Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PCM FINAL REVIEW > Transfers Part 1 > Flashcards

Transfers Part 1 Flashcards

1
Q

What is a transfer?

A

Moving from one position or surface to another position or surface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are some common types of transfers?

A
  • Sit to stand
  • stand to sit
  • car transfer
  • toilet transfer
  • stand pivot
  • squat pivot
  • slideboard transfer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Why would we need to transfer?

A
  • For the patient’s heart function and for pressure ulcer prevention
  • access to the patients environment to allow them to function
  • mobilization
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What should we consider about our patient’s abilities before we transfer?

A
  • strength
  • joint mobility
  • balance
  • pain level
  • cognition
  • endurance
  • motor control
  • spasticity
  • precautions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What should we consider about the equipment being used before transfers?

A
  • Are assistive devices necessary?
  • is the wheelchair locked?
  • Do you have a gait belt?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What should we consider about the environment before we transfer?

A
  • Do you have the space to transfer?
  • Are there hazards in the environment?
  • Do you have to move a certain direction?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What should we consider about our own ability and skill before we transfer?

A
  • Can you do this by yourself or do you need help?
  • Do you have limitations that prevent you from keeping the patient safe?
  • Significant height difference impacting mechanics?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When should gait belts be used?

A

For most transfers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the exception to when we should use a gait belt?

A

patients who are independent who do not have balance impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where is the gait belt typically worn?

A

On the waist, but can be placed higher (axilla) as needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What kind of a grip do we use with a gait belt?

A

Lumbrical grip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Why do we use a gait belt?

A

Improves safety for the patient and the caregiver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are other considerations for gait belt placement?

A

Lines and tubes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the general principles of managing lines and tubes?

A
  • keep them organized
  • know which lines are critical
  • know which lines can be removed
  • move toward the shortest line
  • rearrange the environment to accomadate the lines
  • use extensions and portable lines when possible
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the most important rule about managing lines and tubes?

A

NEVER STEP OVER A LINE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are some examples of types of lines?

A

nasogastric tubes
HR monitors
Central lines
Endotracheal tubes
O2 monitors
Sequential compression devices
Arterial lines
Urinary catheters
Chest Tubes
BP cuffs
Rectal tubes
IV lines
Nasal canula
drains

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What does good body mechanics help with during a transfer?

A
  • uses less energy
  • reduces strain on body tissues
  • produces safe, efficient movement
  • promotes control and balance
18
Q

What are the principles for transfers?

A
  • use physics to your advantage
  • keep the patient safe
  • consider your environment
  • teach/cue the transfer if needed
  • mental preparation
  • guard patient where you do not impede motion but can still keep them safe
  • consider patient positioning pre and post transfer
19
Q

What are guarding principles for transfers?

A
  • Stand where you do not impede movement
  • promote safety
  • promote function
  • use a gait belt
  • support/block limbs with strength deficits
  • stand on the patient’s more affected side
  • position yourself and the patient for efficient movement
20
Q

What is a grade 1 transfer?

A

Dependent - patient requires total physical assistance with one or more persons to accomplish a transfer safely

21
Q

What is a grade 2 transfer?

A

Maximal assist (MaxA) - patient performs 25-49% of the activity

22
Q

What is a grade 3 transfer - mod a?

A

Moderate assist - patient performs 50-74% of the activity

23
Q

What is a grade 3 transfer - min a?

A

Patient performs ≥ 75% of the activity

24
Q

What is contact guard assist?

A

A grade 4 - therapist or caregiver has hands on pt and or/gait belt to provide safety as needed

25
Q

What is stand by assist/ supervision?

A

A grade 4 - verbal or tactile cues, directions, instructions positioned close to, but not touching the patient

26
Q

What is a level 5 assist?

A

Modified independent - pt. may require verbal cues, uses assistive device/adaptive equipment or requires additional time to complete the task (AKA setup/cleanup)

27
Q

What is a stage 6 assist?

A

Independent - no assistance required to complete the task in the normal time frame

28
Q

What would go in our subjective for documentation of a transfer?

A

“Patient reports wanting to independently transfer from wheelchair to bed at the end of a long day”

29
Q

What would go in our objective for documentation of a transfer?

A

“Completed a level 3 high squat pivot transfer to the right from the wheelchair to the bed requiring partial assist or ModA from the patient. Gait belt used throughout session”

30
Q

What would go in our assessment for documentation of a transfer?

A

“Patient requires further skilled therapy intervention due to requiring assistance as well as verbal and tactile cues for efficient mechanics and safety during transfers”

31
Q

What would go in our plan for the documentation of a transfer?

A

“Practice similar transfers with less assistance, higher repetitions, and/or uneven surfaces next session

32
Q

What are good sit to stand mechanics?

A
  • Patients should be on the edge of the chair
  • feet should be underneath them
  • they should lean forward to stand
33
Q

Where could you guard for sit to stand?

A

Side or front

34
Q

What would influence your decision on where you guard?

A
  • level of assist
  • precautions
  • assistive devices
  • affected or unaffected side
  • body mechanics
35
Q

What is a stand pivot transfer?

A

Stand all the way up, turn and sit on an adjacent surface

36
Q

When is a stand pivot good to use?

A

When…
- there is something obstructing a squat pivot
- the patient is capable of standing with or without assist
- the transfer is to a different height surface

37
Q

What is a squat pivot transfer?

A

Staying in a squatted potion, turn and sitting on an adjacent surface

38
Q

When is a squat pivot good to use?

A

when…
- There is nothing obstructing path to other surfaces
- the patient is not capable of standing
- the transfer is to a relatively similar height surface

39
Q

What is the seesaw concept?

A
  • your feet and the patients feet on the ground are the fulcrum, they lean forward and shift toward you while you drop your hips during the transfer
40
Q

What must you do during a seesaw transfer?

A

Stay at balance point
lift hips and they shift their weight back to sit

41
Q

Where do you guard for a squat pivot transfer?

A

In FRONT

PCM FINAL REVIEW (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions