PTA 110L - Fundamentals of Patient Mobility Lab

1. Monitor a patient’s status during exercise.
   1. Take vital signs including heart rate, blood pressure, and respiratory rate.
   2. Recognize hypertension and hypotension.
   3. Calculate maximum HR, Heart Rate Reserve, and target zone.
   4. Recognize visible signs of a patient in distress.
2. Demonstrate proper body mechanics and lifting techniques.
   1. Recognize inappropriate body mechanics and lifting techniques.
   2. Instruct a patient in usage of correct body mechanics and lifting techniques.
   3. Perform various lifting techniques.
3. Execute bed mobility and transfer skills effectively.
   1. Assess the amount of assistance one needs for mobility and transfers.
   2. Provide verbal/physical cues for transfers and bed mobility.
   3. Choose appropriate transfer for specific diagnoses.
   4. Perform the following transfers:
      1. slide board
      2. stand-pivot
      3. lateral/swing transfer
      4. two-person lift
      5. three-person lift
      6. Hoyer lift
      7. floor- w/c
   5. Perform the following bed mobility activities:
      1. side-side
      2. up-down
      3. supine-sidelying
      4. supine-sit
      5. supine-prone
4. Utilize the tilt table effectively.
   1. Properly position a patient on the tilt table.
   2. Raise and lower a patient on the tilt table using the correct procedure.
   3. Monitor a patient’s vital signs and visible signs of distress during tilt table procedure.
   4. Recognize when tilt table treatment should not continue.
5. Analyze gait deviations.
   1. Perform gait analysis.
   2. Measure step length, stride length, and cadence.
   3. Indicate muscles that are active during each stage of the gait cycle.
6. Utilize assistive devices in the treatment of patients effectively.
   1. Correctly fit and adjust assistive devices for patients considering their height and weight.
   2. Clearly communicate to patients the safe and effective way to transfer while using assistive devices.
   3. Determine the appropriate assistive device for patients with regards to diagnosis and the patient’s environment.
   4. Provide clear instructions to patients on how to use the assistive devices.
7. Perform gait training with or without assistive devices effectively.
   1. Choose an appropriate gait pattern in regard to a patient’s status and environment.
   2. Use proper guarding techniques while performing gait training.
   3. Provide correct gait training instructions for level surfaces and stairs.
   4. Demonstrate the following gait patterns:
      1. 4-point 
      2. 2-point
      3. modified 2- or 4-point
      4. 3-point
      5. modified 3-point
   5. Adjust gait training with a mock patient given a case scenario involving fatigue, pain, or dyspnea.
8. Perform gross postural analysis.
   1. Locate bony asymmetries by visual examination from anterior, posterior, and lateral views.
   2. Palpate bony landmarks for bony asymmetries.
9. Perform interventions utilized in patients with balance issues.
   1. Administer various dynamic and static balance tests.
   2. Implement exercises to improve balance deficits.
10. Implement common protocol exercises for THA and TKA.
    1. Describe the exercises included in THA and TKA protocols.
    2. Demonstrate the exercises included in TKA and THA exercise protocols.
    3. Indicate the importance and purpose of each exercise.
    4. Instruct a patient in proper execution of each exercise.
11. Perform stretching exercises based on the physical therapist’s plan of care.
    1. Perform active inhibition techniques to increase ROM.
    2. Provide clear instructions for a HEP of stretching exercises with both written and verbal communication.
12. Interpret and write SOAP notes that reflect the patient’s status.
    1. Define the meaning of the initials SOAP.
    2. Provide examples of information that goes into each category of the SOAP note.
    3. Write a SOAP note following a mock treatment session.
13. Describe impediments for those utilizing assistive devices in society.
    1. Utilize assistive devices and wheelchairs in the community as a primary mode of mobility.
    2. Recognize safety hazards, physical demands, and social issues surrounding the use of wheelchairs and assistive devices in society.
    3. Adapt basic wheelchair skills to teach patients (based on a case study) community mobility.
14. Respond appropriately in emergency situations.
    1. Participate in mock emergency scenarios.