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Should My Patient Use A Mechanical Lift? Part 2: Algorithm and Case Application

doi: 10.1097/NHH.0000000000000036
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Should My Patient Use a Mechanical Lift? Part 2: Algorithm and Case Application


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GENERAL PURPOSE: To present a clinical decision-making algorithm for use of a mechanical lift in the home healthcare setting.

LEARNING OBJECTIVES: After reading this article and taking this test, you will be able to

  1. Identity findings from the literature that support the use of algorithms in healthcare situations.
  2. Discern appropriate application of an algorithm in home healthcare, including special considerations.
  1. Algorithms are
    1. diagrams that analyze a work process.
    2. graphs that represent the effects of events on a process.
    3. plans that present expected outcomes in a time frame.
    4. formulas or sets of steps for problem solving.
  2. In healthcare, algorithms are especially useful for
    1. decreasing variation in practice.
    2. increasing patients' confidence in providers.
    3. decreasing hospital lengths of stay.
    4. increasing interprofessional intervention.
  3. The ambulation algorithm that Radawiec and colleagues developed specifically incorporates which of the following factors?
    1. Adequacy of communication
    2. A casual, conversational style
    3. Concepts of ergonomic safety
    4. Availability of social support
  4. Which of the following organizations has lent additional support for the use of algorithms for safety based on its statement that “employers must keep their workplaces free from recognized serious hazards, including ergonomic hazards?”
    1. American Physical Therapy Association
    2. Occupational Safety and Health Administration
    3. Veterans Health Administration
    4. Association of Rehabilitation Nurses
  5. Satink specifically promotes the use of which of the following preventive measures?
    1. Monitoring of employer work practices in the home
    2. Triggers to alert caregivers of unexpected events
    3. Identifying the need for additional clinical guidelines
    4. Interprofessional collaboration to ensure positive outcomes
  6. Before using an algorithm, it is necessary for the clinician to evaluate patients within the context of their
    1. healthcare use.
    2. adherence potential.
    3. living environment.
    4. communication style.
  7. Garlo and colleagues have identified which of the following as an outcome of informal caregiving?
    1. Improved interaction
    2. Fragmented care
    3. Safety awareness
    4. Impaired immunity
  8. Wright recommends assessing an informal caregiver's
    1. experience.
    2. flexibility.
    3. efficiency.
    4. literacy.
  9. Which of the following factors has Garlo and colleagues specifically identified as contributing to caregiver burden?
    1. Social isolation
    2. Resistance to learning
    3. Unrealistic expectations
    4. Low socioeconomic status
  10. Nelson and colleagues have demonstrated that, with the use of a powered lift to meet their transfer and mobility needs, patients feel
    1. more comfortable.
    2. less safe.
    3. more dependent.
    4. less confined.
  11. When clinicians propose a patient lift device to transport a patient from one room to another, they must consider which of the following factors during transport?
    1. Each room's temperature
    2. The presence of windows
    3. Accessible bathrooms
    4. The floor surface
  12. The first consideration in determining the need for a lift is to identify the patient's
    1. cognitive capacity.
    2. weight-bearing status.
    3. upper-extremity strength.
    4. lower-extremity function.
  13. Patients are candidates for the use of a lift if they cannot use their upper extremities to use a transfer board and the healthcare worker is required to bear more than how many pounds of the patient's weight?
    1. 20 lbs
    2. 25 lbs
    3. 30 lbs
    4. 35 lbs
  14. The ability to follow directions includes
    1. a willingness to cooperate.
    2. a lack of distractibility.
    3. a determination to learn
    4. no preconceived notions.
  15. A good functional test of upper extremity function is to have a patient
    1. support his or her weight on his or her hands while leaning forward on a flat surface.
    2. hold a 20-pound weight in his or her arms above their lap while seated in a chair.
    3. effectively lift his or her arms over his or her head while holding 10-pound weights.
    4. attempt to lift his or her body while sitting by pushing on the arms of the chair.
  16. The best way to make sure that caregivers have the physical ability to use the mechanical lift is to teach them how to use the lift and then
    1. watch them perform the task several times.
    2. have them explain the details of the task to the clinician.
    3. play the role of the patient while they attempt to use the lift.
    4. have them teach another caregiver to use the lift.


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