Transfers 2: Test 2 Flashcards
what kind of surgeries require spinal precautions
lumbar, thoracic, cervical
disectomy, fusion, laminectomy
anterior and posterior approach
NOT a spinal cord injury
precautions for spinal
no bending past 90 at hips
no lifting more than 8-10 pounds (gallon of milk)
no twisting
posterior hip precautions
no hip flx past 90
no add past midline
no IR past neutral
anterior hip precautions
no ext past non surgical LE
no ADD past midline
no ER past neutral
special equipment that may be needed for hip precautions
hip ABD pillow
elevated toilet seat
where should the unaffected limb be during a transfer for pt with hip precautions
should be closest to target to allow for pivot and transfer to stronger side
how much effort should a pt be able to provide during a transfer if they have hip precautions
25-75%
what surgeries require sternal precautions
cardiac
sternal precautions
dont use UE to push or pull on walker
no arm motions that could open up or stretch chest
special equipment required for sternal precautions
cardiac pillow
elevated toilet seat
what types of injuries can cause hemiplegia
CVA
TBI
neurodegenerative
precautions for hemiplegia
hemi-sided weakness
possible inattention
possible hemi-side sensation loss
special equipment for hemiplegia
assistive device considerations
ankle foot orthotics
UE sling or no sling
where should unaffected side be for a hemiplegia transfer
should be closest to the target
may practice to other side tp encourage use/attention
important saftey precautions during a hemiplegia transfer
affected LE should be blocked to prevent knee buckling
weight shift prior to transfer to test for stability/weightbearing tolerance
allow pt to step to target with unaffected limb while stabilizing affected side; advance affected leg as needed
what kind of injury causes paraplegia
SCI (traumatic or non-traumatic)
precautions for paraplegia
lower body weakness
sensation loss usually
special equipment for paraplegia
transfer/slide board
custom wheel chair
important considerations for slide board transfer
dont let pt slide
double check WC and arm rest before transferring
reset pts feet each time you move across the board
what qualifies as bariatric
BMI greater than or equal to 30
precautions for bariatric populations
generalized weakness
learned helplessness
special equipment for a bariatric pt
mechanical lift
transfer board
custom WC
barton convertible bed
precautions for cognitive impairment
pt/therapist safety
compliance
one step commands
special equipment for cognitive impairment pts
restraints
limited, new unfamiliar equipment
what is NWB and when is it required
stay off limb completely to allow for healing
traumatic injuries
what is PWB and when is it required
must have adequate sensation and proprioceptive awareness in LE
usually a % PWB
what is TTWB
toe touch weight bearing
balance only on toes
not distributing weight by pressure in heel
what is WBAT
WB as tolerated
for routine elective ortho surgeries
full WB as tolerated by pt
what should be documented in terms of a transfer
type
direction if relevant
amount of time needed (were multiple attempts required)
level of safety/quality of movement (i.e. poor saftey awareness or cues for sentencing)
precautions
level of consistency with performance (i.e. improved with repititions)
equipment/devices used
tips for caregivers in regards to transfers
observe and practice
problem solve; determine effective use of caregivers abilities
encourage gradual independence and decreased assistance
prepare home environment to match level of ability of pt/family member prior to discharge
