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ADL > Wheelchairs, Transfers and Emergencies > Flashcards

Wheelchairs, Transfers and Emergencies Flashcards

1
Q

Fit confirmation for seat height/ leg length

A

feet on footrests, 2-3 fingers placed between user’s thigh and seat; bottom of footrests 2 inches from floor

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2
Q

Fit confirmation for seat depth

A

2-3 fingers between front edge of seat and popliteal fold (seated back in chair)

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3
Q

Fit confirmation for seat width

A

hands can vertically fit between user’s hips and chair’s clothing guards/armrests

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4
Q

Fit confirmation for back height

A

4 fingers (hands held vertically) can fit between top of back of seat and floor of axilla

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5
Q

Fit confirmation for armrest height

A

shoulders level, trunk erect; able to rest arms on armrests with no change in posture

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6
Q

seat height/leg length WC measurement

A

heel to popliteal fold + 2 inches (consider height of cushion)

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7
Q

seat depth WC measurement

A

posterior buttock along lateral thigh to popliteal fold -2 inches

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8
Q

seat width WC measurement

A

widest aspect of buttocks/hips +2 inches

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9
Q

back height WC measurement

A

seat of chair to floor of axilla with shoulder flexed 90 degrees -4 inches (height should be below inferior angles) (consider cushion)

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10
Q

armrest height WC measurement

A

shoulders level, trunk erect; able to rest arms on armrests without change in posture

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11
Q

transfer used for patients with relatively good strength and balance where patient stands fully upright, pivots, and sits on another surface

A

stand pivot

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12
Q

transfer used when patient lacks mobility or strength in one or both lower extremities or unable to stand; requires fair sitting balance

A

sliding board

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13
Q

transfer used when patient is unable to use lower extremities but has very strong upper extremities and good upper trunk balance

A

lateral scoot

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14
Q

transfer type for patients who are unable to participate in the transfer

A

dependent

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15
Q

How much effort does patient provide in a standing assisted pivot

A

25-75%

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16
Q

maximal assist

A

patient is able to perform 25-49% of task

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17
Q

moderate assist

A

patient is able to perform 50-74% of the task

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18
Q

minimal assist

A

patient is able to perform 75% or more of the task

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19
Q

independent

A

patient is able to perform task with no assistance (no cues or equipment)

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20
Q

contact guard assist

A

patient requires hands-on assist only; balance may be an issue

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21
Q

supervision/stand-by

A

patient is able to perform task with no hands-on assistance, but therapist feels need to be close to patient; patient may need cues to assist

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22
Q

dependent

A

patient is unable to perform the task in any way

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23
Q

modified independent

A

patient is able to perform the task with no assistance (cues) but requires use of an assistive device

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24
Q

weight limit of standard wheelchair

A

for patients weighing less than 200 pounds

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25
Q

wheelchair for patient over 200 punds

A

bariatric wheelchair

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26
Q

wheelchair that is 2 inches lower to allow for lower extremities to propel wheelchair

A

hemiplegic wheelchair

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27
Q

wheelchair with drive wheels positioned 2 inches posterior to normal position

A

amputee wheelchair

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28
Q

air cushion, consisting of air bladders that can be filled or emptied according to spots where pressure builds up most

A

ROHO

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29
Q

main goal of wheelchair cushions

A

prevent pressure buildup

30
Q

provides no support or cushion for bony places on patient’s rear end: promotes internal rotation of hips

A

typical sling seat

31
Q

used for wheelchair propulsion

A

drive wheels

32
Q

In which position should a patient be placed for measurement for a wheelchair

A

sitting on firm surface (not in wheelchair)

33
Q

DO THIS BEFORE performing a transfer with a patient

A

lock wheelchair brakes

34
Q

DO THIS when patient is learning to pop a wheelie

A

guard patient closely from behind wheelchair

35
Q

objective information to include in SOAP note about wheelchair

A

WC measurements, fit checks, propulsion education, levels of assist, number of reps or time spent on task, any verbal or tactile cues required, barriers negotiated-with how much assist or education on

36
Q

If a patient has a trough on the WC for their arm, it is important to

A

ensure patient can remove their arm before leaving the patient unattended (can become a restraint)

37
Q

wheelchair positioning begins where?

A

pelvis

38
Q

direction to lean when ascending a ramp in a wheelchair

A

forward

39
Q

direction to lean when descending a ramp in a wheelchair

A

backward

40
Q

types of propulsion for motorized wheelchairs

A

joystick, head array, chin joystick, sip-n-puff, tongue switch, eye movement controls

41
Q

treatment for mild allergic reaction

A

remove allergen, assist patient in administering antihistamine (Benadryl) or anti-itch cream (Calamine lotion); observe ofr worsening symptoms

42
Q

treatment for anaphylaxis

A

call 911; rescue breathing if needed, EpiPen if available

43
Q

pale, moist cool skin; shallow and irregular breathing; rapid pulse; dilated pupils; sweating; nausea and dizziness/syncope in person who has suffered a traumatic event or injury

A

shock

44
Q

treatment for patient in shock

A

remove cause, monitor vitals, place in supine with legs elevated slightly, cover with blanket, no eating or drinking, keep patient still

45
Q

a cut in a person’s tissue

A

laceration

46
Q

most commonly used method to remove an object blocking airway

A

Heimlich maneuver

47
Q

sudden drop in blood pressure as a result of postural changes

A

orthostatic hypotension

48
Q

causes of orthostatic hypotension

A

dehydration, prolonged periods of supine or sitting, heart problems, endocrine problems

49
Q

management ot orthostatic hypotension

A

sit up or stand for a few minutes before changing position again; abdominal binder; compression stockings; tilt table

50
Q

HYPOglycemia S/S

A

fatigue, anxiety, sweating, hunger, irritability, shakiness
worsening: confusion, visual changes, loss of consciousness

51
Q

HYPERglycemia S/S

A

frequent urination, blurred vision, fatigue, headache
worsening: nausea and vomiting, shortness of breath (SOB), weakness, coma

52
Q

brain attack: results from lack of blood flow to brain

A

stroke

53
Q

acronym to recall S/S of stroke

A

FAST (face, arms, speech, time)

54
Q

hypersensitivity of immune system to something in environment

A

allergy

55
Q

signs and symptoms of heat stroke

A

body temp over 104 degrees, altered mental state or behavior, nausea, vomiting, flushed skin, rapid breathing, racing pulse, headache, changes in sweating

56
Q

signs and symptoms of heat exhaustion

A

heavy sweating, faintness, dizziness, rapid pulse, nausea, muscle cramps

57
Q

treatment for heat exhaustion

A

place in shady area, loosen clothing, monitor vitals, apply cold compress to head/neck, offer water or electrolyte solution, observe for signs of shock or heat stroke, contact 911 if patient does not improve, have patient rest remainder of day

58
Q

An acronym that personnel use to remember their duties
for discharging a fire extinguisher

A

PASS (pull, aim, squeeze, sweep)

59
Q

This acronym is used as a reminder of the duties of
personnel in the case of a fire

A

RACE (rescue, alarm, confine, extinguish)

60
Q

a patient safety event that results in death, permanent harm, or severe temporary harm

A

sentinel event

61
Q

adverse effect of seat height too high

A

insufficient trunk support, difficulty positioning knees under table, difficulty propelling WC, poor posture with forearms on armrests

62
Q

adverse effect of seat height too low

A

difficulty with transfers due to lower center of gravity, footrests may contact items on floor and decrease mobility

63
Q

adverse effect of seat depth too deep

A

increased pressure on popliteal space (causing increased pressure and decreased circulation

64
Q

adverse effect of seat depth too shallow

A

decreased trunk stability due to less support under thighs, increased weight bearing on ischial tuberosities, poor balance due to decreased base of support

65
Q

adverse effect of seat width too wide

A

difficulty propelling WC due to inability to reach drive wheels, difficulty performing transfers, difficulty navigating through doorways, postural deviations from leaning to one side

66
Q

adverse effect of seat width too narrow

A

difficulty changing positions, too much pressure on greater trochanters, difficulty wearing braces (orthoses) due to narrow space

67
Q

adverse effect of back height too high

A

difficulty propelling WC due to difficulty using arms, increased pressure/friction on scapulae, decreased balance due to inclined trunk

68
Q

adverse effect of back height too low

A

decreased trunk stability or postural deviations due to less support

69
Q

adverse effect of armrest being too high

A

difficulty propelling WC due to inability to reach drive wheels, difficulty performing transfers, postural deviations due to raised shoulders, decreased trunk stability due to not using armrests

70
Q

adverse effect of armrest being too low

A

postural deviations due to depressed shoulders, decreased balance from leaning forward, difficulty with transfers

71
Q

Items to include in documentation of a transfer

A

type of transfer, level of assist required, how many people were needed to assist, transfer surfaces (bed, WC, floor), verbal or tactile cues provided

72
Q

benefits of proper seating and positioning

A

promote function, prevent deformity, improve body alignment, improve trunk stability, prevent tissue damage, reduce discomfort/overuse syndromes, prevent additional complications, minimize energy expenditure

ADL (4 decks)

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