Bed Mobility

Question 1

Success depends on working effectively with:

Answer 1

the patient, the environment, and the task

Question 2

person

Answer 2

active participant

Question 3

task

Answer 3

meaningful

Question 4

environment

Answer 4

enriched

Question 5

Initiating mobility: the person

Answer 5

establish rapport
match expectations with capabilities
monitor pt responses

Question 6

Ways to establish rapport

Answer 6

listen with attention
clear comm. about goals
maintain confidentiality
minimize perceived power differences
use respectful touch
explain procedures before giving them

Question 7

Initiating mobility: the environment

Answer 7

maintain privacy
respect space
create supportive ambient environment

Question 8

the less mobile the patient,

Answer 8

the greater the influence of immediate environment on quality of life

Question 9

Initiating mobility: the task

Answer 9

use equipment to transfer dependent pts
engage pt in task by explaining procedure, ask for questions
establish baselines for physical mobility and vitals

Question 10

Levels of physical assistance

Answer 10

stand by
contact guard
minimal
moderate
maximal
total

Question 11

Stand by assist

Answer 11

not touching pt
close to provide assistance if needed

Question 12

Contact guard assistance

Answer 12

one or both hands on pt body to provide assistance but is not lifting, moving, or otherwise expending effort to complete task

Question 13

Minimal assistance

Answer 13

clinician 25%
pt 75%

Question 14

Moderate assistance

Answer 14

clinician 50%
pt 50%

Question 15

Maximum assistance

Answer 15

clinician 75%
pt 25%

Question 16

Total assistance

Answer 16

clinician 75% or more

Question 17

Progressions of bed mobility

Answer 17

mobility in supine
supine <->sidelying
supine <-> sitting
Mobility in sitting

Question 18

Hooklying in supine position

Answer 18

hips and knees flexed
component of bridging and rolling

Question 19

Bridging in supine

Answer 19

lift hips and low back
assist w/ upper extremities to avoid pushing head into bed
component in scooting

Question 20

where can clinician stabilize during bridging

Answer 20

feet

Question 21

Scooting up in Bed

Answer 21

HoB flat if tolerated
Begin in hooklying
elbows out and back
push on elbows and feet, lift and shift hips up

Question 22

Scooting sideways

Answer 22

lift and shift hips laterally
lift upper body in same direction

Question 23

Equipment used in supine

Answer 23

bed rails
trapeze

Question 24

Importance of rolling from supine to sidelying

Answer 24

prevention of pressure injuries

Question 25

Rolling from supine to sidelying is used for placement of

Answer 25

drawsheets and lift strings

Question 26

Rolling supine to side lying initiated with

Answer 26

trunk rotation

Question 27

Supine to right sidelying steps

Answer 27

scoot to left in sidelying position turn and look to right abduct right arm 45° bend left knee and hip/cross left leg over right reach left arm over and push down with left foot bring trunk into full sidelying

Question 28

rolling supine to prone

Answer 28

roll into sidelying but w/o arm ABD and continue to roll into prone

Question 29

Supine to short sitting is primarily powered by

Answer 29

core

Question 30

How is supine to short sitting altered when mobility is impaired

Answer 30

motion is done segmentally through sidelying

Question 31

Supine to sitting, through sidelying on left

Answer 31

roll from supine to left sidelying lift/slide both LE off edge of bed push right hand down into bed extending elbow abduct left arm using it to push upright

Question 32

short sitting to supine

Answer 32

lower upper body to bed, controlling with UE lift LEs onto bed roll to supine

Question 33

Scooting sideways while sitting

Answer 33

used for repositioning before lying down component of lateral seated transfers

Question 34

Scooting toward right

Answer 34

ABD right arm and place hand on bed Push down w/ both hands, lift hips up and to right

Question 35

Scooting up and back

Answer 35

used for repositioning in chair component of sit to stand and pivot transfers