Podcast
Questions and Answers
In a two-person lift, what should the strongest person do?
In a two-person lift, what should the strongest person do?
- Support the patient's knees during the lift
- Position themselves at the foot of the patient
- Remove the footrests and armrests before lifting
- Grasp the patient's wrists while standing at the head (correct)
What is a key factor in performing a Squat Pivot transfer effectively?
What is a key factor in performing a Squat Pivot transfer effectively?
- Maintaining weight on the forefeet (correct)
- Helping the patient fully stand before pivoting
- Adjusting the wheelchair to an upright position
- Keeping the patient's knees tightly together
When conducting a Seated Sliding Board Transfer, what orientation should the surfaces have?
When conducting a Seated Sliding Board Transfer, what orientation should the surfaces have?
- Directly aligned and at a height difference
- Perpendicular to each other for stability
- Sloped upwards for easier movement
- Parallel or at a slight angle with level or downhill surfaces (correct)
In a Dependent Squat Pivot, what is crucial for the PTA to manage?
In a Dependent Squat Pivot, what is crucial for the PTA to manage?
Which of the following is NOT a consideration when conducting a transfer?
Which of the following is NOT a consideration when conducting a transfer?
What is the purpose of holding the draw sheet taut during a Bed to Cart Sliding Transfer?
What is the purpose of holding the draw sheet taut during a Bed to Cart Sliding Transfer?
For which situation is a Squat Pivot indicated?
For which situation is a Squat Pivot indicated?
What should the PTA do if the patient is unable to assist but can bear weight during a transfer?
What should the PTA do if the patient is unable to assist but can bear weight during a transfer?
What must be removed from the wheelchair before conducting a two-person lift?
What must be removed from the wheelchair before conducting a two-person lift?
What is the initial step in a Bed to Cart Sliding Transfer?
What is the initial step in a Bed to Cart Sliding Transfer?
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Study Notes
Bed to Cart Sliding Transfer
- Used for dependent transfers with locked surfaces and cleared IVs.
- Hold the draw sheet taut with an underhand grip near the patient's shoulders and pelvis.
- PTA at the head guides the transfer, and patients lift their head if able.
- Emphasize lifting instead of sliding to minimize shear forces.
2 Person Lift
- Suitable for patients with some upper extremity strength.
- The strongest individual positions at the head, grasping the patient’s wrists to ensure stability.
- Remove footrests and armrests before the lift.
- PTA managing the legs supports the knees for leverage.
- Lift the patient high enough for the buttocks to clear the wheelchair before lowering to the floor.
Squat Pivot and Dependent Squat Pivot
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Squat Pivot:
- Indicated for patients with weakness or unilateral weight-bearing restrictions.
- Keeping weight on forefeet aids in easier pivoting.
- Squatting keeps the center of gravity low, enhancing stability.
- Requires armrests to be removed, with the wheelchair parallel or slightly angled to the destination.
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Dependent Squat Pivot:
- For patients unable to assist but capable of weight-bearing.
- Remove armrests and footrests, with PTA supporting both knees.
- Patient rests head and upper body on PTA’s thigh, using momentum to pivot.
Seated Sliding Board Transfer
- Indicated for patients with bilateral weight-bearing restrictions.
- Position wheelchair parallel or slightly angled to the mat, with surfaces level or 'downhill.'
- Remove armrests and leg rests; slide board placed under the buttock at a 45-degree angle.
- Ensure the patient does not grasp the end of the sliding board.
Stand Pivot Transfer
- Appropriate for patients who can stand, use assistive devices, and when there’s a height difference between surfaces.
- Patient pushes up using armrests to stand, pivots or steps to turn, and reaches back to sit.
- Important to consider patient capability to achieve full standing with assistance as needed.
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