Patient/Client Management Transfer/AD/Bed Mobility Lab Check Off

full weight-bearing (FWB)

no restrictions, 100% body weight per lower extremity

weight-bearing as tolerated (WBAT)

pt may perform support BW as is comfortable

partial weight-bearing (PWB)

typically prescribed by MD or by protocol per MD, ex. 50%

toe-touch weight-bearing/touch down weight-bearing

toes of affected LE may rest on floor, but not support actual weight

non-weight bearing (NWB)

no weight may be supported through the affected LE, no contact with the floor

independent (I)

patient is able to complete the task in a typical fashion/time with no one present

modified independence (mod I)

patient can safely complete task by themselves, but they need one or more adjustments to do so

set-up

able to perform task independently, but requires assistance for set-up of task or environment

supervision (S) or stand-by assistance (SBA)

pt is able to complete task in typical fashion/time, but requires someone present within arm’s reach

close guarding (CloseG)

hands of person present ready to assist, but no actual contact with pt

contact guarding (CGA)

person physically touching pt/hands on, but no assistance

hand-held assistance (HHA)

person requires assistance from person by holding hands

minimum assistance - Min(A)

pt can perform 75% or more of the effort (pt needs 0-25% assistance)

moderate assistance - Mod(A)

pt performs 50-74% of effort (pt needs 26-50% assistance)

maximum assistance (MaxA)

pt performs 25-49% of effort (pt needs 51-75% assistance)

dependent - D

pt performs less than 25% of effort (needs 76-100% assistance)

for assisted transfers, place wheelchair with surface on patient’s _____ side

unaffected

general transfer tips

inform patient about transfer and expectations, synchronize actions using commands and counts, reduce assistance as appropriate

patient should hold cane in _____ hand from affected side

contralateral

elbow angle for cane/crutches/walker setting

20-30 degrees

bottom of cane/crutch should be how far in front of toes when setting?

6 inches

crutches should sit how far below axilla?

2-3 finger widths

when guarding, stand on patient’s _____ side

affected side (slightly behind)