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pt._care
Module 7-bed mobility + Txrs
| Question | Answer |
|---|---|
| when should u assess the pt's pain level? | before and at the completion of txr. |
| how and y would you move a pt side to side in bed? | segmentally (scap, pelvis, feet. **if they can assist w/bridging, have them!) or with sheet. to prepare for a roll to side, maybe to get up, to change sheets. |
| how and y can you move a pt up/down in a bed? (1 person vs 2 person) | (*first move them close 2 ur side!) 1 person: pt can assist u wi/ bridging. or pull sheets @ head (palms facing down!). 2 pers- 1 on ea side of sheet. used 2 reposit pt for comfort/posit. used to prepare before rolling to sitting to get out of bed. |
| what's key when having a pt do a bridge (what are key things to instruct them with)? | push through ur heels and lift hips up towards the ceiling. |
| when moving a pt up in bed, do not attempt to move the lower trunk + pelvis upward more than ____ inches at a time. | 6-10". if u need to do more. reposition yourself and the pts LE and repeat. (same for moving down in a bed) |
| how and y can u move a pt from supine 2 sidelying? | ensure enuf room 2 roll 2 side, stand in front when u roll them! 1 pers- bend pt knee, push w/other if they can, u contact scap + GT. 2 pers- logroll (T'+L'). 3 pers- logroll w/ T,L,+C. other- use sheet under pt. key phrase " toward PT Left or Right. |
| supine 2 sit? how and y? | move pt close to 1 edge. dept Max A: use counterbalance of LE and UE to swing into sit. Mod A-Indep A: have them assist with UE! get them to sit to prepare for activity, amb, eat lunch, bed sores, etc. |
| supine 2 sit with THA precautions? | THA pt? txr to strong side but also consider their preference @ home. scoot legs to side (no ADD!) stay semi-reclined (aka "long sit"). move slowly! |
| Bed to/from W/C. what must u first do | W/C positioned 45-60 degrees, apply safety belt, LOCKED, remove arm rest and swing leg out. usually easiest for pt to txr while leading with their strong side. |
| bed 2 W/C? Indept/some assistance? | stand pivot (txr 2 strong side; lean upper body away 2 deweight, ensure ur foot placement correct with 1 ft in direction of bed and chair, encourage "nose over toes"/rocking, block knee closest 2 txr surface w/ both ur knees.) |
| bed 2 W/C dependent txr? | for a NWB LE: similar. WC on same side as FWB extremity,, but block strong LE (foot outside, knee inside). u can encourage NWB LE on top of urs to ensure No WB. |
| Txr board? how? | get pt sitting, lower bed to same height as WC (locked, casters fwd, angled towards bed, arm rest removed, legs out). LEs on bed/over side. de-weight 1 side + posit board under upper thighs/bottom+ other chair seat (45 deg), wieght shift and scoot across! |
| what should you document for a pt's bed mobility/txrs? | Type of txr, lvl of assist, amt of time (good objective measure that theyre still improving even tho they remain Max A.), lvl of safety, quality of momt, precautions 4 txr, lvl of consistency of the performance, any equip required- TLSO, txr board, walker |
Created by:
tpostrel
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