Patient Management Lab 4

Independent Bed mobility

patient can perform a task (dressing, toileting, bathing, eating…) or mobility skill (bed mobility, transfers, gait, stairs) without any verbal or manual assistance

Modified Independent bed mobility (mod I)

patient uses adaptive equipment ot assistive devices to perform a task or a mobility skill independently or requires increased time to complete the task or mobility skill, or there are safety considerations

Minimal Assistance (min A)

patient performs 75% or more of the activity, assistance is required to complete the activity

Moderate Assistance (Mod A)

Patient performs 50-74% of the activity, assistance is required to complete the activity

Maximal Assistance (max A)

patient performs 25-49% of the activity, assistance is required to complete the activity

Total Assistance

patient performs less than 25% of activity or requires assistance from 2 or more people

Standby assistance

patient requires verbal or tactile cues or instruction from another person who is close to but not providing physical assist to the patient

Contact guard assistance (CGA)

caregiver is close to the patient with his/her hands on the patient or gait belt — it is likely that the patient will require protection during transfer or gait

Dependent

patient requires total physical assistance from one or more persons to accomplish the activity

Sequential roll

patient is able to rotate throughout trunk/spine to roll to/from side

Log Roll

patient whom trunk rotation is not tolerated (abdominal or thoracic surgery) or is contraindicated (lumbar spine surgery)

-must roll as a unit, or log to get into/from sidelying

**Must be used for postop lumbar spine patients

Long Sit

used for lower extremity orthopedic patients

-lower extremity fractures, hip replacement, knee replacement, fracture, amputee

Long sit posterior approach

no hip flexion past 90 degrees, no hip adduction past midline of the body, no internal rotation of the hip (most common- will be emphasized)