What is a transfer of a patient?
the safe movement of a person from one surface or location to another or from one position to another
What is bed mobility?
rolling side to side, moving up/down in bed and transitioning from supine to sit or sit to supine
With minimal assistance how much work is the patient performing
75% with some assistance to finish the activity
What is modified independent (Mod. I)?
The patient uses adapted or assistive equipment to perform tasks independently
What are some essential elements of transfer activities which need to be documented?
amount/type of assistance required, including the number of people, time it took, level of safety demonstrated, level of consistency of the performance, special equipment used, type of transfer and specific cues that are needed or direction of pattern
What are some safety precautions to take during transfers
use a gait belt, wear proper shoes, back up plan, know your surroundings, be aware of the patients tubes and drains, know your patient, assistant and yourself
What must you do prior to transferring activities of a patient
you must know the patient diagnosis, level of transfer performed previously and make your own assesment
What is max assistance?
Patient performs 25-49% of work, assistance required to finish the activity
What are some special precautions for patients with total hip replacement
- the affected hip should not be adductedor flexed beyond 90 degress
- Also depending on the approach of surgical incision rotation should be avoided
- Anteriolateral approach (no external rotation or hip extension beyond 0)
- Posteriolateral (no internal rotation) or motion resulting in posterior translation of femoral head
What are the precautions for a hemiplegic patient
do not pull on the affected involved extremities
What are the precautions for burn patients
avoid sheering forces on the fragile skin or the grafts
A patient with lower back trauma will require what special precautions?
No excessive lumbar rotation, trunk side bending, and trunk flexion should be avoided
What is NWB, TTWB, PWB, WBAT?
- Non-weight bearing
- Toe-touch weight bearing
- Partial weight bearing
- Weight bearing as tolerated
What is contact guard
caregiver is close to patient with hands on patient or safety belt
What are some considerations to take into account when transferring a patient
- previous accomplishments of patient
- current transfers used by patient
- patients limitations and activities
- how much assistance is required
- are orthotics or splints required for transfer
- what specific precautions must be used to protect patient
During patient transfers what physical abilities of the patient must be taken into consideration
- muscle strength
- joint and soft tissue felxibility
- sitting and standing balance
- tolerance of sitting and standing positions
- motor control
What are some precautions