Acute Care Worksheet (precautions, WB, Positions) Flashcards
(29 cards)
Independent (I)
Define, staff effort, pt effort
-pt requires no assistance or supervision from PT or device and is safe and secure to ambulate and/or complete tasks
-0% staff efforts
-100% pt effort
Modified independence (Mod I)
Define, staff effort, pt effort
-pt completes task using assisted devices (walker, cane grab bar etc.) and/or requires extra time to complete a tasks
-0% staff effort
-100% pt effort
Supervision (S)
Define, staff effort, pt effort
-no physical contact from PT or assistant; assistant stands next to pt and gives verbal cues
-0% staff effort
-100% pt effort
Standby assist (SBA)
Define, staff effort, pt effort
-have to be in pt’s bubble ready to catch pt if needed, but don’t put hands on pt
-5 to 10% staff effort
-90 to 95% pt effort
Contact guarding (CGA)
Define, staff effort, pt effort
-pt requires light physical contact from PT or assistant (ex. Hand placed on pt’s back to steady pt w/o physical support)
<5% staff effort
>95% pt effort
Minimum assistance (Min A)
Define, staff effort, pt effort
-pt requires 25% or less physical support or assistance to safely complete task/transfer/ambulation
25% staff effort
At least 75% pt effort
Moderate assistance (Mod A)
Define, staff effort, pt effort
-pt requires 50% assistance from PT or assistant to safely complete task/transfer/ambulation
50% staff effort
26-74% pt effort
Maximal assistance (Max A)
Define, staff effort, pt effort
-pt requires 75% assistance or support from staff member to safely complete task/transfer/ambulation
75% staff effort
25% pt effort
Dependent (D)
Total assistance (Total A)
Define, staff effort, pt effort
-pt requires 100% assistance or support from staff members to complete task/transfer/ambulation
100% staff effort
0% pt effort
WB-ing level: FWB
Full BW through extremity
WB-ing level: WBAT
Weight bearing as tolerated - as much BW as pt can tolerate through extremity usually limited by pain or ability
WB-ing level: PWB
Partial weight bearing - 50% of BW through extremity
WB-ing level: TTWB
Toe touch weight bearing - only toes allowed to touch ground; primarily use limb for balance ~25% BW
WB-ing level: heel touch weight bearing
Only heel allowed to touch ground; primarily use heel for balance, ~25% of BW
WB-ing level: NWB
-no weight at all is allowed through the extremity and do not allow extremity to touch support surface
TKA precautions
-if there is WB restriction it would be WBAT initially moving towards FWB
-precautions given by Dr/surgeon
General THA WB
precautions
-if there is a WB restriction it would be WBAT initially moving toward FW
Anterior approach THA precautions
-minimally invasive approach
-NO ext past neutral, ER and ADD
Posterior approach THA precautions
NO IR, flexion >90 degrees, ADD past midline
ORIF (open reduction internal fixation) precautions
-precautions set by surgeon
-typically NWB or PWB
-ask nurse or dr if precautions are not stated
What is a CABG surgery?
Coronary Artery Bypass Graft
Traditional sternal precautions (maintained for 4-6 wks)
-do not reach B arms over head (flex)
-do not reach B arms out to the side (ABD past 90)
-do not reach arms behind back
-do not lift more than 5-8 lbs
-do not push w/ arms
-beneficial to hold pillow w/ arms during functional tasks of rolling, supine to sit, and sit to stand
-beneficial to hold pillow during cough or sneeze
Cervical spinal restrictions
-if in place; no lifting >10 lbs, aspen collar in place all the time, ROM restrictions per surgeon, no flexion >90 degrees
Lumbar spinal precautions
-primarily after spinal laminectomy, decompression surgery
-if precautions in place; NO twisting, forward bending, >90 degrees, minimize SB
-use log roll when moving from supine to sit or sit to supine
