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PCM Final > Transfers Part 1 > Flashcards

Transfers Part 1 Flashcards

1
Q

What is a transfer?

A

Moving from one position or surface to another position or surface

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2
Q

What are common types of transfers?

A
  • Sit to stand
  • Stand to sit
  • Car transfer
  • Toilet transfer
  • Stand pivot
  • Squat pivot
  • Slide-board transfer
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3
Q

What are some patient considerations you should note before transferring?

A
  • Strength
  • Joint mobility
  • Balance
  • Pain level
  • Cognition
  • Endurance
  • Motor control
  • Spasticity
  • Precautions
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4
Q

What are some equipment considerations you should note before transferring?

A
  • Are assistive devices necessary?
  • Is the wheelchair locked
  • Do you have a gaitbelt
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5
Q

What are some environment considerations you should note before transferring?

A
  • Do you have the space to transfer?
  • Are there hazards in the environment?
  • Do you have to move a certain direction?
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6
Q

What are some patient experience considerations you should note before transferring?

A
  • Have they done this before?
  • If they have, how much help did they need?
  • Does the patient regularly use any type of device or orthotics?
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7
Q

You should always have a _____ and a _____ for your transfer.

A

Purpose and a goal

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8
Q

What are some safety considerations (surrounding specifically the gait belt) you should note before transferring?

A
  • Gait belts should be used for most transfers
  • Exceptions include patients who are independent who do not have balance impairments
  • Worn on the waist, but can be placed higher as needed
  • Grip: lumbrical grip
  • Should be snug but not uncomfortable
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9
Q

Why do we use gaitbelts?

A

Improves the safety for patients and for the caregiver

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10
Q

If the patient has a chest tube, PEG tube, or an iliostomy/ colostomy bag, where should your gait belt go?

A

Above

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11
Q

What are some line and tube considerations you should note before transferring?

A
  • Keep them organized
  • Know which lines are critical
  • Know which lines can be removed
  • Move towards the shortest line
  • Rearrange the environment to accommodate the line
  • Use extension and portable lines when possible
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12
Q

What should you NEVER do in regards to lines?

A

NEVER step over a line

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13
Q

Patients in the ICU frequently have more than _____ lines.

A

10

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14
Q

Patients on the floor may have _____ to _____ lines (sometimes more?

A

1 to 5

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15
Q

What are some common types of lines? (this is a big long list of lines)

A
  • Nasogastric tubes
  • Heart rate monitors
  • Central lines
  • Endotracheal tubes
  • O2 monitors
  • Sequential compression devices
  • Arterial lines
  • Urinary catheters
  • Chest tubes
  • Blood pressure cuffs
  • Rectal tubes
  • IV lines
  • Nasal cannulas
  • Drains
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16
Q

If the environment is not set up for you to complete your mobility task what should you do?

A

Rearrange the furniture and get the equipment you need BEFORE moving the patient

17
Q

Good body mechanics help you to do what?

A
  • Use less energy
  • Reduce stain on the body tissue
  • Produce safe, efficient movement
  • Promote control and balance
18
Q

What are some key principles for transfers?

A
  • Use physics to your advantage
  • Keep the patient safe
  • Consider your environment
  • Teach/ cue the transfer if needed
  • Mental preparation
  • Guard patient where you do not impeded movement, but can still keep them safe
  • Consider patient positioning pre and post transfer
  • Is the surface stable/ safe
  • Is this more functional or accessible for the patient?
19
Q

How should you guard a patient?

A
  • Stand where you so not impeded movement
  • Promote safety (do not under guard)
  • Promote function (do not over guard)
  • Use a gaitbelt
  • Support/ block limbs with strength deficits
  • Position yourself and the patient for efficient movement
20
Q

What side should you stand on during a transfer?

A

Stand on the patients more affected side (if there is one)

21
Q

How would you document the subjective of a transfer?

A

“Patient reports wanting to independently transfer from wheelchair to bed at the end of a long day”

22
Q

How would you document the objective of a transfer?

A

“Completed a level height squat pivot transfer to the right from the wheelchair to the bed requiring partial assist or ModA from the patient. Gait belt use throughout session.”

23
Q

How would you document the assessment of a transfer?

A

“Patient requires further skilled therapy intervention due to requiring assistance as well as verbal and tactile cues for efficient mechanics and safety during transfers.”

24
Q

How would you document the plan of a transfer?

A

“Practice similar transfers with less assistance, higher repetitions, and/ or uneven surfaces next session.”

25
Q

What are the mechanics of a sit to stand?

A
  • Patient should be on the edge of the chair
  • Feet should be underneath them
  • They should lean forward to stand
26
Q

How should you guard for a sit to stand?

A

From the side or from the front

27
Q

What can influence a therapist decision on where to guard?

A
  • Level os assistance
  • Precautions
  • Space
  • Assistive devices
  • Affected or Unaffected side
  • Your mechanics
28
Q

What is a stand pivot transfer?

A
  • Stand all the way up, turn and sit in an adjacent surface
  • Can be done with our without an assistive device
29
Q

When is it good to use a stand pivot?

A
  • When there is something obstructing a squat pivot (like a wheelchair arm rest)
  • The patient is capable of standing with or without assistance
  • The transfer is to a different height surface
30
Q

How should you guard for a stand pivot?

A

From the side or from the front

31
Q

What is a squat pivot?

A
  • Staying in a squatted position, turn and sit in an adjacent surface
  • Can be done with out without an assistive device
32
Q

When is a squat pivot good to use?

A
  • When there is nothing obstructing the path to the other surface
  • The patient is not capable of standing
  • The transfer is to a relatively similar height surface (but not always)
33
Q

What are the mechanics for a squat pivot transfer?

A
  • Head hip relationship
  • Seesaw concept
  • Your feet and their feet on the ground are the fulcrum
  • They lean forward and shift toward you while you drop your hips during transfer
  • You must stay at balance point
  • You lift hips and they shift weight back to sit
34
Q

How should you guard for a squat pivot?

A

In the front

PCM Final (5 decks)

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