Transfer Lab (both) Flashcards
What does GG Code 6 (Independent) mean?
Paintet completes the acticity by themself with no assistance form the helper
What does GG Code 5 (Set up or clean-up assistance) mean?
Helper sets up; patient completes activity
Helper assist only prior to or following the activity?
What does GG Code 4 (supervision or touching assistance) mean?
Heler provided verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity
Assistance may be provided throughout the activity intermittently
What does GG Code 3 (partial/ModA) mean?
Helper does LESS THAN HALF the effort
Helper lifts, holds or supports trunk or limbs, but provides less than half the effort
What does GG Code 2 (substantial/MaxA) mean?
Helper does MORE THAN HALF the effort
Helper lifts or holds the trunk or limbs and provides more than half the effort
What does GG Code 1 (dependent) mean?
Helper does ALL of the effort
Patient does non of the effort to complete the activity
Or, the assistance of 2 or more helpers is required for the patient to complete the activity
What does GG Code 7 mean?
Patient refused
What is GG code 9?
Not applicable
Not attempted and the patients did not perform this activity prior to the current illness, exacerbations, or injury
What is GG code 10?
Not attempted due to environmental limitations (lack of equipment, weather constraints
What is GG code 88?
Not attempted due to medical condition or safety concern
What are the rules for a squat or sit pivot transfer?
- Pt can bear weight safely through at least one LE
- If needed, caregiver(s) must be strong enough to assist with quick lift over a short distance
- No devices are used for a squat or sit pivot transfer
- Make sure you remove the arm rests of the w/c
What are the 6 stages of the Hedman model?
- Initial Conditions
- Preparation
- Initiation
- Execution
- Termination
- Outcome
What is evaluated during the Initial Conditions stage?
Posture, environmental context, and ability to interact with the environment
What happens during the Preparation stage?
Stimulus identification, response selection, response programming
What is assessed in the Initiation stage?
Timing, direction, and smoothness of the movement’s start
(what moves first)
What occurs during the Execution stage?
Movement is carried out, focusing on speed, direction, and coordination
(pt move appropriately, efficiently, symmetrically)
What is assessed during the termination stage?
The movement’s stip occurring (timing), stability, smoothness (accuracy)
Overshooting or undershooting - causing LOB
Upon reaching standing are they able to reestablish the COM withing the BOS
What is assessed during the outcome of the Hedman model?
Whether the movement achieved the intended goal and how effective or efficient the performance was
What are the different types of interventional strategies?
Posture
Foot position
Sitting position
Height of surface
What are examples of interventional strategies?
- Manual cues to facilitate WS onto the affected extremity
- Placing foot of less affected side on small step forces WS toward the affected side
- Use of a swiss ball to practice forward WS needed to initiated STS
What are the steps to a slide board transfer?
- Position the chair, lock the breaks, and remove the nearest armrest
- Correctly place the transfer board under the proximal thigh and buttock closest to the transfer surface
- Assist with forward leaning and scooting the patient onto the board. Watch for their finger and hand placement do you do not cause injury
- Assist the patient in scooting/sliding across the board surface ensuring not to sheer the buttocks
- Perform a WS to remove the board once the patient sitting on a surface
What are the 10 steps to a mechanical lift transfer?
- Make your sling selection depending on your patient’s size and check for integrity.
2 Adjust your environment: adjust the bed to a flat position (if able), raise or lower the bed based on
your height, remove the closest bedrail, and lock the bed into place. - Consider your hoyer base width to create an adequate base of support.
- Place the sling (often by a rolling technique), check for symmetry, and “cross lock” lower extremity
straps. - Place the lift, widen the base of support, and lock in place.
- Attach the sling to the swivel bar attachment, pump slightly and re-check straps.
- Ensure the patient’s head is supported if available and that his or her extremities are close to their
body. - Turn the patient towards the hoyer lift, place the wheelchair under the patient and lock for safety.
- Lower the patient into the chair while simultaneously pulling him or her back into the chair.
- Remove the hoyer lift and remove the sling.
What are the steps to a dependent assist transfer?
- Make sure to have the patient’s knees blocked
- Utilizing the head/hips relationship, place a sheet under the hips/ischial tuberosities
- Place the patient’s head over your hip to adequately clear the buttocks
- Maintain your body mechanics by squatting and shifting back as you facilitate multiple small scoots in there direction of your goal surface
What are the steps to maximal/dependent assist scooting in w/c?
- Lean the patient forward to unweight their buttocks.
- Use your legs against theirs as needed to find a point of stability.
- Utilize the head/hips relationship to scoot the patient forward one hip at a time.
- Utilize a second person under the hips.
**Let the patient participate as much as possible!
