Mobility 2 Flashcards
(45 cards)
What is another word for a mobile floor lift?
A Hoyer lift
What kind of lift is a sara lift?
Sit to stand lift
When would we use a hoyer lift
- unable to weight bear
- unable to maintain upright posture
- uncooperative
- above a certain weight range
How many healthcare workers are needed for a mobile floor lift?
2
Who can we use the sara lift on?
- Those who can weight bear on at least one leg or partially on both
- Those who have trunk control
- Can follow instructions, be cooperative
How many healthcare workers are needed for a sara lift
2
When would we not use a sara lift (what contraindications)
- Ab wounds
- Pregnancy
- Shoulder injuries
- Colonostomy
Who would we use a ceiling mounted lift on?
The same as mobile floor based lift
What does the client need to be able to do to use a tub chair lift?
- Have control of trunk
- Lift legs
- Cooperative/follow instructions
What 4 things do we assess our client for, before choosing a lift
- Ability to understand
- Ability to cooperate
- Physical ability
- Weight
What is the WRHA’s definition of restraints?
anything that restricts/reduces voluntary movement or freedom implemented to ensure safety of self, others or physical environment
What are the 4 categories of restraints
- Physical or mechanical
- Chemical
- Environmental
- Emergent
What are the 5 kinds of chemical restraints
- Sedatives
- Hypnotics
- Antipyschotics
- Antidepressants
- Anxiolytics (anti-anxiety)
When does a medication become a restraint?
When it is not required for treatment of a clients medical or psychiatric symptoms
What are 3 environmental restraints
- Removal of aid (walker, cane)
- Isolation
- Seclusion
When is the only time seclusion allowed?
in Mental Health and Emergency
When is the only time 4 to 6 point restraints are allowed?
In emergent restraints and require constant observation
Is a front closing seatbelt considered a restraint?
No
What are we assessing before using restraints
- Is it being used to prevent harm from patient or others
- Is it being used to perform medically necessary diagnostics or treatments which could not be performed any other way
What can we do to prevent having to use restraints?
- Frequent orientation and opportunity for elimination, nutrition, etc
- Personal items
- Use wandering devices
- Constant care
If restraints are necessary, what should be done before they are used?
- Consider legal implications
- Use least restrictive possible
- Physician order required
- Obtain informed consent from client, family, etc
How often do restraints need to be monitored?
Every 2 hours
How often are restraints monitored for pediatrics or ICU
every hour
How often do we check restraints on an emergent patient?
15-30 minutes for the first 2 hours, every 30 minutes after
