Class 4: Mobility

Question 1

abduction

Answer 1

movement of an extremity away from the midline of the body to the torso

Question 2

adduction

Answer 2

movement of an extremity toward the midline of the body

Question 3

supination

Answer 3

turn lower arm and hand so that palm is up

Question 4

flexion

Answer 4

decreasing the angle between two adjoining bones (bending the joint)

Question 5

activity tolerance

Answer 5

the kind or amount of exercise/activity that the individual is able to perform

Question 6

bed rest

Answer 6

an intervention that restricts the patients to bed for therapeutic reasons

Question 7

body alignment

Answer 7

positioning of joints, tendons, ligaments and muscles while standing, sitting and lying

Question 8

foot drop

Answer 8

inability to dorsiflex and evert foot because of peroneal nerve damage

Question 9

gait

Answer 9

manner or style of walking/moving the body

Question 10

contracture

Answer 10

a deformity that is the stiffness or constriction in the connective tissues of your body (muscle cramp)

Question 11

muscle atrophy

Answer 11

the decrease in the mass of muscle due to the lack of use

Question 12

passive

Answer 12

the opposite of active

Question 13

safe patient handling

Answer 13

• clients are never to be lifted manually

- we can transfer or reposition when the client bears part or all of the weight

Question 14

point of care risk assessment / take 5

Answer 14

take ‘5’ to help reduce injuries

1. communicate with your partner
2. evaluate and prepare environment and equipment
3. evaluate and prepare client
4. prepare yourself
5. weight shift for power

Question 15

pre-standing check

Answer 15

1. core and hamstrings strength (in bed-to bridge)
2. balance (sit upright unsupported)
3. leg strength (sitting, extended at knee)
4. lower back strength (sitting: lean forward and straighten
5. ability to follow direction

Question 16

independent transfer

Answer 16

let them do it themselves

Question 17

standby transfer

Answer 17

needs caregiver presence in case of difficulty

Question 18

minimal assist transfer

Answer 18

assistance can take a variety of forms. example: watching patient, holding hand, little bit more than just verbal queues

Question 19

assisted transfer and walking

Answer 19

• ability to transfer means client can weight bear. clients are not to be lifted manually.
• care plan will be revealed about client transfers
• must always do a pre-standing check
• communicate with client to achieve a smooth, safe transfer
• must use a transfer belt if staff in physical contact during weight bearing activities

Question 20

transfer belt

Answer 20

• snug around resident/patient waist
• fingers of caregivers should be able to slide between patient and belt
• light grip on belt used to guide clients mobility
• care providers hands should not pass through the belt loops
• belt must never be worn to lift client

Question 21

canes while walking on flat ground

Answer 21

• top of cane should reach crease in wrist.
• walking on flat floor
• put cane about 10cm to side of stronger side
• weight on stronger side
• move cane about 10 cm in front strong leg, bringing the weaker leg forward at the same time
• using the cane to help keep weight off weaker leg, move stronger leg ahead

Question 22

canes while going upstairs

Answer 22

• place strong leg up first
• move cane and weaker leg up
• continue one step at a time

Question 23

cane going down the stairs

Answer 23

• place cane and affected leg first
• move stronger leg down
• continue one step at a time

Question 24

crutches

Answer 24

• need lots of upper body strength
• begin in tripod position, keep all weight on weight bearing foot.
• weight bearing foot first
• inch from armpit
• handle at wrist height

Question 25

walkers

Answer 25

- move forward so legs of walker is even with toes - step forward with affected leg to middle of walker - step forward with stronger leg

Question 26

wheelchair

Answer 26

- go backwards down hill or down a curb - use legs going uphill/up curb - go backwards in and out of an elevator

Question 27

SARA mechanical transfer / SARA steady

Answer 27

must be able to weight bear must do a pre-standing check -full movement/ no pain in shoulders -grasp with at least one hand -less than 350 lbs -must always have a second person -brakes on bed and wheelchair -dress affected side first and then undress unaffected side first -adjust bed so Sara fits under bed -brakes on Sara when attaching and detaching patient -brakes off when lifting patient and lowering second person to assist when: patient has poor sitting balance, or wearing slippery clothes or a camosun student - use a Sarah steady when a person needs less help -need shoes

Question 28

SARA

Answer 28

stand assist raise assist

Question 29

maxi lift

Answer 29

``` no pre standing check no shoes patient cannot weight bear keep patient at nurse waist height when moving organize equipment and environment communicate with patient brakes on while attaching and detaching brakes off while lifting and lowering recheck!!!!!!!!!! turn patient to face you on - leg straps first then shoulder off - shoulder then legs do not cross straps ```

Question 30

overhead lift

Answer 30

cross straps always hold bar on - legs first then shoulders off - shoulders first then legs

Question 31

what to do before the lift

Answer 31

``` care plan assess communicate organize environment organize equipment ```