Dependent Transfers Flashcards
risks to manual dependent lifts
lifting/moving patients increases risk of musculoskeletal disorders, esp. low back and shoulder injuries
risk affected by:
- force required
- repetitions
- awkwardness of posture
chair <– –> toilet transfers most stressful
safe patient handling and mobility policies (SPHM)
minimize manual patient lifting and repositioning and eliminate when feasible
the more dependent the patient, the greater the need for mechanical devices.
legal requirement in many states.
therapists may manually assist in mobility as part of rehabilitation interventions.
if a patient can’t assist in transfer-have to use mechanical device.
total body lifts and standing lifts
Total body lifts
- powered ceiling hoists
- portable floor-based lifts (“Hoyer”) (manual or battery-operated)
- hybrid lifts—freestanding with overhead frame and tracking system
total body lift indications
point-to-point transfers (seated or supine)
- max assist or dependent (when not transfer training)
lower-extremity (LE) non–weight-bearing (NWB) patients who cannot perform a seated lateral transfer
total body lifts: bed to chair
position sling under patient, with the bottom edge of the sling near the sacrum.
smooth wrinkles from the sling.
position leg straps.
attach sling to crossbars
lift and move patient
position patient over chair
lower patient into chair
sit to stand lift
moving from one seated position to another through standing
coming to stand for therapeutic purposes
especially useful for toileting and perineal hygiene
sit to stand lift indications
patient is able to bear some weight on the LEs.
patient can flex hips, knees, and ankles.
patient can maintain sitting balance without extensive support.
patient can participate in transfer process.
lift does not exacerbate any back problems.
sit to stand lift procedures
apply sling or straps
feet platform
activate lift
patient stands
lateral transfer equipment indications
moving a dependent patient from one horizontal surface to an adjacent horizontal surface (e.g., bed & gurney or stretcher & treatment table)
lateral transfer equipment
slippery sheets and drawsheets
air-assisted devices
rigid and semirigid transfer boards-long, full length transfer boards
lateral transfer procedure
typically requires 2+ people
place device underneath patient
lower bed rails and bring surfaces together
stabilize both surfaces
grip handles, set abdominal muscles
move patient on count of “3”
leave patient safely positioned.
leader at the head-directs commands
make sure surfaces are matched in height and locked
lift and slide( sliding is okay bc the friction is between sheet and surface)
move patient into side lying to tuck sheet under them, then into supine to get the other side under them
air assisted devices
ideal for pressure relief
transfer board
stand at hip and thigh so they are shifting the heaviest parts of the patient
works best when beds are narrow so clinician can reach across bed and slide them towards them
factors affecting lateral transfer methods
weight, musculoskeletal complications, lateral distance being covered, patient’s psychological condition (patient cooperation impacts safety of the movement), width of adjacent surfaces, and need for head control
repositioning with assistive devices
any time a patient is poorly positioned and requires dependent repositioning an assistive transfer device should be used
