Transfer Lab (both)

Question 1

What does GG Code 6 (Independent) mean?

Answer 1

Paintet completes the acticity by themself with no assistance form the helper

Question 2

What does GG Code 5 (Set up or clean-up assistance) mean?

Answer 2

Helper sets up; patient completes activity
Helper assist only prior to or following the activity?

Question 3

What does GG Code 4 (supervision or touching assistance) mean?

Answer 3

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

Question 4

What does GG Code 3 (partial/ModA) mean?

Answer 4

Helper does LESS THAN HALF the effort
Helper lifts, holds or supports trunk or limbs, but provides less than half the effort

Question 5

What does GG Code 2 (substantial/MaxA) mean?

Answer 5

Helper does MORE THAN HALF the effort
Helper lifts or holds the trunk or limbs and provides more than half the effort

Question 6

What does GG Code 1 (dependent) mean?

Answer 6

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

Question 7

What does GG Code 7 mean?

Answer 7

Patient refused

Question 8

What is GG code 9?

Answer 8

Not applicable
Not attempted and the patients did not perform this activity prior to the current illness, exacerbations, or injury

Question 9

What is GG code 10?

Answer 9

Not attempted due to environmental limitations (lack of equipment, weather constraints

Question 10

What is GG code 88?

Answer 10

Not attempted due to medical condition or safety concern

Question 11

What are the rules for a squat or sit pivot transfer?

Answer 11

• 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

Question 12

What are the 6 stages of the Hedman model?

Answer 12

1. Initial Conditions
2. Preparation
3. Initiation
4. Execution
5. Termination
6. Outcome

Question 13

What is evaluated during the Initial Conditions stage?

Answer 13

Posture, environmental context, and ability to interact with the environment

Question 14

What happens during the Preparation stage?

Answer 14

Stimulus identification, response selection, response programming

Question 15

What is assessed in the Initiation stage?

Answer 15

Timing, direction, and smoothness of the movement’s start
(what moves first)

Question 16

What occurs during the Execution stage?

Answer 16

Movement is carried out, focusing on speed, direction, and coordination
(pt move appropriately, efficiently, symmetrically)

Question 17

What is assessed during the termination stage?

Answer 17

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

Question 18

What is assessed during the outcome of the Hedman model?

Answer 18

Whether the movement achieved the intended goal and how effective or efficient the performance was

Question 19

What are the different types of interventional strategies?

Answer 19

Posture
Foot position
Sitting position
Height of surface

Question 20

What are examples of interventional strategies?

Answer 20

1. Manual cues to facilitate WS onto the affected extremity
2. Placing foot of less affected side on small step forces WS toward the affected side
3. Use of a swiss ball to practice forward WS needed to initiated STS

Question 21

What are the steps to a slide board transfer?

Answer 21

1. Position the chair, lock the breaks, and remove the nearest armrest
2. Correctly place the transfer board under the proximal thigh and buttock closest to the transfer surface
3. Assist with forward leaning and scooting the patient onto the board. Watch for their finger and hand placement do you do not cause injury
4. Assist the patient in scooting/sliding across the board surface ensuring not to sheer the buttocks
5. Perform a WS to remove the board once the patient sitting on a surface

Question 22

What are the 10 steps to a mechanical lift transfer?

Answer 22

1. 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.
2. Consider your hoyer base width to create an adequate base of support.
3. Place the sling (often by a rolling technique), check for symmetry, and “cross lock” lower extremity
   straps.
4. Place the lift, widen the base of support, and lock in place.
5. Attach the sling to the swivel bar attachment, pump slightly and re-check straps.
6. Ensure the patient’s head is supported if available and that his or her extremities are close to their
   body.
7. Turn the patient towards the hoyer lift, place the wheelchair under the patient and lock for safety.
8. Lower the patient into the chair while simultaneously pulling him or her back into the chair.
9. Remove the hoyer lift and remove the sling.

Question 23

What are the steps to a dependent assist transfer?

Answer 23

1. Make sure to have the patient’s knees blocked
2. Utilizing the head/hips relationship, place a sheet under the hips/ischial tuberosities
3. Place the patient’s head over your hip to adequately clear the buttocks
4. Maintain your body mechanics by squatting and shifting back as you facilitate multiple small scoots in there direction of your goal surface

Question 24

What are the steps to maximal/dependent assist scooting in w/c?

Answer 24

1. Lean the patient forward to unweight their buttocks.
2. Use your legs against theirs as needed to find a point of stability.
3. Utilize the head/hips relationship to scoot the patient forward one hip at a time.
4. Utilize a second person under the hips.
   **Let the patient participate as much as possible!