Final Exam: Transfers and Wheelchairs

Question 1

Put the steps of an independent sliding board transfer to the left bed to wheelchair in the correct order:

1. Remove board
2. Lean trunk to the right. Place one end of board under left hip and other end over wheelchair seat
3. Angle right side of wheelchair close to bed. Secure surfaces
4. Lift, shift, and lower hips. Repeat as needed
5. Place left hand out on board and press down with both hands

Answer 1

3, 2, 5, 4, 1

Question 2

List the steps of how a patient would perform an independent sliding board transfer to the left bed to wheelchair

Answer 2

Angle right side of wheelchair close to bed. Secure surfaces
Lean trunk to the right. Place one end of board under left hip and other end over wheelchair seat
Place left hand out on board and press down with both hands
Lift, shift, and lower hips. Repeat as needed
Remove board

Question 3

During sliding transfers, what should we make sure that the patient does not do

Answer 3

grasp the end of the board or place fingers through the handle during the lateral shift

Question 4

During a clinician assisted sliding board transfer, the clinician typically guards from the (front/back)

Answer 4

front

Question 5

During a clinician assisted sliding board transfer, the clinician will assist with hip movement CCDD as needed. What does CCDD stand for?

Answer 5

control centrally, direct distally

Question 6

During a pivot transfer, the primary action occurs at the (legs/feet) and the transfer occurs toward the patient’s (weaker/stronger) side

Answer 6

feet; stronger

Question 7

True or False:

Pivot transfers do not require WB on at least one lower extremity

Answer 7

false

Question 8

During an assisted pivot transfer, explain how a clinician would first set up the environment (Hint: There’s 5 things)

Answer 8

1. Ensure appropriate footwear
2. Remove obstacles including leg/arm rests
3. Equalize surface height
4. Secure both surfaces
5. Use a gait belt

Question 9

For an assisted pivot transfer, what does the “ready position” look like for the patient

Answer 9

hips scooted forward
Feet back with inner foot slightly forward
Trunk flexed
Hands placed on armrests

Question 10

Before an assisted pivot transfer can occur, the patient must be in the ready position. Explain the different ways a patient could scoot his or her hips forward in a chair

Answer 10

1. Lift, forward shift, and lower (push up)
2. Alternate weight shifts (side to side)
3. Forward hip slide (pelvic slide)

Question 11

For an assisted pivot transfer, what does the “ready position” look like for the clinician

Answer 11

In front of patient
hips and knees flexed, wide staggered stance
inner foot slightly posterior
grip on gait belt

Question 12

During an assisted pivot transfer, a clinician will block the knees. This creates an (flexion/extension) moment to counteract the (flexion/extension) moment at the patient’s hips and knees

Answer 12

extension; flexion

Question 13

During an assisted pivot transfer, knee blocking contact is at the patient’s (proximal/distal) tibia

Answer 13

proximal

Question 14

What are the three types of knee blocks for an assisted pivot transfer

Answer 14

1: 1
2: 1
2: 2

Question 15

What type of knee block is used for a dependent pivot transfer

Answer 15

2:2

Question 16

What is the clinician’s ready position for a dependent pivot transfer

Answer 16

In front of patient
hips and knees flexed
inner foot slightly posterior
grip on gait belt

Question 17

Is a squat or standing pivot transfer used if the patient cannot bear enough weight in the LE’s

Answer 17

squat

Question 18

Is a squat or standing pivot transfer used if the patient may pause when in an upright position

Answer 18

standing

Question 19

When is a transfer complete?

Answer 19

When the patient is safely and comfortably positioned and has a way to call for assistance

Question 20

Patient’s with a THA posterior approach, should avoid (internal/external) rotation and trunk flexion beyond _____ degrees at all times

Answer 20

Internal rotation; 60 to 90

Question 21

What are the 4 different levels of transfers

Answer 21

dependent
assisted
modified independent
independent

Question 22

Which level of transfer has minimal or no active participation by the patient

Answer 22

dependent

Question 23

Which level of transfer has some participation by the patient

Answer 23

assisted

Question 24

Which level of transfer is when the patient performs the transfer independently with transfer devices

Answer 24

modified independent

Question 25

Which level of transfer is when the patient fully completes a transfer without devices

Answer 25

independent

Question 26

What are the 6 levels of assistance

Answer 26

Stand by assistance/supervision
close guarding
contact guarding
minimal assistance
moderate assistance
maximum assistance

Question 27

Which level of assistance includes verbal cues

Answer 27

stand by/supervision

Question 28

Which level of assistance requires close proximity to prove physical assist if needed

Answer 28

close guarding

Question 29

Which level of assistance requires contact providing occasional balance and physical assist

Answer 29

contact guarding

Question 30

Which level of assistance occurs when the therapist provides up to 25% assist

Answer 30

minimal assistance

Question 31

Which level of assistance occurs when the therapist provides up to 50% assist

Answer 31

moderate assist

Question 32

Which level of assistance occurs when the therapist provides up to 75% assist

Answer 32

maximum assistance

Question 33

What are the 5 different types of assistance

Answer 33

set up/monitoring environment
equipment
verbal cues
balance control
physical assist for lifting or supporting

Question 34

What is the amount of assistance and how is the amount of assistance indicated when charting?

Answer 34

It is the number of personnel and it is indicated by x2 or x3 when charting