Provide the Definition and an Example for the levels of assistance
Independent
SBA
Light
Moderate
Heavy
Full
Unaided completely - Getting out of bed by self
No assistance unless required - helping to regain balance while walking
Minimal assistance - walking with a hand on patient for support
Slight assistance - walking with patient and taking more weight and providing more stability
As much assistance as safely possible - Aiding a bed roll without any or minimal assistance from patient
Lifter
Provide considerations when checking the patient prior to a transfer
Consent
SE (coherence, dizziness)
HAALT (MMT and AROM)
Start and Finish Position of Transfer
How can the patient do as much as possible
Attachments start and finish
Hierarchy of Controls - Most effective to least effective
Elimination - Remove the Hazard
Substitution - Replace the Hazard
Engineering Controls - Isolate people from the Hazard
Administrative Controls - Change the way people perform
PPE - Protective Gear
The Stages of MH
- Clinical Reasoning and Planning
- Execute the MH
- Self-Reflect and Eval
- Future Plan
Stages of MH - Clinical Reasoning and Planning
Cues (Facts)
Inferences (what do the cues mean and how will they impact MH)
Hypothesis (what the cues and inferences mean for management)
Stages of MH - Execute the MH
Test the hypothesis
Reduce Risk
Stages of MH - Self-Reflect and Evaluate
What went well?
What didn’t?
Did patient need a different level of assistance?
Possible Risks - Patient
Written info (WBS, O2, movements, splints)
SE (potential risk factors, SOB, Dizziness, cognition)
OE (HAALT and special attention to wound site and attactments)
Possible Risks - Physiotherapist
Fitness for practice
Clinical uniform
Infection control
Adequate knowledge of movement/transfer
Possible Risks - Environment
Clear space
Safety of Equipment
Infection Control
Time restraints
Assistance available
Attachments
Transfer start/finish
Possible Risks - Activity/Transfer
Is it appropriate/neccessary
How can it be done - start/finish
Who/what is needed
Is equipment adequate or is patient capable
