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Moderate Assistance
Patient can complete some of the activity independently but completes no more than 50% of skill independently
Patient is consistently able to perform the activity safely
Specialized Transfer Techniques
Toilet, Tub, Car
Factors to Consider
Alsways let patient do as musch as possible, Three things must do: Lock wheelchair, Put gait belt on. MMT triceps and quads, Assess patients physiological state (chart review) or VSS, Check patient's sitting balance, Know patient's mental state and motivation, If at all in doubt, get assistance from aanother person
Levels of Assistance
Independent, Supervision, Stand by assist/close guarding. Contact guard assist, Minimal assistance, Moderate assistance, Maximal assistance
Stand by assist/close guarding
Fair probability of the patient needing assistance; helper should have a hand ready but not touching the patient
Preparing Patient
Place safety belt on patient, Tuck long robes out of way, Place foot coverings on patient, MMT quads and triceps, If patient has a non-functional UE, tuck it into the belt to protect it
General Rules
Body Mechanics, Factors to consider, Explanation of Process
Types of Transfers
6 Person slide with draw sheet, 3 person lift without draw sheet, sliding board, swing pivot stand pivot/stand step
Body Mechanics
Keep paitent close to your body, Use your legs, Pivot your feet, don't twist, Maintain wide base of support
Minimal Assistance
Patient can complete the majority of the activity without assistance but requires up to 25% assistance from therapist
After the Transfer
Repsition patient, Assure modesty; drape patient as needed, Check medical devices for proper drainage; always make sure catheter is lower than the bladder and IC is higher than the insertion site
Gait Belt, Sliding Board, Hoyer Lift
Low probability of the patient having a problem performing the activity, but helper should be within arm's reach
Toilet - Considerations
Clothing should be loosened before transfer, Doors should be 26" or wider, Seat should be at least 20" high
Perform Transfer
Scoot patient to edge of chair, Count aloud to allow patient to prepare and assist, Move slowly, Use good body mechanics
Toilet - Possible Transfer techniques
Stand pivot, Forward or backward transfer, Swing pivot, Sliding board
Contact Guard Assist
High probability of patient needing assistance; helper should have hands on the patient, but not give assistance unless needed
Explanation of Process
Explain what you want the patient to do, what you are going to do, and what the assistant needs to do, Demonstrate the transfer to the patient
Tub - Considerations
Have patient sit on bench first and then swing legs in, Good to have grab bars, tub chair, rubber mats with no slip surface
Need 5ft x 5ft area to do transfer
Maximal Assistance
Patient requires assistance from the therapist for at least 75% of the skill
Tub & Car - Possible Transfer Techniques
Stand pivot, Swing pivot, Sliding board

Deck Info