8 SELFCARE Flashcards
(46 cards)
GOALS IN SELF-CARE (3)
Preventing loss of independence.
Maintaining ability to perform tasks.
Improve ability to manage tasks independently.
DEVELOPMENTAL INFLUENCE
Activities of self-care are basic to human development.
AREAS OF SELF-CARE
Every day activities.
Usually done: with little thought, without assistance.
ADL
Activities of Daily Living.
BADL
Basic Activities of Daily Living.
ADL VS IADL
ADL: Activities of Daily Living, grooming, dressing, bathing.
IADL: Instrumental Activities of Daily Living, housekeeping, money management, meal prep, shopping.
FUNCTIONAL MOBILITY
Moving from one position or place to another.
Bed mobility.
Wheelchair mobility.
Transfers.
Ambulation.
Transporting objects.
TRANSFER TO HOUSEHOLD FUNITURE
Couches, easy/kitchen chairs, beds, recliners.
WHY TRANSFER TO OTHER FURNITURE
Break from wheelchair.
Join family / other social groups.
A more “normal” way of being in the environment and/or interacting in social situations.
CHANGES TO THE METHOD OF TRANSFER TO FURNITURE
Be aware of environmental differences .
Take precautions.
Know yourself.
Know your client.
By yourself.
Clients at home.
Client cannot give more help.
Moving around an armrest.
CHANGES TO THE ENVIRONMENT FOR TRANSFER TO FURNITURE
Raise chairs/beds.
Preferred height.
Extra cushions/firm cushions.
Plywood base under cushion/mattress.
Grab bars.
Vertical ceiling to floor pole: Superpole
PRECAUTIONS FOR TRANSFER TO FURNITURE
Equipment: securely positioned or fastened.
Clients physical/cognitive status: impulsive/unpredictable, weak.
Practice may lead to injury/falls: task is new, client refuses devices, may forget to use equipment, may be impulsive.
Proper footwear and body mechanics.
TOILET TRANSFERS: CHALLENGES
Confined space.
Small surface area on the toilet seat.
Toilet seat gets slippery.
No trunk support.
Low seat height: 14”-20” from floor.
POTENTIAL PROBLEMS WITH TOILET TRANSFERS
Wheelchair to toilet angle.
Client may need to face the toilet.
Hemiplegia.
Cannot always move towards their strong side.
Helper position.
Toilet seat unstable.
CHANGES TO METHOD IN TOILET TRANSFER
For independent standing pivot from w/c:
Client faces handrail.
Approaches toilet at 90 degrees.
Brakes on, footrest off or removed.
Move to edge of chair.
Grasp handrail, stand.
Pivot and sit.
CHANGES TO THE ENVIRONMENT WITH TOILET TRANSFERS
Grab bars.
Toilet arm rests.
Raised toilet seats. (RTS)
Commode chair.
TUB TRANSFER: CHALLENGES
Wheelchair, tub angle.
Hemiplegia.
Small space.
Client is reaching for something.
Tub height and style.
CHANGES TO METHOD OF TUB TRANSFERS
Dry tub.
Transfer in/out of a dry tub.
Hemiplegia.
Same w/c and bath seat height.
Managing legs: either one at a time, or swinging the legs in.
BATHTUB TRANSFER CHALLENGES
Wheelchair - tub angle
Hemiplegia
One way - will not be able to move towards their strong side
Helper position. Small space
Client may have reach for side of the tub: client may reach for shower curtain railing, NOT SAFE.
Tub height & style.
CHANGES TO METHOD OF BATHTUB TRANSFERS
Last step in transfer training.
Actual bathing.
Hemiplegia.
CHANGES TO THE ENVIRONMENT FOR TUB TRANSFER
Grab bars.
Bath seats/tub transfer bench.
Bathmats/adhesive strips.
Hand-held shower heads.
Bath lift.
CHANGES TO ENVIRONMENT FOR BATHTUB TRANSFERS
Grab bars.
Bath seats.
Bathmats.
Hand held shower heads.
PRECAUTIONS TO TUB TRANSFERS
Ensure client safety.
Do not leave client unattended.
Observe for potential skin problems.
Watch for confusion, fatigue, daily fluctuations in functioning, fall risk.
Clients will use inappropriate hardware.
Increased time required.
PRECAUTIONS TO BATHTUB TRANSFERS
