Transfers 2: Test 2

Question 1

what kind of surgeries require spinal precautions

Answer 1

lumbar, thoracic, cervical

disectomy, fusion, laminectomy

anterior and posterior approach

NOT a spinal cord injury

Question 2

precautions for spinal

Answer 2

no bending past 90 at hips

no lifting more than 8-10 pounds (gallon of milk)

no twisting

Question 3

posterior hip precautions

Answer 3

no hip flx past 90

no add past midline

no IR past neutral

Question 4

anterior hip precautions

Answer 4

no ext past non surgical LE

no ADD past midline

no ER past neutral

Question 5

special equipment that may be needed for hip precautions

Answer 5

hip ABD pillow

elevated toilet seat

Question 6

where should the unaffected limb be during a transfer for pt with hip precautions

Answer 6

should be closest to target to allow for pivot and transfer to stronger side

Question 7

how much effort should a pt be able to provide during a transfer if they have hip precautions

Answer 7

25-75%

Question 8

what surgeries require sternal precautions

Answer 8

cardiac

Question 9

sternal precautions

Answer 9

dont use UE to push or pull on walker

no arm motions that could open up or stretch chest

Question 10

special equipment required for sternal precautions

Answer 10

cardiac pillow

elevated toilet seat

Question 11

what types of injuries can cause hemiplegia

Answer 11

CVA
TBI
neurodegenerative

Question 12

precautions for hemiplegia

Answer 12

hemi-sided weakness
possible inattention
possible hemi-side sensation loss

Question 13

special equipment for hemiplegia

Answer 13

assistive device considerations

ankle foot orthotics

UE sling or no sling

Question 14

where should unaffected side be for a hemiplegia transfer

Answer 14

should be closest to the target

may practice to other side tp encourage use/attention

Question 15

important saftey precautions during a hemiplegia transfer

Answer 15

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

Question 16

what kind of injury causes paraplegia

Answer 16

SCI (traumatic or non-traumatic)

Question 17

precautions for paraplegia

Answer 17

lower body weakness

sensation loss usually

Question 18

special equipment for paraplegia

Answer 18

transfer/slide board

custom wheel chair

Question 19

important considerations for slide board transfer

Answer 19

dont let pt slide

double check WC and arm rest before transferring

reset pts feet each time you move across the board

Question 20

what qualifies as bariatric

Answer 20

BMI greater than or equal to 30

Question 21

precautions for bariatric populations

Answer 21

generalized weakness

learned helplessness

Question 22

special equipment for a bariatric pt

Answer 22

mechanical lift
transfer board
custom WC
barton convertible bed

Question 23

precautions for cognitive impairment

Answer 23

pt/therapist safety

compliance

one step commands

Question 24

special equipment for cognitive impairment pts

Answer 24

restraints

limited, new unfamiliar equipment

Question 25

what is NWB and when is it required

Answer 25

stay off limb completely to allow for healing

traumatic injuries

Question 26

what is PWB and when is it required

Answer 26

must have adequate sensation and proprioceptive awareness in LE

usually a % PWB

Question 27

what is TTWB

Answer 27

toe touch weight bearing

balance only on toes

not distributing weight by pressure in heel

Question 28

what is WBAT

Answer 28

WB as tolerated

for routine elective ortho surgeries

full WB as tolerated by pt

Question 29

what should be documented in terms of a transfer

Answer 29

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

Question 30

tips for caregivers in regards to transfers

Answer 30

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