Transfers
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Introduction
Be patient
inform the patient of what you are avbout to do
give clear instructions
give the person time and space to perform the movement
don't tug or pull on a patient's arm
use a transfer belt, or hold onto trousers
be careful of IVs, catheters, and other lines
when in doubt, get help!
Moving Up in Bed
Place a draw sheet or soaker under the patient.
Raise bed to a good height and lay patient flat
Have one person on either side of the bed
Two options
- one hand each at top and bottom of sheet/soaker
- clasp hands behind patient under axilla
ask patient to bend knees and help by pushing with their feet
coordinate movement
shift weight from one leg to another
keep tension in soaker pad
Log Rolling
Have bed flat and leave top rail up
Bend both knees
place one hand on shoulder and one hand on hip
ask patient to assist by pulling on bedrail
count 1,2,3 with patient
roll in one movement
Sitting Up in Bed
Ensure patient is moved up (see above)
Lift head of bed
Place 1-2 hands on scapula
Ask for patient's help by pushing on bed or pulling on handrail
count 1,2,3 with patient
Move patient forward
Lying to Sitting
Log roll onto side
Drop legs over edge of bed
Ask patient to help by pushing with elbow and hand; if unable, place one hand on deltoid area
Life patient up as legs are dropped over edge of bed
Sitting to Standing
Begin with feet on floor, feet under patient
Patient at edge of chair
Nose over their toes
One hand holding that of patient, another at small of back or under ischial tuberosity
Patient with other hand on armrest; Do not allow patient to pull on walking aid
1,2,3 while rocking to gain momentum
Stand up, with support at base of sacrum and through hand
Guide patient's hand to walking aid
Resources and References
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