Exam 12: Vertical Transfers

Your patient is a 78-year-old woman who has had shoulder surgery. She is leaving rehabilitation at the end of the week. She lives alone and has a history of falls, and you need to teach her how to get up from the floor if she should fall at home. Which of the following is most important to consider when determining which strategy to teach her?

What accommodation is made to ensure safety as patients are learning to perform transfers between chair and floor?

Your patient has been working on transferring from the floor into his wheelchair. He is having great difficulty with the task, primarily because his arms are not very strong. What can you do to make the transfer easier for him?

Which of the following is the initial position for a turnaround technique to transfer from the floor to a wheelchair?

Transfers between chair and plinth are a variation of the squat-pivot transfer.

A backward lift transfer from the floor into a wheelchair requires which of the following?

When assisting your patient during a high transfer such as from chair to plinth, which of the following represent the best contact points for guarding the patient?

If a step stool is used for transfers between chair and plinth, then it must always be used for the descent from the plinth.

During a floor-to-wheelchair transfer, the casters are positioned forward. Why is this done?

There are multiple acceptable ways to accomplish a floor-to-chair transfer.

The turnaround into quadruped technique to move from a wheelchair to the floor requires that the patient rise from the seat and turn around before lowering the body to the floor.

When is it most likely that a step stool will be required for transfers between chairs and plinths?

Your patient has recently undergone total right knee arthroplasty and is seated on a plinth with both feet resting on a stepstool. How should you instruct your patient to step down off the stepstool and onto the floor?

Which of the following is the best wheelchair position for a chair-to-plinth transfer if the patient is going to lie down on the table?

Your patient does not have functional strength in either of his lower extremities. Which of the following is the best way for this patient to begin a transition from the floor to a chair?

Your patient is a 19-year-old woman who has paraplegia secondary to a horseback riding accident. She is preparing to leave rehabilitation, and you are working with her on wheelchair skills. You want to teach her how to transfer from the chair to the floor and back. She does not understand why she should learn this skill. Which of the following is the best explanation to give her?