BPC Chapter 8 (Bed Mobility)

Bed Mobility:

The ability to move upward, downward, or from side to side and the ability to roll, turn over, and move to a sitting position from a recumbent position.

BM Transfers:

Can prevent some effects of immobility.

Most Common Movements in BM:

Turning from supine to side lying and returning, supine to prone and returning, moving in bed-upward, downward, side to side, rolling, bridging, moving from lying to sitting EOB.

BM-Assited:

PTA assist the patient by instructing the pt in each component of the independent transfer until the pt becomes independent.

Moving pt up in bed:

Can go up or down, watch head if unable to control.

Side to Side Movement:

Move pelvis, move UE and trunk, etc.

Supine to Sitting Methods:

Logrolling and Long-sit

Long Rolling Transfer MUST:

Always used with a pt with a spinal fracture, recent back/spinal surgery.

Back Precautions:

BLT (NO bending, lifting, and twisting).

Posterior Hip Precautions:

No bending past 90 degrees flexion, No hip ADDUCTION past neutral, NO hip internal rotation past neutral.

Anterior Hip Precautions:

NO active hip extension past neutral, NO active hip Abduction, NO hip External Rotation past neutral.

Stand by Assist:

Supervision

Contact Assist:

Touching

Minimal Assist:

25% help

Moderate Assist:

25% - 49%

Maximal Assist:

50% - 74% help

Total Assist:

75% or more to help 2 people.