Whats the first thing you do during a wheelchair transfer once you lock the brakes?
PUT A GAIT BELT ON!
How might you teach a spinal cord patient to transfer themselves?
When using a sliding board for a transfer, you should NOT _____________.
Try to transfer the person UPWARD on the board or use it when bare skin contacts the board.
Where do you stand during ambulation with a patient?
Behind and slightly to the side
What is the strongest way to grasp the gait belt?
When is a transfer considered COMPLETE?
When the patient is SAFELY positioned
With a DJD (degenerative joint disease) patient, how would you transfer?
Use sit/pivot or block the knee to prevent buckling
What is the motto for going up or down stairs with crutches or a cane?
UP with the good, DOWN with the bad
With an obese patient, how would you perform transfer when assistance isn't available?
Use a HOYER if assistance is unavailable
Why are reverse walkers used for pediatrics?
They are less damaging to their growing posture
When was the Americans with Disabilities Act signed into law?
July 26 1990
Describe Title I of the ADA
EMPLOYMENT - all businesses must provide reasonable accommodations; it only applies to employers with 15 or more employees, but all government agencies must comply.
Describe Title II of the ADA
PUBLIC SERVICES - applies to all public services including public transportation; cannot deny services to those with disabilities and they must be accessible
Describe Title III of the ADA
PUBLIC ACCOMMODATIONS - buildings, all new construction and modifications must be made handicap accessible.
Describe Title IV of the ADA
TELECOMMUNICATIONS - phone companies must offer relay services
Describe Title V of the ADA
MISCELLANEOUS - provision that prohibits coehersion, threatening, and retaliation against someone with a disability or someone trying to help someone who has a disability
Measurements given by the ADA to properly accommodate those with disabilities:
Ramp: slope ration of 1:12
Railings: 34"-38" in height
Doorways: at least 32" wide
Thresholds: no higher than 1/4"
Carpets/rugs: no more than 1" thick (high off the floor)
Doorhandles: no higher than 48" and must be able to operate with a closed fist
Turnaround space: T-shaped or a 5 ft circle
Countertops: between 28"-34" high
Checkout counters: no more than 36" high
Toilets: between 17"-19"
Name the assistive devices in order from most to least stable
Parallel bars, walkers, axillary crutches, forearm crutches, platform attachment, cane
What is more stable, 1 cane or 2?
On the test you must NAME AT LEAST 3 MAJOR REASONS for assistive device use
compensate for impaired balance, decreased strength, alteration in coordinated movements, pain during weight bearing on one or both LE, absence of LE, altered stability, to improve functional mobility, to enhance body functions, and to assist with fracture healing
On the test you must WRITE out the 8 levels of assistance and describe them!
1-independent: pt requires no supervision or assistance
2-mod independent: pt uses adaptive or assistive equipment
3-assisted: patient requires assistance from another person to perform activity in timely manner
4-min assist: patient performs 75% or more of activity
5-mod assist: pt performs 50-75% of activity
6-max assist: pt performs 25-50% of activity
7-standby assistance: pt requires verbal or tactile cues from a person in the room but not touching the pt
8-dependent: pt requires total physical assistance
On the test you must provide the abbreviations, name, and then describe the WBS.
WBAT/FULL: weight bearing as tolerated or full weight bearing (up to 100% as tolerated)
PWB: partial weight bearing (50% of weight on extremity)
TTWB: toe touch weight bearing
NWB: non-weight bearing, no weight bearing permitted on extremity (0%)