Five key elements to assess for safe transfer
- The environment
- Available equipment
- Type of transfer
- Yourself/your abilities
- The client – ability to assist
What is muscle contracture?
A permanent shortening of a muscle or joint
What assessment tool should you use before transferring a patient?
Functional transfer record (FTR)
Prone position
On stomach, head to the side
Semiprone position
On stomach, one leg up, arm up
Lateral position
On side
Fowlers position
Head of bed is elevated high as possible
Tredelenburg position
Head of bed is lowered
Orthopneic position
Sitting up, resting on table
Clients who cannot wait bear on either leg, Or who are unable to transfer safely require what kind of lift
Mechanical lift
What is the difference between a transfer and a lift?
- During the transfer procedure, the client must be able to weight-bear part or all of his/her weight.
- A lift is a procedure in which the client’s entire weight is supported by a lifting device. A lift is used on clients who cannot weight-bear. Lifts are used to move clients from one place to another or to reposition them.
What is an Arcorail?
The Arcorail attaches to the frame of the bed. It is a rotating bedside handrail that assists clients with balance, repositioning, sitting up, and transferring to a chair or wheelchair from the bed.
What are the benefits of exercise on the cardiovascular system?
- Circulation of blood – increased cardiac output
- Condition of skin
What are the benefits of exercise on the pulmonary/respiratory system?
- Ability to rid lungs of secretions
- Increased depth of respirations
What are the benefits of exercise on the metabolic and GI/GU system?
- Basal metabolic rate – weight loss and decrease cholesterol
- Increased use of glucose and fatty acids
- Elimination of stool and improved digestion
- Ability to excrete urine
What are the benefits of exercise on the musculoskeletal system?
- Joint movement
- Muscle size, strength, function
- Reduced bone loss
Benefits of exercise in activity tolerance
- Increased
* Decrease in fatigue
Benefits of exercise - psychosocial factors
- Improves stress tolerance
- Reports of feeling better
- Improved sleep
- Improved immune system
Complications of immobility – Metabolic changes
-gastric dysfunction, constipation, alteration of metabolism of fats, carbohydrates, protein
Complications of immobility - Cardiovascular changes
- hypotension
- increased cardiac workload
- thrombus formation
Complications of immobility – musculoskeletal changes
-loss of endurance, strength, decreased muscle mass, impaired calcium metabolism, decreased stability and balance, impaired joint mobility, osteoporosis
What are the Psychological effects of immobility
- decreased social interaction/isolation
- loss of independence
- depression
- impaired self image/self concept
Promoting mobility in acute care
- Encourage independence
- Utilize assistive devices if needed
- Frequent mobilization to prevent deconditioning – set up daily routine
- Utilize proper body alignment when assisting
- Utilize other members of the healthcare team/family for collaborative care
What are active range of motion exercises?
Done by the patient
