Transfers And Bed Mobility Flashcards
Patient requires AD or assistive equipment to complete task independently
Modified independent (mod I)
Patient requires directions or instructions from therapist positioned close to but not touching them
Standby assist (SBA)/supervision (S)
Therapist is positioned close with hands on the patient or gait belt
Contact guard assist (CGA)
Patient performs 75% or more of the task. physical assistance is required to complete the task
Minimal assist (min A)
Patient performs 50–74% of the task. Physical assistance is required to complete task
Moderate assist (mod A)
Patient performs 25–49% of the task. Physical assistance is required to complete task
Maximum assist (max A)
Patient requires total physical assistance from one or more persons to accomplish the task
Dependent (D)
A change in a person’s body position while recumbent
Bed mobility
Movement from one place to another
Transfer
To carry from one position to another, patient is dependent
Lift
Why is bed mobility taught
– Promote independence
– Prevent contractures
– Prevent skin breakdown
What are the three types of standing transfers
– Sit to stand
– Stand to sit
– Stand pivot
Used for patients who do not have strength in the lower extremities to stand and then pivot
Squat pivot transfer
Used when patient cannot assist with transfer and not able to be placed in a seated position
Recumbent, dependent lift
What are the four different kinds of lifts
– One person lift
– Two-person lift
– Three-person lift
– Mechanical transfers
What should be reviewed before you transfer a patient
– Medical record
– Patient limitations
– Bed mobility status
– Sitting and standing tolerance
Four total hip precautions
– No hip ADD
– No hip IR (posterior)
– No hip ER (anterior)
– No hip flexion past 90
Lower back pain precautions
– No lumbar rotation
– Limit the amount of resisted flexion
-use logroll technique
Spinal cord injury precautions
– No motion at injury site
– Logroll technique
– Watch for external fixation devices
Osteoporosis precautions
–Limit trunk flexion
– Limit trunk rotation
– Gait belt may fracture
Burn precautions
– Watch for friction
– No gait belt over injury
Hemiplegia precautions
– don’t pull on flaccid extremity
– Impaired balance
– May pull back against you
Patient requires no physical assistance, vc, AD, or extra time to complete task
Independent (I)
