Equipment and Assistive Devices list)
# Page 68
## Transferring a Client – Levels of Assistance
- Maximum assistance: client cannot bear weight or assist; use a total mechanical lift/slings
- Moderate assistance: can sit; some upper body strength but not enough lower body strength; use sit-to-stand lifts and assistive devices
- Minimum assistance: can rise from seated position and stand with support; use gait belt and devices
- No assistance: client can stand, march in place, and walk independently
- Safety: ensure non-skid footwear and a clear pathway
# Page 69
## Ensuring Safe Patient Handling and Mobility (SPHM)
- Assess client abilities and medical diagnosis
- Assess ability to assist
- Use appropriate number of assists
- Check area for clutter
- Explain plan to client
- Administer pain management as needed (assessment)
- Support body properly; minimize friction
- Use SPHM equipment as necessary
# Page 70
## Equipment and Assistive Devices – Additional List
- Gait belts
- Stand-assist and repositioning aids
- Lateral-assist devices
- Friction-reducing sheets
- Mechanical lateral-assist devices
- Transfer chairs
- Powered stand-assist and repositioning lifts
- Powered full-body lifts
# Page 71
## Positioning Patients
- Pillows, mattresses, adjustable beds, bed side rails, trapeze bar, other equipment
# Page 72
## Moving, Turning, or Transferring
- Turning a patient in bed
- Moving a patient up in bed
- Transferring bed-to-stretcher or bed-to-chair
- Assisting with range-of-motion exercises (active and passive)
# Page 73
- Key anatomical landmarks: hips, heels, head, elbows, shoulder, sacrum
# Page 74
- (Content labeled A/B; likely diagram-related notes; content not provided in text.)
# Page 75
## Implementation: Safety
- (Content not detailed in the provided transcript.)
# Page 76
- (No content provided on this page.)
# Page 77
- MED MATER RETRACTABED (likely a device reference; content not detailed in transcript)
# Page 78
- ccora (unclear; content not detailed in transcript)
# Page 79
- (No content provided on this page.)
# Page 80
## Mechanical Aids for Walking
- Walker
- Cane
- Braces
- Crutches
- Other mobility aids (drive-assisted devices, etc.)
# Page 81
## Assistive Devices for Walking – Pivot Maneuver (Step-by-step)
- Step 1: Patient crosses arms over chest; position and safety check
- Step 2: Gait belt placement and patient support
- Step 3: Move wheelchair to bed side; patient holds shoulders; therapist uses gait belt
- Step 4: Pivot maneuver to assist patient transfer
# Page 82
## Walker Instructions
1) Push up from bed using side rails
2) Place hands on walker
3) Move walker and affected leg forward
4) Move the unaffected leg forward to meet the first leg
# Page 83
## Cane Instructions
1) Use cane on the unaffected (strong) side
2) Stand
3) Place cane about 6 inches in front of the advancing foot
4) Move the affected leg to be beside the cane
5) Move the unaffected leg beyond the cane by about 6 inches
6) Move the cane forward 6 inches beyond the foot
7) Move the affected leg forward to align with the cane
# Page 84
## Crutches – Ambulation & Gaits
- Gait patterns: 4-point, 3-point, 2-point, swing gait
- Step-by-step setup: introduce, ensure patient stability, place crutches correctly, and advance legs accordingly
- Steps include positioning crutches, weight-bearing status, and sequence of leg advancement
# Page 85
## Going Upstairs with Crutches
- Instructions emphasize safety with the injured leg leading or following depending on the pattern; specifics not detailed in this excerpt
# Page 86
## Going Downstairs with Crutches
- Instructions emphasize safety with the injured leg leading or following depending on the pattern; specifics not detailed in this excerpt
# Page 87
- (No content provided on this page.)
# Page 88
## Variables Leading to Back Injury in Health Care Workers (Ergonomics)
- Uncoordinated lifts
- Manual lifting and transferring without assistive devices
- Lifting when fatigued or after back injury
- Repetitive movements (lifting, transferring, repositioning)
- Standing for long periods
- Transferring patients and repetitive tasks
- Transferring/repositioning uncooperative or confused patients
# Page 89
## Proper Body Mechanics
- Definition: Use of proper body movement to prevent injury and enhance coordination and endurance
# Page 90
## Safe Body Mechanics – Proper vs Improper Lifting
- Good practice examples and common mistakes in lifting objects
# Page 91
## Safe Body Mechanics – Practical Plan
- Plan your lift
- Ask for help if needed
- Widen your base of support
- Bend your knees
- Tighten abdominal muscles
- Lift with leg muscles
- Keep the load close to the body
- Keep the back straight
- Summary: A structured checklist to reduce risk of injury during lifting and moving tasks
**Note on LaTeX usage in this document:** Where chemical/ionic notation or simple formulas appear, they are represented using LaTeX for clarity. For example, calcium storage/release is denoted as $$\mathrm{Ca^{2+}}$$ and phosphate as $$\mathrm{PO_4^{3-}}$$. Additionally, a general ROM relation can be expressed as $$\text{ROM} = \theta_{\max} - \theta_{\min}$$ where θ represents joint angle.
Updated 38d ago
Note