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mobility & transfers
mobility for rehabilitation
| Question | Answer |
|---|---|
| What is an ORIF | Open reduction and internal fixation |
| Weight bearing restrictions for ORIF | NWB or physician recomendations |
| NWB | non-weight bearing |
| TTWB | Toe-touch weight bearing: toe can beplaced on the ground while 90% of wt is on unaffected leg |
| PWB | Partial weight bearing: only 50% of the persons body weight can be placed on affected leg. |
| WBAT | Weight bearing as tolerated: pt can judge how much weight tolerated. |
| FWB | Fullweight bearing: pt should be able toput 100% of wt on affected leg without causing damage. |
| Hip precautions: Posterolateral approach (P-A or PA) | No hip flexion greater that 90 degrees-No internal rotation- No adduction (crossing legs or feet) |
| Hip precations: Anterolateral appraoch (A-P or AP) | No external rotation-No Adduction (crossing legs or feet)-No extension |
| Chair transfers to sit | extend opperated leg, reach back for armrests and sit slowly |
| Chair transfers to stand | extend opperated leg and push off from armrests |
| Posterolateral precautions when sitting | pt should not lean forward when sitting down-pt should sit on the fron part of the chair and lean back***Avoid soft reclining chairs or rockers. |
| Commode chair positioning | All pts should wipe between the legs in a sitting position or from behind in a standing position c caution to avoid trunk rotation. To flush; pt is to stand up and step to face the toilet to flush**No rotation of hip or trunk |
| commode chair seating for posterolateral precautions | the 3-in-1 commode can be adjusted so front legs are are one notch lower than back legs;hip fexion not to exceed 90 degrees |
| commode chair seating for anterolateral precautions | These pts may have enough hip mobility to use a std toilet safely @discharge. |
| THR precations in the shower stall | non-skid strips-walker/crutches 1st-opperated leg 2nd-non-opperated leg 3rd; or use shower chair |
| shower-over-tub (w/o shower doors)precations | Use a tub bench; pt sits on edge of the bench and swings the leg over(using hip precautions); or sponge bath |
| Bed mobility for L.E. fractures/joint replacements | 1)Supine; c abduction wedge or pillow, recommended (helps reduce edema & knee flex contractures) 2)Sidelying on non-opperated side;prevent rotation of opperated leg by abducting c pillows/wedge |
| Assistive devices (AD) for L.E. fractures/joint replacement | Sock aid; reacher; dressing stick; leg lifter; long-handled sponge; walker bag; elastic shoe laces; long-handled shoe horn |
| L.E. dressing | ***AVOID ABD/Rotation or CROSSING LEGS Opperated leg is dressed 1st using a reacher/dressing stick A sock aid is used to don/doff socks |
| Hemovac | A plastic drainage tube inserted @surgical site to assist postoperative blood drainage. Usually left in place for 2 days after surgery |
| Balanced suspension | fabricated by PT or cast-rm tech, used to support LE in the 1st few postoperative days. |
| Reclining wheelchair | For pts with hip flexion precations when seated. |
| Sequential Compression Devices (SCDs) | Inflatable, external leggings,used postoperatively to reduce the risk of deep vein thrombosis and provide intermittent compression |
| Antiembolus hosiery | Thigh-high hosiery, worn 24 hrs a day, except during bathing. Used to assist circulation, prevent edema, and reduce then risk of deep vein thrombosis. |
| Deep Vein Thrombosis (DVT) | Blood clots called pulmonary emboli, release from deep veins and lodge in the lungs causing death |
| Pt controlled administration of intravenous analgesia | The amount of medication ispredetermined and programmed by the physician and nursing to allow the pt to self administer pain meds by pusing a button |
| Incentive Spirometer | Portable breathing apparatus used to encourage deep breathing and reduce the risk for postoperattive pneumonia. |
Created by:
debbiej
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