Transfers/ambulation aids

Question 1

Ipsalateral?

Answer 1

On the same side.

Question 2

Paresis?

Answer 2

Partial/incomplete paralysis.

Question 3

Syncope?

Answer 3

Fainting, result of cerebral anemia.

Question 4

Vertigo?

Answer 4

A sensation of spinning.

Question 5

Basic transfers?

Answer 5

Independent, assisted, dependent.

Question 6

While transferring a patient, PTA 1 puts fourth 23% of the effort and PTA puts fourth 27%; What is the assist level?

Answer 6

With PTAs putting fourth 60% of the effort, the patient is putting fourth 40%, the assist level is max.

Question 7

Assist levels?

Answer 7

1 Total or dependent>25%
2 Maximum (max); patient expends 25-49% of effort. ↓ - Decreased.
3 Moderate Assistance (mod); patient expends 50-74% of effort. ↑ - Increased.
4 Minimal Assistance (min); patient expends 75% or more of effort

Question 8

What should you document about transfers?

Answer 8

1Type,
2 devices used,
3 verbal/tactile (tc) cues
4 time it takes, 
5how many people assisted,
6 consistency.

Question 9

What is the difference between a standing dependent/assisted pivot?

Answer 9

Standing pivot assisted takes at least one person helping, dependent (with one person helping) assisted (takes at least 25-75% effort from the patient).

Question 10

What 6 things should you check in the chart before xfering a patient?

Answer 10

1Check chart,
2 meds,
3 comorbidities, 
4 orders,
5 Notes from others,
6 Which is the strongest LE

Question 11

7 things do do while in the room before performing a transfer?

Answer 11

1 Have equipment 
2 Assistance available if needed.
3 Plan it before doing it, 
4 Get informed concent.
shoes/clothes
5 shoes/clothes
6 wash hands, 
7 introduce yourself,

Question 12

Hip precautions (5)?

Answer 12

1 0 flex >90 degrees, 
2 0 adduction beyond the mid line, 
3 no extension beyond neutral.
4 0 pulling, 
5 0 lying on affected hip.

Question 13

Procedure to prepare a pt for transfer interaction with pt? (5)

Answer 13

1 Oriented x3?
2 Informed consent
3 explain
4 do procedure
5 Tell them how they did (assess)

Question 14

What do do before a transfer mostly planning (4)?

Answer 14

1 Wash hands
2 introduction
3 Plan xfer before doing it
4 Be aware of paraphanalia (tubes etc) before xfer

Question 15

What percent of time is each foot on the ground during a gait cycle?

Answer 15

40%

Question 16

Factors to consider when choosing an assistive device for a pt?

Answer 16

1 stability
2 bos
3 goals/plan
4 home situation (trailer, house, etc)
5 strength
6 endurance
7 cognitive ability
8 Dx/wb status
9 balance
10 fear
11 vision
12 prognosis
13 age
14 ROM