FTP PTA Transfers
Terms
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- sliding board - how
- remove foot and arm rest, place board under pt, grasp belt and slide pt.
- stand pivot - how
- grip gait belt and have pt. stand slwoly pivot feet to turn pt. , lower pt. to bed
- consider before transfer
- let pt. do as much as possible, lock wheel chair, put gait belt on, shoes or grippy socks, MMT quads and triceps, assess pt.'s physiological state, check sitting balance, know mental state and motivation
- types of transfers
- 6 person slide, 3 person lift, sliding board, swing pivot, stand pivot
- patient preparation
- place gait belt, tuck long robes out of way, shoes or grippy on pt., MMT triceps and Quads, tuck in UE
- independent level of assistance
- pt. 100% able to do activity
- gait belt - use
- always use belt unless pt. recumbelt, any belt works, place snugly around waist, do not place through belt loops
- sliding board- use
- use towel or powder if skin bare, tilt pt. to one side to place board, stabilize end of board, watch fingers
- sliding board - why
- pt. obese, decreased strength, poor balance, bilater amputee, high level quadrapelegic, good UE strength
- environment preparation
- postion pt. utilize strong side, mimic home situations, lock wheelchair brakes, check tubing, dry floor, move to similar height
- 6 person slide w/ draw sheet - how
- three people on each side each grasping sheet
- moderate assistance level of assistance
- pt complete some of the activity up 50 % hlp from therapist
- swing pivot - why
- one good LE but poor LE strength, UE strength
- maximal assistance level of assistance
- pt requires assistance from therapist for at least 75% of skill
- hoyer lift - use
- for obese or very week pt.s, sling on metal lift
- Transfer body mechanics
- keep pt. close to your body, use legs, pivot feet, wide base of support
- swing pivot - how
- remove arm/foot rest, scoot pt. forward, squeeze pt.'s knees between yours, swing pt. to chair
- 5' X 5'
- area needed for toilet transfer
- contact guard level of assistance
- high probability of pt. needing help, hands on but not helping unless needed
- stand by assist / close guarding level of assistance
- fair probability of pt. needing help, helper close but not touching pt.
- stand pivot - why
- fair strength, unilateral involvement, THR TKR reduced fracture
- minimal assistance level of assistance
- pt complete majority of activity up to 25% assistance from therapist
- transfer performance
- scoot pt. to edge of chair, count aloud to prepare pt. to assist, move slowly, use good body mechanics
- three person lift w/o draw sheet - how
- set carts perpendicular, foot of one near head of other, slide arms under head, chest, legs/feet, move pt. to edge of bed and roll into baody for stability, lift together and transfer
- supervision level of assistance
- pt. low probability of problem, helper within arms reach
- 6 person slide w/ draw sheet - why
- comatose pt. , paralysis, large pt., back surgery
- transfer equipment
- gait belt, sliding board, hoyer lift
- after transfer
- reposition pt., assure modesty, check medical devices
- 3 person lift w/o draw sheet - why
- comatose pt., paralysis, large pt.,
- explanation of process
- explain what you are going to do, what they are going to do, what assistant needs to do, demonstrate transfer to pt.