Transfers Part II Flashcards
What is the purpose of the transfers?
- to improve functional independence OR to simply get from one surface to another
What should we consider when choosing a transfer?
Patient’s diagnosis, condition, precautions, PLOF, current functional level, etc.
Who should we use a slide board transfer for?
- paraplegia or hemiplegia
- bariatric
- post amputation
- bilateral WB restrictions
What are the considerations for a slide board transfer?
- LE weakness, flaccidity, sensation loss
- traumatic or non traumatic injury
What do we block during a slide board transfer?
the patient’s knees
Where do the patient’s hand go during a sideboard transfer?
one hand on the board, other assisting with pushing off if possible
Should a patient slide with a slide board transfer?
NO
What should w do with the patients feet when slideboard transferring?
Resetting them each time we move
What do we ensure about our start and end surfaces before the transfer?
Ensure they are stable and modify the environment as needed
What are anterior hip precautions?
- No adduction
- no external rotation
- no extension past 3o degrees
What type of patient would have anterior hip precautions?
- THA
- partial hip arthroplasty
- ORIF
- surgical oncology, plastic surgery, poly trauma, etc.
What are posterior hip precautions?
- no adduction
- no internal rotation
- no hip flexion past 90 degrees
What type of patients will have posterior hip precautions?
- THA
- partial hip
- ORIF
- surgical oncology, plastic surgery, poly trauma, etc.
Which limb should we transfer towards with hip precautions?
Unaffected limb
What type of transfer should we use for hip precautions?
Stand with assist, stand-pivot is best
What are spinal precautions?
- no bending > 90 degrees at the waist (hip flexion)
- no lifting more than 10 lbs
- no twisting (trunk rotation or lateral flexion)
What type of patient will have spinal precautions?
- lumbar, thoracic, or cervical surgeries such as: discectomy, fusion, laminectomy; anterior and posterior approach
- TLSO, LSO, etc.
What transfer type should we do for spinal precaution patients?
Stand pivot
- squat could break flx limitations
- slide board could break weight limit
What are sternal precautions?
- Hold pillow against chest for first 48 hours
- when getting in or out of bed or a chair, keep arms close to sides
- do not reach back with both arms at the same time
- hold a pillow when coughing, sneezing or doing breathing exercises
- do not let others push or pull patient’s arms when helping them move
What type of patient will have sternal precautions?
CABG, or additional cardiopulmonary surgeries
What is NWB?
Non weight bearing
What is PWB?
Partial weight bearing - usually a percentage is given
What is TTWB?
Tow touch weight bearing - balance only on toes or the big toe, do not distribute weight through heel
What is WBAT?
Weight bearing as tolerated
What are cognitive considerations?
- Patient and therapist safety
- patient orientation, compliance, command following
- limit new and unfamiliar equipment
What type of patient will have cognitive considerations?
- neurologic injury
- neurodegenerative conditions
- acute considerations: UTI, lab value imbalance, delirium
When should caregiver abilities be a consideration?
ALWAYS
What should we allow the caregiver to do when we are transferring?
Observe and practice with our assistance
