Quiz 2 Flashcards
(30 cards)
Level 4 dependency
total dependance
ie. hoyer or transfer chair
level 3 dependency
extensive assistance with no manual lifting
ie. hoyer
stand-assist?
Level 2/1 dependency
limited assistance
Total body lift indications
level 3 or 4
no direct therapeutic intevention process
Pts. who are not able to bear weight through LE
unable to perform seated lateral transfer
sit to stand lift indications
able to bear some weight through LE
able to flex major LE joints
able to maintain sitting balance
able to help with transfer
What types of devices are used with lateral transfers?
slippery sheets
air assisted devices
rigid transfer boards
patient rollers
Bed mobility tasks in supine
hook lying
bridging
scooting
rolling
supine sitting
bed mobility tasks in sitting
scooting sideways
THR precaustions
adduction, flexion, IR
Hemiplegia
roll onto involved side
back surgery
perform logroll
segmental rotation is contrainidicated
complete SCI
no mvmt or sensory below level of injury
incomplete SCI
some sensory or motor function below injury is preserved
tetraplegia( quadraplegia)
T1 or above
Paraplegia
T1 or below ( no UE involvement)
C6 with spinal rotation
can perform rolling independent
C6 without spinal rotation
do no have motor control to perform bed mobility independently
Redness persisting x time is a concern
20 min
LE Amputee
-more susceptible to contractures
-transfemoral amputations are at risk for contractures in hip flx abd and er
-transtibial are at risk for contractures same as hip + knee flx
Total Hip Pts.
-posterior approach
-precautions:flx,add,IR
-should be in supine but when being transfered should not break precautions but be put on involved side unless in pain
CVA pt.
-develop tone on one side
-roll onto involved side
-at risk for distractive F and edema formation
High risk for skin breakdown during Supine
heels
ischial tuberosity
occiput
scapula
sacrum
spinous process
High risk for skin breakdown during Side Lying
med and lat malleloli
med and lat condyles
greater troch
side of face
humeral head
High risk for skin breakdown during Prone
iliac crest
chin
side of face
anterior knee
dorsal surface of foot