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POTH 563 > PDSB Lecture > Flashcards

PDSB Lecture Flashcards

1
Q

What does PDSB stand for?

A

Principes pour le déplacement sécuritaire des bénéficiaires

Its about moving people from point A to B Safely.

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2
Q

What is the goal of PDSB?

A

Help pts move from dependence to greater independence.

  • Achieve functional capacity or independence ASAP
  • Discharge, return home early as possible. The key is early mobility.
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3
Q

What aspects need to be considered when taking a global approach to the work situation?

A 
Individual (patient)
Task (what sort of transfer)
Equipment  (is the equipment in good working shape?)
Environment 
Time

All within an organization

-This model illustrates the link between different elements such as the environment, time that make each work situation unique.

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4
Q

What are 3 basic things to consider in terms of biomechanics?

A
  1. Lever arm: Stay close to the patient.
    Not to support the pt’s weight, but to provide a sense of security to support movement.
  2. Base of support: Wide stance w/ good back posture/positioning
  3. Weight Shifts (Caregiver): Do not lift, use body transfers. Forward/backward or lateral weight shifts. Counterweight.
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5
Q

What are the 3 natural movements that we want clients to use?

A

Roll
Slide
Pivot

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6
Q

What are the 4 PDSB principles?

A

P: Preparation
P: Positioning
H: Hold
M: Movement

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7
Q

What are the 3 aspects of preparation?

A
  1. Collect Information
  2. Make a decision
  3. Communicate
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8
Q

What questions should you ask to collect information during the preparation phase?

A 
What needs to be done? 
What is the client like? (do they have pain)
What equipment is available? 
What is the environment like? 
When does it need to be done?
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9
Q

What sort of equipment should you prepare before the transfer?

A

Transfer board
Wheelchair-breaks
Grab bell
Rails

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10
Q

What should you know about the pt before moving them?

What abilities of the client should you check first?

A

Get this information from the pt themselves, care team, family, doctor, chart. Get as much info as possible.

Check pt’s:

  • Attention span
  • Ability to move arms and legs (SLR, bridging)
  • Ability to maintain a seated position w/ out support
  • Vital signs
  • Go through a checklist before you move client.
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11
Q

What else should you prepare for moving a client?

A
  • Workspace/environment
  • Equipment
  • Get help if a second person is needed and wait for them to come.
  • Different transfer aids like sit to stand machine or hoyer lifts.
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12
Q

What is key to effective communication during transfers?

A

-Be polite
-Clear and concise
-Easy to understand
-Name action or movement to be performed step-by step.
-Be positive: say what to do rather than what not to do.
(Verify or check understanding: Can you repeat what I just said?)
-Also make sure to communicate clearly w/ colleagues assisting w/ transfer.

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13
Q

Good or Bad Communication?
1. “I’m going to ask you to help me.”

  1. “Hold onto the grab bar in front of you.”
  2. “Bend your left knee.”
  3. “To get back into your bed, start by approaching the bed and moving your foot rest out of the way. Do not forget to lock the brakes on your wheelchair.
  4. Turn over onto your side
  5. “Don’t grab onto me.”
  6. “Lift your head.”
  7. “Don’t be afraid.”
A
  1. Bad: Not effective, I’m going to work with you to get you out of bed.
  2. Good
  3. Good
  4. Too long
  5. Specify side
  6. Not great
  7. Tuck your chin
  8. Its okay to be afraid.
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14
Q

What are the positioning principles?

A

-Feet apart
-Feet pointed to facilitate movement
-Back: No twisting
-Straight back (maintain lordosis)
Knees Bent

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15
Q

What are the holding principles?

A 
Solid grip 
Gentle hold
Close contact 
Arms wrapped around client
Use handles 
Block sliding points
Encourage pt to participate
  • can use transfer belt.
  • Pt puts hands around shoulder blades, NOT the neck.
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16
Q

What are the movement principles?

A
  • Provide only as much assistance as required
  • Tell the client what to do
  • Respect Natural Movement
  • Roll, slide or pilot the client rather than lifting
  • Use counterweight or weigh transfer to provide effort
  • Perform movements one at a time, step by step
  • Pull the client towards you rather than pushing.
17
Q

What are the levels of assistance?

A

Supervision: 85% Client effort, 15% Caregiver effort. Equipment: minor.

Partial: 50:50 effort. Equipment: Mod

Total Assistance: 10% client 90% caregiver. Equipment: Max

-These are just estimates based on the diagrams.

18
Q

What does supervision involve?

A

Guiding and stimulating the pt.
-Caregiver effort or physical participation s minimal. Prepare equipment that the client may need. Plan the route and supports needed. Clear the path.

Client does the transfer him or her self.

  • More physical effort is demanded of the client than the caregiver.
  • Only the client uses the equipment needed for the transfer.
  • Caregiver is limited to giving verbal instructions and hand signals.
  • Explain what the client has to do state by step to do the transfer safely and easily.
  • Use natural movements as inspiration.
  • Encourage pt to tell you how the transfer is going and how comfortable or confident they feel.
19
Q

Compare the 3 levels of assistance:

A

Supervision:

  • Client able to perform natural movement required for the transfer.
  • Needs help to choose and direct his or her actions: Lack initiative and motivation, is fearful, has memory problems, is disoriented about which movements to make, apathetic, hesitant…

Partial Assistance

  • Inadequate strength to initiate the natural movement required for the transfer.
  • Still WB
  • Balance and/or coordination problems
  • Able to choose and direct his or her actions or must be helped to choose and direct his or her actions.

Complete Assistance:

  • Unable to perform the natural movement required for the transfer him or her self.
  • No WB
  • Unable to make a significant effort in transfer.
  • Able or unable to choose and direct his/her actions.
20
Q

What is the role of the caregiver if the level of assistance is supervision?
A. Physical Effort
B. Communication

A

A.

  • Accompany client w/ out exerting any physical effort.
  • Prepare accessories, equipment, support, clear path if necessary.

B.

  • Stimulate pt to get his attention.
  • Direct the steps of natural movement
  • Giver verbal instructions or use hand signals.
21
Q

What is the role of the caregiver if the level of assistance is partial?
A. Physical Effort
B. Communication

A

A.

  • Direct and assist the steps of natural movement
  • Caregiver effort compensates for the clients partial disabilities
  • Use equipment to compensate for the clients disabilities.

B. Stimulate the pt to get his attention.

  • Tell, show how to do, let client do.
  • Give verbal instructions or use hand signals.
  • Convince and reassure the client using eye contact and touch.
22
Q

What is the role of the caregiver if the level of assistance is complete?
A. Physical Effort
B. Communication

A

A. Perform natural movement for the client

  • Caregiver’s effort compensates for the client’s partial disability
  • Use equipment to compensate for client’s disabilities

B. Announce upcoming actions

  • Describe everything that is happening
  • Use constant eye contact and touch.

POTH 563 (5 decks)

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