Stroke Rehabilitation Unit Orientation Module 9: Positioning, Transfers and Ambulation 1
• • • •
• •
1.
http://www.strokebestpractices.ca/wp-content/uploads/2016/01/TACLS-Chapter-6-Activities-and-Participation.pdf
2. http://rnao.ca/sites/rnao-ca/files/Risk_Assessment_and_Prevention_of_Pressure_Ulcers.pdf
Essential Resources
Stroke Network
Stroke Rehabilitation Unit OrientationModule 9: Positioning, Transfers and Ambulation2
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Core Knowledge
Stroke Rehabilitation Unit Orientation Module 9: Positioning, Transfers and Ambulation 3
•
•
•
•
•
•
•
•
•
•
•
•
•
Stroke Rehabilitation Unit OrientationModule 9: Positioning, Transfers and Ambulation4
•
•
•
.
Stroke Rehabilitation Unit Orientation Module 9: Positioning, Transfers and Ambulation 5
Nursing Assessment
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Stroke Rehabilitation Unit OrientationModule 9: Positioning, Transfers and Ambulation6
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Stroke Rehabilitation Unit Orientation Module 9: Positioning, Transfers and Ambulation 7
•
•
•
•
•
•
•
Nursing Intervention
• • •
•
• •
Stroke Rehabilitation Unit OrientationModule 9: Positioning, Transfers and Ambulation8
•
•
•
•
•
•
•
http://swostroke.ca/hemi-arm-protocol/
•
•
Stroke Rehabilitation Unit Orientation Module 9: Positioning, Transfers and Ambulation 9
Item Purpose
Stroke Rehabilitation Unit OrientationModule 9: Positioning, Transfers and Ambulation10
•
•
•
•
•
•
•
•
•
•
•
•
•
Stroke Rehabilitation Unit Orientation Module 9: Positioning, Transfers and Ambulation 11
•
•
•
•
•
•
•
•
•
•
•
Stroke Rehabilitation Unit OrientationModule 9: Positioning, Transfers and Ambulation12
•
•
•
Stroke Rehabilitation Unit Orientation Module 9: Positioning, Transfers and Ambulation 13
•
•
•
•
•
•
Sit-to-Stand Protocol Encourage patient’s independence with sit-to-stand (putting on brakes, pushing back foot rests, foot placement) whenever possible. Minimize verbal cues and hand gestures as patient improves in sit-to-stand performance.
Stroke Rehabilitation Unit OrientationModule 9: Positioning, Transfers and Ambulation14
•
•
•
•
•
•
•
•
• •
Self-Management
Stroke Rehabilitation Unit Orientation Module 9: Positioning, Transfers and Ambulation 15
•
•
•
•
•
•
•
•
•
•
Reflection
• •
Stroke Rehabilitation Unit OrientationModule 9: Positioning, Transfers and Ambulation16
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Stroke Rehabilitation Unit Orientation Module 9: Positioning, Transfers and Ambulation 17
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Stroke Rehabilitation Unit OrientationModule 9: Positioning, Transfers and Ambulation18
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Stroke Rehabilitation Unit Orientation Module 9: Positioning, Transfers and Ambulation 19
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Stroke Rehabilitation Unit OrientationModule 9: Positioning, Transfers and Ambulation20
References
American Academy of Health and Fitness. (n.d.). Berg balance scale. Retrieved from http://www.aahf.info/pdf/Berg_Balance_Scale.pdf
Barreca, S., Sigouin, C. S., Lambert, C., & Ansley, B. (2004). Effects of extra training on the ability of stroke survivors to perform an independent sit-to-stand: A randomized controlled trial. Journal of Geriatric Physical Therapy, 27(2), 59-64.
Heart and Stroke Foundation(HSF). (2015). Chapter 6 – Activities and Participation: Positioning, Transfers, and Mobility. In Taking Action for Optimal Community and Long-Term Stroke Care: A Resource for Healthcare Providers. Toronto, ON. Retrieved from http://www.strokebestpractices.ca/wp-content/uploads/2016/01/TACLS-Chapter-6-Activities- and-Participation.pdf
Hebert, D., Lindsay, M. P., McIntyre, A., Kirton, A., Rumney, P.G., Bagg, S.... and Teasell, R. (2016). Canadian stroke best practice recommendations: stroke rehabilitation practice guidelines, update 2015. International Journal of Stroke, 0(0), 1-26. Retrieved from http://www.strokebestpractices.ca/index.php/stroke-rehabilitation/
Mehta, S., Teasell, R. & Foley, N. (2013). Painful Hemiplegic Shoulder. London, ON: Evidence-Based Review of Stroke Rehabilitation. Retrieved from http://ebrsr.com/sites/default/files/Chapter11_HemiplegicShoulder_FINAL__16ed.pdf
Miller, P. et al. (2008, October). Chedoke –McMaster stroke assessment: Development, validation and administration manual (2nd ed.). Hamilton, ON: McMaster University & Hamilton Health Sciences. Retrieved from http://www.rehabmeasures.org/pdf%20library/cmsa%20manual%20and%20score%20form.pdf
Registered Nurses’ Association of Ontario. (2005). Risk assessment and prevention of pressure ulcers [Revised 2011 supplement enclosed]. Toronto, ON: Author. Retrieved from http://rnao.ca/sites/rnao-ca/files/Risk_Assessment_and_Prevention_of_Pressure_Ulcers.pdf
Southwestern Ontario Stroke Network. (2012) Hemi arm protocol. London ON: Southwestern Ontario Stroke Network. Retrieved from http://swostroke.ca/hemi-arm-protocol/
Teasell, R., Hussein, N., Viana, R., Madady, M., Donaldson, S., McClure, A., & Richardson, M. (Eds.) ( 2014). Stroke rehabilitation clinician handbook. London, ON: Evidence-Based Review of Stroke Rehabilitation. Retrieved from http://www.ebrsr.com/clinician-handbook