through doorways (dependent): door opens TOWARD patient

A

clinician steers WC beyond door, opens door, then moves WC through door while preventing door from closing

45
Q

ramps have a maximum slop of . . .

A

1 degree to every 12 inches (1:12)

46
Q

ramps have a maximum overall rise of . . .

A

30 inches

47
Q

can _________ if slope is steep

A

zigzag

48
Q

what should someone do when falling BACKWARD in a WC

A

tuck chin to protect head

49
Q

what should someone do when falling FORWARD in a WC

A

extend arms and trunk, attempting to land forward of the chair; elbows slightly flexed as hands contact floor

50
Q

what should someone do when falling TO SIDE of a WC

A

tucks arms close to chest, round shoulders & laterally flex head away from ground

508 (2 decks)

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