patient positioning, body mechanics and trasnfer tech's Flashcards

1
Q

Positioning importance?

A

to prevent bed ulcers
to prevent possibility of contractures
patient comfort

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2
Q

Time frame for change in positioning?

A

every 2 hours in bed

every 15 minutes in sitting

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3
Q

conditions that make is so that the patient must be positioned more often

A

no sensation
fragile thin skin
poor circulation

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4
Q

prominences at risk seated

A

vertebral spinous processes
scapula
ischial tuerosities
+fibular head when legs spread open they hit against knee rest

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5
Q

prominences at risk prone

A
forehead
lateral ear
tip of the acromion process
anterior head of the humerus
sternum
anterosuperior iliac spine
patella, ridge of the tibia
dorsum of the foot
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6
Q

prominences at risk supine

A
occipital tuberosity
medial epicondyle of the humerus
spine of the scap, inferior angle of scap
vertebral spinous processes
posterior iliac spine
sacrum
greater trochanter
head of the fibula
lateral malleolus 
posterior calcaneus
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7
Q

prominences at risk side lying

A
lateral ear
lateral ribs
lateral acromion process
lateral headof the humerus
medial/lateral epicondye of the humerus
greater trochanter of the femur
medial and lateral condyles of the femur
malleolus of the fibula and tibia
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8
Q

positioning for supine

A

small pillows under head, knees, and ankles/lower leg

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9
Q

positioning for side lying

A

pillow between legs keeping hips neutral, roll under bottom ankle (possibly), pillow supporting top arm

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10
Q

positioning for prone

A

pillow under head turned or towel roll under forehead to keep neck in eutral, pillow under lower abdomen, pillow under anterior ankles

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11
Q

positioning for seated

A

foot support to keep the feet neutral and hips and knees at 90degrees, armrests to keep the arms at rest without shoulder elevation

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12
Q

special pop - amputees positioning

A

should not sit for > 40 min at a time

prone positioning to allow hip and knee to extend only 20 min at a time

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13
Q

special pop - hemiplegia

A

hand open, foot neutral, trunk midline

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14
Q

BOS

A

base of support - surface area of support of an object

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15
Q

COG

A

Center of Gravity - point where center of body mass is located…. just anterior to S2

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16
Q

5 L’s of lifting

A
load
legs
lever
lordosis
lungs
17
Q

lever

A

distance between COG and BOS

18
Q

lordosis

A

normal bend in back

19
Q

goal of transfer training

A

make the patient as independent as possible

20
Q

rules of thumb for t. training

A

Prepare area and all necessary equipment
Make sure the patient is dressed appropriately and has appropriate footwear - nonskid socks/shoes
Align the surfaces to prevent a space for the patient to fill
Review procedure verbally prior to transfer
Proper positioning (of pt and therapist) for good body mechanics
Always use a gait beld-safety and risk management

21
Q

MinA

A

patient doing most of the work

greater or equal to 75%

22
Q

ModA

A

patient doing 50% of the work

23
Q

MaxA

A

patient doing 25-50% of the work

24
Q

dependent (Dep)

A

patient does no part of the work, often with a lift

25
Q

independent

A

patient does activity with no assistance

26
Q

ModI

A

patient is doinf work independently but need extra time/adaptive equipment

27
Q

SPV (supervision)

A

patient needs supervision for safety, decision making, precautions, but is otherwise i or Modi

28
Q

CGA (contact guard assistance)

A

doing with guiding assistance or contact for balance

29
Q

SBA (standby assistance)

A

needs verbal cues

30
Q

MInA and SBA are different?

A

True