Transfers Flashcards
(30 cards)
what is a transfer?
- safe movement of a person from one place or surface to another
what does a transfer give the patient?
- an opportunity to enhance independent function
what varies in transfers?
- requirement of assistance varies
what are the two ways that patients can be assisted?
- manual assistance
- use of assistive devices e.g., hoist
what are the three indications for patient transfers?
- safety and comfort
- support patient procedures, activities of daily living & rehabilitation
- prevent secondary complications of immobilisation
what should you do before the transfer to help the patient?
- explain the procedure to the patient to reduce anxiety and encourage cooperation
what should you check for before the transfer? (2)
- dizziness
- hypotension
how do you transfer from lying to sitting on the edge of the bed?
- assist into side lying by rolling the patient onto their side
- support the shoulders & hips to guide the patient as they push up with the arms while legs are swing over the side of the bed
how do you transfer from the edge of the bed to standing?
- the patient should have the feet flat on the floor with knees bent at a 90 degree angle
- instruct patient to use armrest to push up from the chair in a forward lean
- push up through the heels to stand up
what can be said to initiate forward lean?
- nose over toes
how is the chair positioned when transferring a patient from bed to a chair?
- position the chair at a 45 degree angle to the bed on the patient’s stronger side
what do you cue the patient to do in the transfer from the bed to the chair? (3)
- scoot forward
- place feet flat
- lean forward to stand
how does a patient transfer from bed to chair?
- pivots towards the chair and back up until they feel the chair on the back of their legs
- reach back for the armrests
- slowly lower into the chair in a controlled manner
how do you roll over a patient?
- arm crossed over patient’s chest with the hand under the chin
- opposite knee to the direction your turning should be flexed
- turn patient’s head in the direction of the roll
where should you place your hands when rolling over a patient?
- one on the shoulder, the other on the hip
what should you use instead of 1…2…?
- ready steady roll
what assessment should be done before transfers? (4)
- fall risk assessment
- muscle strength
- balance
- weight bearing status
what should you monitor for in transfers? (3)
- vital signs
- dizziness
- pain
what do you need to ensure for a efficient transfer?
- ensure clear path
- remove obstacles
what should you ensure on the bed and chair?
- ensure the brakes are on
what does upright posture enhance? (2)
- diaphragmatic movement
- lung expansion
what does positioning increase?
- functional residual capacity
what does mobilisation promote?
- deep breathing
what does mobilisation reduce the risk of?
- atelectasis
