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Level of Assist
- Independent
- Stand by Assist: SBA needs someone close by for safety or to provide verbal cues
- Light Contact: LCA needs someone touching the pt ofr safety or to provide verbal cues
- Min: pt performs 75% or more of the effort
- Mod: pt performs 50% of the effort
- Max: pt performs 25% or less of effort
- Dependent: pt unable to assist in anyway. One or more caregivers provide 100% of effort
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Weight Bearing Restrictions
- NWB: non-weight bearing
- TWB: tough weight bearing
- PWB: partial weight bearing - may be a designated # or % of body weight
- WBAT: weight bearing as tolerated, within pain limits
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Special Considerations for Total Hip
- Avoid flexion >90, adduction, IR, extension beyond neutal
- Long sit method for supine to/from sit
- Dont lean forward for sit - stand
- When moving stand to sit extend operated leg infront
- Respect WB restrictions
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Special Considerations for Low back trauma or discomfort
- Log roll to move supine to/from sit
- Bend knees place pillow between kness
- Avoid excessive lumbar rotation, sidebending, and flexion
- Legs/trunk need to move at the same times
- Warn pt prior to movement
- Move slowly
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Special Considerations for Spinal Cord Injuries
- Avoid Distracting and rotational forces
- Do not pull downward on extremities
- Do bilateral rather than unilateral extremity movements
- Logroll. Use the recommended braces/ supports when in an upright position
- Monitor BP and sigsn/ symptoms for hypotension/ autonomic dysreflexia
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Special Considerations for Burn Pt
- avoid creating sheer forces acress the would or graft site
- avoid sliding
- pain may influence the level of assist needed
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Special Considerations for Hemiplegia
- Use extreme caution with the hemi shoulder, support UE at all times
- Do not pull of UE or use the axilla for support
- Be awre of potential sensory deficits
- Sitting balance and general body awareness is oftern decreased therefore pt needs to be monitored closely once upright
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Transfers Progression
- hoyer
- Quad
- PSP or squat pivot
- Stand Pivot
- Indep
- PARA: hoyer
- quad
- sliding board
- sitting I lateral
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