Transfers Flashcards
APPLAUSE
Approach Plan and prepare Pivot Legs Apart Up Stomach Easy
Independent
Constistent performance without any assistance and performs tasks in a timely manner
Independent Slow
Requires extra time
Close Guarding or Supervision
Requires verbal or visual cues
Contact guarding
contact for safety
Minimal Assist
pt 75% PT 25%
Moderate Assistance
pt 50% PT 50%
Maximum Assistance
pt 25% PT 75%
Dependent
pt 0% PT 100%
If more than one person is required for safe transfer, you must…
Put X2 after the level of assistance
NWB
0% of weight supported by the LE, may not touch the ground
TTWB
Toe touch weight bearing
For balance only, foot may rest on the floor but no weight bearing
Must maintain hip and knee flexion
PWB
20-50% body weight in stance phase
FWB
100% weight bearing, no limitation, device for balance only
Dependent Transfer
Minimal to no activity required by pt Could perform: -Sliding sheet transfer -3 person carry -Dependent stand pivot -Hoyer lift
Assisted Transfer
Some patient participation, clinical perform all aspects of the transfer Could perform: -2 person lift -lateral with slide board -assisted stand pivot -floor to WC/WC to floor
Independent transfer
Consistent patient performance Could perform: -Stand Pivot -Lateral with slide board -Lateral pushup transfer -Anterior-Posterior -Floor to WC
Transfer selection considerations
WBing status and diagnosis Cognition level Amount of assistance patient may require Additional precautions Skin conditions Physical Conditions Maintaining modesty
Dependent Transfers
Sliding sheet transfer
3 Person Carry
Hydraulic lift
Dependent stand pivot
Assisted Transfers
2 person lift Lateral with transfer board Push up lateral transfer Assisted stand pivot Anterior-Posterior
2 person lift requirements
Trunk control
Lateral with slide board requirements
Cant lift buttocks fully but can shift weight forward
Push up lateral transfer requirements
Elevate butt using arms
Trunk Strength to lean forward
Tilt Table benefits
- Accomodate upright positioning (Orthostatic -hypotension)
- Provides maximum supprot
- Used with NWB and PWB patients
When is a transfer complete?
When the patient is upright, comfortable, and safe
