Rise and Shine
True or false: Pivot transfers require at least one LE to be WB
True
Towards which side would you transfer a patient with hemiplegia?
stronger
Indications for tilt table
Faciliate weight bearing, improve orthostatic hypotension, increase arousal, increase upright tolerance
Your patient suddenly starts sweating, appears clammy, pale, and is reporting chest pain. What code do you call
Code Blue (emergency resuscitation team)
What is a common place for a pressure ulcer when lying supine?
Occiput, scapulae (especially inferior angles), spinous processes, elbows, sacrum and or coccyx, ischial tuberosities, lateral malleoli (if hips are in ER), heels
When transferring a patient, you generally want to transfer them towards which side?
stronger
Why shouldn't a patient with total hip precautions pivot on their affected leg when performing a transfer?
This type of precaution is based on the principle that ALL body fluids, non-intact skin, and mucous membranes may contain transmissible infectious agents
Standard Precautions
Acronym for identifying CVA/ stroke emergency
F: Face
A: Arm
S: Speech
T: Time
To prevent pressure ulcers, a PTA recommends to a caregiver to move the patient every ____
2 hours
Your patient requires maxA to perform a sit to stand. How much effort are you giving the patient?
50-75%
What is the first step to performing a car transfer?
Slide the car seat back
What PPE would you wear for performing transfer training with someone with open lesions?
gloves and gown
Things you can do to help someone who is having a seizure
ease them to the floor, turn them to their side, clear the area to prevent injury, put something soft under their head
To prevent/ reduce edema in the LE how should you position distal extremities
at or above level of heart
Your patient has strong B UE and core strength however he is NWB B LE. Which AD would you recommend for his transfers?
slideboard
Why shouldn't you instruct your patient with posterior total hip precautions to perform supine <> sitting through sidelying?
increased risk of hip adduction and IR
Why would you choose to use a total body lift or lateral transfer device versus perform a transfer?
Patient is heavy and dependent, standing in not an option
The mode of transmission characterize by small pathogenic particles that remain suspended in the air for long periods of time.
Airborne
A member of the rehab team who works with patients with dysphagia and communication
speech language pathologist (speech therapist)
Explain when you would recommend a patient progress from a squat pivot transfer to a standing pivot transfer
Improved balance, improved ability to stand erect, decreased dependence, improved strength (quads)
You are performing bed mobility training on a patient wtih L sided hemiplegia. Which direction would you instruct them to initiate rolling?
To the left. Movement is initiated by stronger side and its typically easier for patient to sit up from sidelying on the weaker side.
A patient is having difficulty getting out of bed on their own due to generalized weakness. Name 2 exercises you would perform to improve their bed mobility.
bridging, lower trunk rotations, SLR, heel slides..
A man in the physical therapy waiting area suddenly grasps his throat and appears to be in distress. The man stands, but is obviously unable to breathe. The PTA recognizing the signs of airway obstruction should administer
Heimlich maneuver
What is the benefit to teaching your patient to get into a hooklying position before performing therapeutic activities?
allows better utilization of "power" muscles: quads and glutes; improved knee joint stability; improves side to side leverage; component of bridging and rolling