Module 12:Pt.2 Mobility

Question 1

What is the prestanding checklist for?

Answer 1

• Screentool NOT A COMPREHENSIVE ASSESSMENT
• use every time you assist someone
• check environment
• plan and communicate
• prepare person and yourself
  1) Need to bridge
  2) Situp right unsupported
  3) Extend legs while sitting
  4) Lean forward and then straighten
  5) Understands and follows directions

Question 2

What do do if they fail the pretending checklist

Answer 2

• wait to retest or use mechanical lift
• report a change of status
• request a reassessment

Question 3

What is the “Take 5” To help reduce injuries

Answer 3

1) communication with partner
2) Evaluating and preparing environment and equiptment
3) Evaluating and preparing the patient
4) preparing yourslef
5) Weight shifting for power

Question 4

Examples of when you would use a transfer belt

Answer 4

• Stand by assist
• 1 or 2 person transfer
• wheelchair to chair
• chair to toilet or commode
• one person car transfer
• bed to wheelchair
• one or two person walks with or without aid
• one or two person assist with stairs
• patient at risk of falls
• repositioning in wheelchair

Question 5

Helping older individuals initiate and maintain exercise

Answer 5

• Never too late
• Consult with physio
• resistance ans agility
• avoid prolonged sitting
• proper alignment while siting
• use stronger joints and muslces
• warmup
• stop when SOB or dysrhythmias
• cool down

Question 6

What are symptoms of orthostatic hypotension

Answer 6

• dizzy
• lightheaded
• nausea
• tachycardia
• pallor
• fainting
• TAKE BP BEFORE DURING AND AFTER

Question 7

When do you know the walker is the right height

Answer 7

Elbows are flexed 15-30 degrees

Question 8

Which side should pt. use cane on

Answer 8

Their strong side

Question 9

What are the three steps someone using a cane should do

Answer 9

1) Place cane forward
2) Weaker leg forward
3) stronger leg past cane

Question 10

How do you know crutch is right length

Answer 10

2-3 finger tips from axillary

Tip is 5cm lateral and 15 cm in front of pt. shoes

Question 11

What are the 4 crutch gaits

Answer 11

1) 4 point alternating
2) 3 point alternating
3) 2 point gait
4) Swing through gait

Question 12

Explain the 4 point alternating gait

Answer 12

• Weight on both legs

- alternating with crutches

Question 13

explain the 3 point gait

Answer 13

All weight on 1 foot

Question 14

explain the 2 point gait

Answer 14

partial weight on each foot, like normal walking

Question 15

Explain the swing through gait

Answer 15

used by braces on legs or paraplegic

Question 16

Explain stairs and crutches

Answer 16

• Use modified 3 point gait while going up the stairs
• unaffeted leg first then crutches
• going down the stairs crutches first then feet

Question 17

What does decreased range or motion indicate

Answer 17

Arthritis, inflammation, fluid or altered nerve supply

Question 18

What does increased ROM indicate

Answer 18

Connective tissue disorder, ligament tear , joint fracture q

Question 19

Who is at high risk ?

Answer 19

poor nutrition, poor circulation, loss of sensation, alteration in bone formation, joint mobility or impaired muscle development