Transfer Activities Flashcards
dependent
pt unable to participate
PTA provides 100% assist
independent (I)
pt performs 100% of task
pta does 0%
supervision
pt performs independently but needs observation to do task (safely)
pts does 0%
stand by assist (SBA)
pt does task but may need occasional cues
pta close by , but not touching pt, provides protection if needed
contact guard assistance (CGA)
pt does task, but may need protection (LOB occurs)
PT close w hands on
minimal assist (min A)
pt does 75% or more of the activity but still needs help
PT provides 25% or less of assistance
moderate assist (mod A)
pt does 50-74% of the activity w some help
PT provides 25-50% of assistance
max assist (max A)
pt performs 25-49% of activity but needs help
PT provides 50-99% of assistance
LOA grading is based on x3…
patient size/weight
complexity of the pt
the therapist’s experience w/ mobility training & grading
body divided into 4 sections what is their percentage?
25% of each limb
determining LOA (level of assist) x3
look at eval/previous tx
give pt chance to do the task before assistance
teach pt skills to perform the task better
what is a transfer?
movement from 1 surface/location to another
or
movement from 1 position to another
why are transfer skills important? x4
enabes pt to alter their position for comfort
increases independence
prevents contractures
prevents pressure wounds
types of transfers x5
dependent floor
mechanical lift
slide board
stand-pivot
sitting/lateral OR squat-pivot
dependent floor to chair
2-3 person assist
mechanical lift
may be done in recumbent or sitting
slide board
may be assisted or independent
stand-pivot (w or w/o device)
my be assisted or independent
sitting/lateral OR squat-pivot (no device)
assisted while pt remains in squat position
STS - sit to stand
- scoot to edge of chair
- have pt bend knees under (>90 deg if possible)
- hands on armrest for push off
- have pt lean “nose over toes”
stand pivot benefits x3
Mimics functional standing/turning
Makes transferring to high surfaces
Can be performed with/without a device
stand pivot risks x3
Requires FWB on at least one extremity
Requires the patient to be able to perform a STS
Requires standing balance/stability
squat pivot: risk x3
Skin breakdown risk (shearing)
Difficult to perform from low to high surfaces
Requires some WB abilities in upper and lower extremities
squat risk: benefits x1
pt doesn’t need to stand
transfer billing code
97530: therapeutic activity
- activities that improve functional performance, like transfers bt a chair & bed, or lying to sitting
