CNA - Topics 22 + 23 - Mobility and Transfers

When should elderly be referred to PT department?

residents who have poor balance or issues with walking

What will PT assessments determine?

The type of therapy and equipment the resident will need to assist to ambulate and transfer with

What is immobility? What are the risks?

Means no movement. There is risk of skin breakdowns and developing pneumonia (infection of the lungs)

What are safety precautions when ambulating?

Non-skid socks, lock anything the resident is walking to (wheels on bed/wc)

Where do you walk if the resident can see?

behind them and slightly to the side

where do you walk if the resident is blind?

lead with resident beside you with their hand on top of yours

What is gait? what is the proper gait?

the way you walk. feet should be flat on the floor

What does a shuffling gait indicate?

Parkinsons. should use a wheeled/tennis ball walker

What is another name for gait belt?

transfer belt

what is the gait belt used for? how should it be worn?`

to prevent falls.

• around waist over clothes

• 4 fingers (2 on each) for tightness

• buckle belt in the front

• hold under belt and on both sides

what side do you transfer with?

the strong unaffected side

Before performing a transfer, you should:

read the care plan. may need assistance/two person transfer

falls can be due to __. this is a sign of __

hip fracture. sign of negligence

mechanical lift is used when…

the resident isn’t able to bear weight

• sit → stand for residents that can bear weight

how old do you have to be to use a mechanical lift?

18

How should you push a wheelchair?

Forward when going up a ramp, backwards when doing down a ramp or into an elevator

how much should you extend the rubber tip of the walker?

4-6”

when should crutches be used?

for fractures where the resident has enough upper body strength

What is ROM? What does it prevent?

it is the movement of joints. It prevents contractures

when performing ROM, always support what joints?

wrist, elbow, knee

restorative

getting the resident back to where they used to be