Kinetic Handling Flashcards
Levels of assistance
● Stand-by assist (aka supervision)
● Close guarding
● Contact guarding
● Minimal assist
● Moderate assist
● Maximal assist
Independent transfers
● The patient consistently performs all aspects of the transfer, including setup, in a safe manner and without assistance.
Assisted transfer
● The patient actively participates, but also requires assistance by a clinician(s).
Dependent transfers
● The patient does not participate actively, or only very minimally and the clinician (s) perform all aspects of the transfer
Risk factors related to environment
● Layout
● Space
● Lighting
● Color
● Temperature
● Obstacles
● Floor
Risk factors related to equipment
● Medical devices (catheter bags, IV’s, prosthesis)
● Inadequate training in the use of equipment
● Improper use of equipment or use of faulty equipment
● •Risk increases when furniture/equipment not adjustable
Transfer assistive devices are used to primarily
● Provide a safer means of moving and transferring a person from one place to another.
● Facilitate independence and maintain the dignity of the person being moved or transferred.
● Eliminate or minimize risk factors that can lead to caregiver or patient injury.
BEST PRACTICES WHEN USING TRANSFER ASSIST DEVICES
● Only use transfer assist devices if properly trained in their safe use. When safe, encourage patients to move themselves.
● Tell the patient what you intend to do before you do it. Ensure that the brakes of the bed, stretcher, or wheelchair are on before beginning any movement.
● Inspect each device before use. Tag and remove damaged equipment from service.
Draw sheets
are made of low friction fabrics or gel-filled plastics that enable an individual to slide over a surface instead of being dragged or lifted. These sheets come in a variety of widths and lengths and may be used in pairs, singly, or folded.
Difference between the draw sheet and the slide sheet
Draw sheet slippery on one side and can be kept under the patient
Slide sheet slippery on both sides can be removed once the patient is repositioned
Transfer belt
Assist the physiotherapist in transferring or mobilising the patient from their current position.
And it’s doesn’t reduce the patients weight must not be used to lift patients
How transfer belts fasten
With a buckle, clasp or Velcro
Communication: we must r must assess the patient’s ability or inability to communicate as it can cause these increase risk injury if:
● Does not speak/understand the same language as the caregiver
● Does not understand speech
● Does not understand non-verbal communication
● Cannot follow simple commands
● Communicates with sign language or assistive communication devices
● Has a hearing impairment
● Has a speech problem
● Has a low level of consciousn
- Why is it important to know the patient’s cognitive ability
● Often hospitalized patients have an altered level of cognition affecting their ability to participate in lifts/transfers.
● Short term memory loss, poor judgment, and difficulty making decisions can all be manifestations of altered cognition.
● Questions testing the short-term memory can often give some indication of the level of cognition.
- Is it important to know the patient’s medical status and vital signs?
●yes Signs and symptoms of various medical conditions can impact on a patient’s ability to transfer i.e. the tremors and movement initiation problems associated with Parkinson’s disease.
● Medications can also affect the patient’s ability to transfer. Fatigue, pain and stiffness will affect the quality of the transfer.
● The medical status can change dramatically during a shift and caregivers need to observe these changes and modify the lift/transfer as necessary.
