turning/rotating positions, every 2hrs, properly positioning them no wrinkles in sheets, special beds
List general principles and education of positioning pts. for long term use
pillows foward to take pressure off region, push ups in wheel chair, teach how to inspect themselves
What is FIM Scale?
Fuctional Independance Measure - need to put a number on an activity such as transfers or gait
Describe the FIM scale
1- less than 25%, 2-less than 50% more than 25%. 3-less than 75% but more than 50% effort 4- min. contact assistance, contact guard for stbility 5- supervision, standby, coaxing 6- saftey risk, modified dependent 7- complete independance
What are 2 ways to roll someone to sidelying (be able to describe both)
log rolling and segmental rolling
What does the FIM scale asses?
How much work the pt is doing on a scale 1-7, 1 being the worst
Before transfering a pt what do you need to think about?
1- access the pt, 2- gross screening of pt stength, cognition, following commands
What device can you use to transfer someone who has little lower extermity strength of cannot stand up?
If pt can stand, but still needs assistance, what kind of transfer should you consider?
Stand-Pivot transfer -make sure good body mechanics, COG over BOS
Describe the pressure Ulcer Staging system
1- skin intact, reddening 2- partial thickness, skin loss of layers, blisters 3-full thickness, tissue loss extending through dermis into subcutaneous tissue(tunneling), 4-deep tissue destruction infection into subcutaneous fasia and may go to bone, necroti tissue tunneling