Transfers 1: Test 2

Question 1

what parts of a patients experiences would you consider prior to a transfer

Answer 1

have they done it before

if so, how much help did they need

do they use any type of device/orthotic

Question 2

what patient abilities would you take into consideration prior to a transfer

Answer 2

strength
joint mobility
balance
pain level
cognition
endurance
motor control

Question 3

what is your primary responsibility as a caregiver in regards to transfers

Answer 3

patient independence is a goal BUT primary responsibility is to provide assist to protect the pt to avoid injury

Question 4

what are parts you should plan prior to a transfer

Answer 4

what is the purpose of the transfer

do you have the needed equipment

are the departure and arrival points safe

will you need help

should have plan A, B, and C (normal scenario, best case, and worse case)

Question 5

importance of gait belts

Answer 5

improve safety of pt and caregiver

should always be a part of the plan

Question 6

positioning of the gait belt

Answer 6

most often on waist

can be higher for pt comfort or facility dependent

Question 7

how do you grip a gait belt

Answer 7

strong underhand grip (uses extrinsic muscles of wrist/hand)

DO NOT use a handle (uses more intrinsic hand muscles)

tuck loose ends

Question 8

special circumstances that you might not put the gait belt around the abdomen

Answer 8

colostomy and ileostomy
supra-pubic catheters
feeding tubes-PEG/J tubes
recent chest, abdominal or spinal surgeries
chest tube
nephrostomy placement
rib fractures (go low)
trauma
fragile skin
age related anatomical changes
pt preference

all are reasons you could place gait belt higher under armpits or lower below ribs

Question 9

other lines/tubes you should consider with gait belts/transfers

Answer 9

nasogastric tube
urinary catheter
rectal tube
nasal cannulus
tracheostomy lines
EKG electrode line
pulse oximeter
SCDs

Question 10

benefits of good body mechanics

Answer 10

Less energy use
reduce strain on body tissues
promote safe and efficient movement
promote control and balance

Question 11

what are out of bed transfers

Answer 11

sit to stand

stand pivot

seated transfers (i.e. squat pivot transfer, or sideboard)

Question 12

what are situational transfers

Answer 12

bed to WC

WC to toilet

WC to car

bed to bed/stretcher

Question 13

transfer considerations

Answer 13

pt starting position

wheelchair/target surface

pt ending portion (is it stable, safe, comfy, environmental access)

Question 14

what do you need to be able to do to perform a sit to stand

Answer 14

prep the position

weight shift

rise

stand

Question 15

how should a pt rise with a sit to stand

Answer 15

push down through feet and hands maintaining forward trunk flexion

pt bears weight through BLE to unweight rear end

Question 16

06 GG code

Answer 16

no assistance required to complete task in normal time frame

Question 17

05 GG code

Answer 17

setup/cleanup

pt may require verbal cues, assistive device, or additional time

Question 18

04 GG code

Answer 18

verbal/tactile cues w/o touching

OR

therapist has hands on pt/gait belt to provide safety

Question 19

03 GG code

Answer 19

partial assist

minimum or moderate

50-over 75% of activity performed by pt

Question 20

02 GG code

Answer 20

max assist

pt performs 25-49% of activity

Question 21

01 GG code

Answer 21

pt requires total physical assistance from one or more persons to accomplish task safely

dependent

Question 22

rules for a squat pivot transfer

Answer 22

pt can bear weight safely through at least 1 LE

pt does not come to full stand however can lift and clear bottom from surface (caregiver must be strong enough to assist of needed; remember balance point/body mechanics)

no devices used

remove arm rest of WC

often more than 1 person assisting

Question 23

rules for seated transfer “popover”

Answer 23

pt is unable due to weakness

pt can lift and clear bottom from surface with or without caregiver assist

pt must possess significant UE strength and trunk control

Question 24

common terminology for 06 GG code

Answer 24

independent

Question 25

common terminology for 05 GG code

Answer 25

modified independent

Question 26

common terminology for 04 GG code

Answer 26

supervision

stand by assist

contact guard assist

Question 27

common terminology for 03 GG code

Answer 27

minimal assist

moderate assist

Question 28

common terminology for 02 GG code

Answer 28

maximal assist

Question 29

common terminology of 01 GG code

Answer 29

dependent

Question 30

tips you should give a caregiver for a pt

Answer 30

observe transfer and practice providing assistance

problem solve most effective way to use pt/family members abilities

encourage gradual independence and decreased assistance

prepare home environment to match the level of ability of the pt/family member prior to discharge