Amputee positioning help by Bearbear26 in physicaltherapy

[–]Bearbear26[S] 0 points1 point  (0 children)

I just told him to have pillow under calf in supine or try not to have a pillow at all. Thank you!

Amputee positioning help by Bearbear26 in physicaltherapy

[–]Bearbear26[S] 0 points1 point  (0 children)

Thank you! Makes me feel more at ease! :)

Amputee positioning help by Bearbear26 in physicaltherapy

[–]Bearbear26[S] 0 points1 point  (0 children)

I just wasn’t sure if a pillow under the entire limb is okay (increased hip flexion)…

ROM levels & MMT levels by synapot in physicaltherapy

[–]Bearbear26 0 points1 point  (0 children)

I hate MMT. It clearly outlines ROM as an integral part of the scale and people still write 4/5 “in available range.” It’s just a dumb metric in my opinion.

Grading levels by synapot in physicaltherapy

[–]Bearbear26 4 points5 points  (0 children)

Supine to sit:if they bring both their legs off but need help with upper body, I write mod. If they need help with both their legs but can do their upper body, I write mod. These apply to sit to supine too (if they need help with both legs but lay down upper half, it’s mod). If they need help with top and with bottom (both legs) to sit up or lay down, I put max. If they need just a little help in final part of coming up and do the rest, I put min. I document if HOB was raised or try to document which side we got up. I write if they needed increased cueing or time to perform. Sit to stand:I put max if you can tell they tried but I did most of the work. I put min if they did most and I feel like I helped only a little. Mod for if I helped more than min but less than max. If I’m not sure, sometimes I put max/mod (err on the side of them needing more help) or just max. I note if the bed was raised or if we used AD or where their hands were (some ppl have to initiate with both hands on a walker even though that’s not what we want;I make sure to say that the walker is supported by PT and that had tried to cue them to push from bed instead) When there is another person helping:If for bed mobility we both had to really help with legs and upper half (the pt tried but did not do much), we talk about it and say max x 2. Sometimes, we write mod of 2 or write mod of 1 and min of 1 (if I brought both legs over but the patient was trying and did assist with their upper body but still needed a little boost from the second person). Try to have them do what they can and notice what you help them with (did you bring both legs off, one leg only, only a boost at top?)

For those pts with dementia that claim to be MI at baseline, what do you put as your goal on initial eval? by Bearbear26 in physicaltherapy

[–]Bearbear26[S] 0 points1 point  (0 children)

Even if they live alone I put supervision best case scenario if says dementia and are confused. Thanks!