Horizontal and Vertical Transfers Flashcards
What are some things you should think about before starting a transfer?
Is the chair close to the bed?
Does the patient have socks, gown, IV, or a gait belt?
Do you have enough help?
Talk to your patient and their family
You’re ready to perform the transfer. What will you do the first attempt?
Let the patient help as much as they can. It may take a few attempts, but the patient benefits from doing more work.
How do you put your patient in a place to succeed?
Use the bed and linens to your advantage. Adjust it if you need to.
Your main concern is protecting the patient. How will you do that?
Do not pull on arms. Maintain skin integrity.
Minimize pain.
Maximize comfort.
When would you complete a sit to stand and stand pivot transfer?
When the patient is able to tolerate standing and can take a few steps. When you want a transfer to be therapeutic.
You are performing a sit to stand and stand pivot transfer. What should you pay attention to?
Use the gait belt.
Let the patient do as much as they can even if it takes more time.
Provide assist at the hips and gait belt.
Do not pull on arms!
Why do you assist at the patient’s hips and why is their pelvis position important when doing a sit to stand?
Their center of gravity is located in the pelvis, so that will be the place you have the most control. Want to get their pelvis within their base of support when they stand up.
What are alternative options for a sit to stand and a stand pivot?
Therapist in front of patient
2 person transfers
Pusher syndrome
Use of walker, crutches, cane
