Transfers Part II

Question 1

What is the purpose of the transfers?

Answer 1

• to improve functional independence OR to simply get from one surface to another

Question 2

What should we consider when choosing a transfer?

Answer 2

Patient’s diagnosis, condition, precautions, PLOF, current functional level, etc.

Question 3

Who should we use a slide board transfer for?

Answer 3

• paraplegia or hemiplegia
• bariatric
• post amputation
• bilateral WB restrictions

Question 4

What are the considerations for a slide board transfer?

Answer 4

• LE weakness, flaccidity, sensation loss
• traumatic or non traumatic injury

Question 5

What do we block during a slide board transfer?

Answer 5

the patient’s knees

Question 6

Where do the patient’s hand go during a sideboard transfer?

Answer 6

one hand on the board, other assisting with pushing off if possible

Question 7

Should a patient slide with a slide board transfer?

Answer 7

NO

Question 8

What should w do with the patients feet when slideboard transferring?

Answer 8

Resetting them each time we move

Question 9

What do we ensure about our start and end surfaces before the transfer?

Answer 9

Ensure they are stable and modify the environment as needed

Question 10

What are anterior hip precautions?

Answer 10

• No adduction
• no external rotation
• no extension past 3o degrees

Question 11

What type of patient would have anterior hip precautions?

Answer 11

• THA
• partial hip arthroplasty
• ORIF
• surgical oncology, plastic surgery, poly trauma, etc.

Question 12

What are posterior hip precautions?

Answer 12

• no adduction
• no internal rotation
• no hip flexion past 90 degrees

Question 13

What type of patients will have posterior hip precautions?

Answer 13

• THA
• partial hip
• ORIF
• surgical oncology, plastic surgery, poly trauma, etc.

Question 14

Which limb should we transfer towards with hip precautions?

Answer 14

Unaffected limb

Question 15

What type of transfer should we use for hip precautions?

Answer 15

Stand with assist, stand-pivot is best

Question 16

What are spinal precautions?

Answer 16

• no bending > 90 degrees at the waist (hip flexion)
• no lifting more than 10 lbs
• no twisting (trunk rotation or lateral flexion)

Question 17

What type of patient will have spinal precautions?

Answer 17

• lumbar, thoracic, or cervical surgeries such as: discectomy, fusion, laminectomy; anterior and posterior approach
• TLSO, LSO, etc.

Question 18

What transfer type should we do for spinal precaution patients?

Answer 18

Stand pivot

• squat could break flx limitations
• slide board could break weight limit

Question 19

What are sternal precautions?

Answer 19

• 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

Question 20

What type of patient will have sternal precautions?

Answer 20

CABG, or additional cardiopulmonary surgeries

Question 21

What is NWB?

Answer 21

Non weight bearing

Question 22

What is PWB?

Answer 22

Partial weight bearing - usually a percentage is given

Question 23

What is TTWB?

Answer 23

Tow touch weight bearing - balance only on toes or the big toe, do not distribute weight through heel

Question 24

What is WBAT?

Answer 24

Weight bearing as tolerated

Question 25

What are cognitive considerations?

Answer 25

• Patient and therapist safety
• patient orientation, compliance, command following
• limit new and unfamiliar equipment

Question 26

What type of patient will have cognitive considerations?

Answer 26

• neurologic injury
• neurodegenerative conditions
• acute considerations: UTI, lab value imbalance, delirium

Question 27

When should caregiver abilities be a consideration?

Answer 27

ALWAYS

Question 28

What should we allow the caregiver to do when we are transferring?

Answer 28

Observe and practice with our assistance