transfers Flashcards
depend lifts: risk affected by:
force required
repetitions
awkwardness of posture
what is the most stressful transfer?
chair to toilet
total body lifts:
powered ceiling hoists
portable floor-based lifts (“hoyer”)
hybrid lifts
lateral transfer equipment:
slippery sheets & drawsheets
air-assisted devices
rigid & semirigid transfer boards
factors affecting lateral transfer methods:
weight
musculoskeletal complications
lateral distance being covered
patient’s psychological condition
width of adjacent surfaces
need for head control
supine repositioning:
overhead trapeze bar
slippery sheet
vertical lift equipment
seated repositioning:
total body lift
sit-to-stand lift
friction-reducing lateral transfer device
vertical transfers - independent chair to floor:
- forward into long-sitting
- forward into kneeling
- forward into quadruped
- turnaround into quadruped
vertical transfers - independent floor to chair:
- backward lift
- backward lift with step stool
- turnaround
chair to plinth transfer are easier when transferring:
- up toward the stronger side
- down toward the weaker side
if plinth is higher than patient’s ______________, a step stool will probably be needed.
gluteal fold
vertical lifts include the additional challenge of __________ and require good . . .
gravity
upper extremity strength
maximum assistance: patient requires ___________ assist to complete activity
> 75%
moderate assistance: patient is able to assist in at least _______ of the activity
50%
minimal assistance: patient is able to complete at least _______ of the activity
75%
blocking the knee happens at:
patient’s proximal tibia
no transfer is complete until the patient:
- is safely and comfortably positioned
- has a way to call for assistance
assistive devices for pivot transfers:
pivot disk
pivot pole
special patient considerations in lateral transfers:
- unilateral limited WB
- hemiplegia
- THA (posterior)
- SCI
what is a movement that is very difficult for a patient with a THA posterior approach?
pushing to standing without trunk flexion
SCI at level C7 and lower typically has potential to perform transfer . . .
independently
what is CCDD?
control centrally direct distally
when WB through the LEs is not advised patients can perform . . .
lateral transfers in a seated position (with or without a transfer board)
when WB through the LEs is possible patient can perform . . .
squat or stand pivot transfers
