Table of Contents
PREFACE
xi
ACKNOWLEDGEMENTS
xii
CH 1: BODY MECHANICS
1
Oh, My Aching Back!
1
Anatomy
1
Posture
3
Good Body Mechanics
4
Principles of Safe Lifting
5
CH 2: GENERAL MOBILITY GUIDELINES FOR TRANSFERS
9
Body Positions and Hand Placement, Considering Body Types
10
Considering the Care-Receiver's Assets and Deficits
11
Hand Placement for Transfers
13
Considerations for Different Disabilities
14
Parkinson's Disease
14
Total Hip Replacement
14
Stroke with Hemiparesis
17
Dementia
17
CH 3: BED MOBILITY
19
Rolling
20
Scooting in Bed
20
Lying to Sitting
23
Hospital Beds
25
CH 4: TRANSFERS
27
Transfer Preparation
27
Sit-to-Stand Transfer
28
Wheelchair-to-bed Transfer
30
Standing Pivot Transfer
30
Squat Pivot Transfer
30
Dependent Squat Pivot Transfer
31
Sliding Board Transfer
32
Two-person Transfer
32
Mechanical Lift Transfer
33
Repositioning in the Wheelchair
34
Floor Transfer
35
Car Transfer
39
Transferring or Lifting a Manual Wheelchair into the Car
45
Navigating Thresholds and Other Obstacles to Wheelchairs
46
CH 5: ADAPTIVE DEVICES FOR EASIER DAILY LIVING
51
Grooming
52
Upper-extremity Dressing
52
Lower-extremity Dressing
53
Bathing
54
Eating
54
Meal Preparation
55
CH 6: ASSISTIVE DEVICES
57
Canes
58
Walkers
59
CH 7: FALL PREVENTION AND FALL-PROOFING THE HOME
63
Intristic Factors
65
Other Intristic Factors
66
Extrinsic Factors
67
Another Fall-prevention Strategy--Exercise!
69
CH 8: AFFORDABLE HOME ADAPTATIONS
71
Getting into Your Home
72
Kitchen
73
Bathroom
73
Living Areas
75
Laundry Room
75
Large-scale Modifications
75
CH 9: WHEELCHAIRS
77
Types of Wheelchairs
77
Medicare and Insurance Guidelines for Wheelchairs
82
Motorized Wheelchairs and Scooters
85
CH 10: PASSIVE RANGE-OF-MOTION (PROM) EXERCISES
89
How to Perform PROM Exercises
90
Neck Exercises
91
Shoulder and Elbow Exercises
92
Wrist Exercises
92
Hand and Finger Exercises
95
Hip and Knee Exercises
97
Ankle Exercises
99
CH 11: SEATED AND BED-LEVEL EXERCISES
101
CH 12: STANDING AND BED-LEVEL EXERCISES FOR MINIMALLY TO MODERATELY PHYSICALLY IMPAIRED
115
CH 13: STANDING AND BED-LEVEL EXERCISES FOR MINIMALLY PHYSICALLY IMPAIRED
127
GLOSSARY
139
APPENDIX
145
Appendix A: Caregiver Organizations
145
Appendix B: Caregiver-specific Websites
149
Appendix C: End-of-life Planning, Hospice and Bereavement Resources
157
Appendix D: Health Insurance Information
159
Appendix E: Homecare Agencies
163
Appendix F: Respite Resources
165
Appendix G: Training for Family Caregivers
169
Appendix H: Disease-specific
171
Appendix I: Adaptive Equipment and Assistive Devices Resources
179
Appendix J: Home Assessment Checklist
181
ABOUT THE AUTHOR
191
