Week 3

Question 1

Why use a gait belt?

Answer 1

• Balance issues / falls risk
• Are you alone?
• Patient’s condition
• Environment

Question 2

How many fingers should you be able to fit inside a gait belt?

Answer 2

3 or 4 fingers

Question 3

FIM Complete Dependance assistance level

Answer 3

PTA - 75% or more
Patient - 25% or less

Question 4

FIM Maximum assist level

Answer 4

PTA - 50 - 75%
Patient - 25 - 50%

Question 5

FIM Moderate assist level

Answer 5

PTA - 25 - 50%

Patient - 50 - 75%

–> patient is doing most of the work
–> PTA still is touching patient and is doing more than cueing

Question 6

FIM Minimum assist level

Answer 6

PTA - 25% or less
Patient - 75% or more

–> this is simply cueing with hands

Question 7

FIM Supervision assist level

Answer 7

PTA: 0%

Patient: 100%

–> verbal queuing/guarding

–> no touch

Question 8

FIM Modified Independence assist level

Answer 8

PTA: 0%

Patient: 100%

–> patient may need more time to complete the task

–> patient may need to use an assistive device to complete the task

Question 9

FIM Complete Independence assist level

Answer 9

PTA: 0%

Patient: 100%

–> patient requires no extra time or assistance devices to complete the task

Question 10

What are the 7 levels of Assistance defined by FIM (function independence measure)

Answer 10

1) Complete Dependance

2) Maximum

3) Moderate

4) Minimum

5) Supervision

6) Modified Independence

7) Complete Independence

Question 11

Stair training steps

Answer 11

1) Assistive device goes on opposite side

2) Assistive device always stays (in line) with the affected side

3) Going up the stairs - unaffected leg first
Going down the stairs - affected leg first

4) Going up the stairs - stay behind, Going down the stairs - stay in front

Question 12

True or false: you should use the gait aid over the handrail if one is present

Answer 12

False

Always use handrail over the gait aid

Question 13

How can you make gait training more difficult for your patient?

Answer 13

1) Add distractions :try talking to the patient while they are walking

2) Environment: different surface or add steps

3) Obstacles: ex - door

4) Longer sessions

5) Walking gait pattern: step through pattern instead of a step in

Question 14

Goals of proper bed positioning

Answer 14

1. Ensure patient comfort

2) Safety - skin integrity:
muscle joint gets tight = contracture, lungs = pneumonia/infection

3) Don’t leave them in a position where they can’t get up/get out/access to environment

Question 15

How often should you reposition patients (ICU and subacute)

Answer 15

2 hours in ICU

4 hours in subacute

Question 16

What is skin breakdown?

Answer 16

Breakdown of the skin over bone

Question 17

How long can you stay in one position for, and which of the following areas would you expect to see skin breakdown when laying on side?

Answer 17

2 hours in ICU

4 hours in subacute

–> shoulder, elbow (outer side) hip, knees (inner and outer), ankle, heel,

Question 18

which of the following areas would you expect to see skin breakdown when laying supine?

Answer 18

back of head, shoulder, elbow, buttocks, heel, and toes

Question 19

which of the following areas would you expect to see skin breakdown when laying prone?

Answer 19

elbow, chin, shoulder, wrists, anterior superior iliac spine, patella, ankles, toes