What are the goals of bed mobility?
Movement w/in the bed
Benefit of bed mobility before transfer?
Proper positioning for pt. to transfer
Why do we teach bed mobility?
Prevent pressure sores
Prevent joint contractures
How do you actively involve the pt. in bed mobility?
Ask for head control and positioning of extremities
How do you reduce energy expenditure?
Use proper body mechanics.
Bed mobility considerations
Physical Abilities: ROM, endurance, strength, flexibility, balance
Bed mobility complicating factors
Bed mobility techniques
Roll - like a log w shoulders and knees at same time.
-pt should roll into PTA
scoot - same position, shift wt. from 1 side to other.
bridging - lift bottom and move
prone prop - on stomach, propped on elbows, shift elbows s/s
What is the most common bed mobility?
Supine to sit
- flex knees, roll toward PTA to side lying
-provide support at shoulder
-have pt push up arms and swing legs at same time
-lower bed so feet can rest on floor
What technique is used for prone/supine and s/s?
What techniques are used for supine up/down?
Do bed mobility excercises always have to be done in bed?
No. A mat table works just as well.
Movement of a person from one surface to another.
Tactile - touch cues
Transfers in order of assistance needed
Guard - close -- contact
no physical supervision or assistance to consistantly perform safely.
Assistive devices may be used.
Standby assistance - SBA
close enough to provide assistance if needed
Guard - close and contact
close guard - closer than SBA, no touch
contact guard - hands on pt. or belt
pt performs 75% or more
pt performs 50 - 75%
pt performs 25 - 50%
requires total physical assistance
hip replacements - (see next card)
back surgery - log roll
syncope - dizziness
Hip replacement transfer precautions
2-3 months, lateral
-no hip flexion passed 90*
-no adduction passed midline
-no internal rotation
Transfer training preparations - (10)
Position pt and secure equip.
Apply gait belt
No slip shoes
Weight bearing status
Proper body mechanics
Types of transfers
stand pivot - pt's back toward object to which pt is lowered
Bariatric (obese) pt considerations
2-3 person lift