Week 4 Flashcards

1
Q

Transfer (T/F)

A

-change in position
-change in location

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2
Q

Why are you doing a transfer

A

-therapy
-function
-re-enforcing old technique
-teaching new technique
-preventing precondition
-assisting assessment

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3
Q

Considering the patient

A
  • Precautions/restrictions (Mobility/WB Status)
  • Pain/anxiety
  • Cognition
  • Motivation
  • Strength
  • Medical status
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4
Q

Transfer Type Considerations

A
  • What can they do?
  • What do I need?
  • How long do I have?
  • Goals
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5
Q

Be prepared

A
  • Call bell in reach
  • Who is around
  • Chair
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6
Q

Scenarios after surgery

A
  1. WB/Movement restrictions
  2. Position on operated side
  3. Support operated side
  4. cute pt. to stick leg out when sitting/standing
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7
Q

Post Op Considerations- TKR/oxford

A
  • Discharge POD1
  • Exercises, ambulation, stairs on POD1
  • WBAT
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8
Q

Hip # pain causes

A
  • double trauma (broken + surgery)
  • seniors- start weaker
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9
Q

Post Op considerations- THR

A
  • Dischard POD1-2
  • WBAT (cement)
  • PWB (no cement; younger)
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10
Q

Posterior THR Precautions

A
  • dont bend past your hips (bend forward)
    -no hip flexion past 90 degrees
  • Dont cross legs
    -No hip adduction past midline
    -Keep toes pointed straight
    -No hip internal rotation
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11
Q

Anterior THR Precautions

A
  • Dont Cross legs above knee (external rotation)
    -No hyperextension at hip
  • No bridging past neutral
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12
Q

Monitoring Dressing

A
  • Infection (yellow/green)
  • Pain (30 minutes before rehab; ice it down after)
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13
Q

Vaso-Vagal

A

pt. passes out

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14
Q

Post Op Complications

A
  1. Vaso-Vagal
  2. Vomiting
  3. Delerium
  4. Infection
  5. Pulmonary Embolus
  6. Deep Vein Thrombosis
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15
Q

Cardiac Signs

A
  • Shortness of Breath
  • Angina
    -Chest paint, abnormal chest, jaw, arm , back pain
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16
Q

4 Steps to plan intervention (prepare)

A
  1. Equipment- ex. gait belt, walker
  2. Environment- ex. clear path
  3. Patient- ex. FIM score; movement/WB status
  4. Yourself- backup plan; call bell, second person
17
Q

4 Things to remember when performing a transfer

A
  1. Support operated leg
  2. position on affected side
  3. slide effected leg forward
  4. know restrictions