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28 terms

1120 Bed Mobility and Transfers

STUDY
PLAY
What are the goals of bed mobility?
Patient independence
Safety
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
Improve independence
How do you actively involve the pt. in bed mobility?
Demonstrate
Relevant
Ask for head control and positioning of extremities
How do you reduce energy expenditure?
Use proper body mechanics.
Bed mobility considerations
Cognitive Abilities
Physical Abilities: ROM, endurance, strength, flexibility, balance
Safety
Precautions
Independence levels
Frequency
Bed mobility complicating factors
Pathology
Surgery
secondary diagnosis
physiological status
mental status
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?
Roll
What techniques are used for supine up/down?
Scoot
Bridge
Do bed mobility excercises always have to be done in bed?
No. A mat table works just as well.
Transfer?
Movement of a person from one surface to another.
Supervision?
Verbal cues
Tactile - touch cues
Transfers in order of assistance needed
Independent
Standby assistant
Guard - close -- contact
min
mod
max
dependent
Independent assistance
no physical supervision or assistance to consistantly perform safely.
Assistive devices may be used.
Standby assistance - SBA
verbal cues
no touch
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
min. assist
pt performs 75% or more
mod assist
pt performs 50 - 75%
max assist
pt performs 25 - 50%
dependent
requires total physical assistance
Transfer precautions
hip replacements - (see next card)
back surgery - log roll
burns
sci
osteoporosis
syncope - dizziness
hemiplegia
Hip replacement transfer precautions
2-3 months, lateral
-no hip flexion passed 90*
-no adduction passed midline
-no internal rotation
Transfer training preparations - (10)
Cognitive ability
Instructions
Position pt and secure equip.
Apply gait belt
No slip shoes
Weight bearing status
Proper body mechanics
Clear surroundings
Solicit assistance
Safety
Types of transfers
bed/gurney
sup/sit
sliding board
stand pivot - pt's back toward object to which pt is lowered
wc/bed
wc/floor
car
Bariatric (obese) pt considerations
2-3 person lift
mechanical lift
hoyer (?)