Unit 5 Flashcards
What is the difference between transfer & transport?
- Transport is moving a client from one area to another (usually via W/C or stretcher).
- Transfer is moving a client from one surface or one surface to another.
What are three goals of transferring?
To promote mobility, independence + permit clients to function in different environment.
What is the name for guarding where we come into physical contact with the client?
Contact gaurding
What percentage does the client assist if they are moderate assist?
50-75%
What are the three levels of dependence (as a classification of transfers)?
- Independence
- Assisted
- Dependent
What do we need to do in order to prepare the client for a transfer?
- Communicate with client.
- Get consent.
- Organize environment. (client, room, yourself).
- Have a back-up plan.
What are the main principles to keep in mind when transferring?
- Position yourself close to client.
- Keep your head in line w/ your hips.
- Ensure wide BOS
- Use short lever arms
- Contract core muscles+ maintain neutral spine.
What are 5 major safety issues to consider when transferring?
- Client should be wearing proper shoes.
- A safety belt or transfer sling should be worn by patient.
- Bandages or equipment used by patient needs to be protected.
- When using sling, W/C for transfer remember to apply brakes.
- Environment free of unneeded equipment.
During the motion of sitting to standing?
A) What has to happen at our ankles?
- Feet need to be behind patellae
- Feet flat on ground
During the motion of sitting to standing?
B) What has to happen at our trunk?
The trunk needs to be leaned forward.
During the motion of sitting to standing?
C) At which point is the maximum contraction of quads occurring?
When the buttocks of the client lifts off the surface that they are being transferred from.
If a client cannot fully weight bear & has weak quads, which transfer would your PT probably suggest?
A low pivot transfer
What are some key safety issues to consider for all transfers?
- Maintain close proximity to client.
- Only leave client’s side when they are secure.
- Avoid excess reaching
- Designate lead caregiver
How do we get a client to the edge of the bed in sitting to allow her feet to be flat on the floor?
By lowering the bed enough so that her feet can touch the floor.
By manually sliding her hips, one side at a time, to the edge of the bed = hip walking
Describe the ideal way in which to leave a client in a W/C after your treatment session?
Client is safe, comfortable + therapeutic position.
Provide a call bell. Be aware of clients care plan
