Lecture 45 - Lifts and Transfers Flashcards
Transfer
Safe movement of person from one surface/position to another
Lift
Carrying all or portion of body weight using mechanical lift
Repositioning
Change in patient’s position in a chair/bed to improve posture, increase safety, aid circulation, prevent skin breakdown
Independent
Performs transfer without any type of assistance
Modified independent
Independent with use of assistive or adaptive device
Supervision
To perform safely, someone is positioned close to but not touching
Contact supervision/Supervision Guard
To perform safely, someone is positioned close and is touching but not physically assisting
Minimum Assistance
Patient performs 75% or more of the activity (assistance required)
Moderate Assistance
Patient performs 50-74% of activity (assistance required)
Maximal Assistance
Patient performs 25-49% of activity (assistance required)
Dependent
Patient requires total physical assistance from one or more persons to accomplish safely (special equipment usually used)
What are the 8 principles of safe moving and handling
- Maximize participation of patients at all times
- Maintain a wide base of support
- Keep the “load” within base of support
- Keep the “load” close to center of gravity
- Face the direction of movement
- Maintain natural curve of spine
- Avoid jerky movements
- Effectively communicate with others involved and move together
4 examples of conditions that require special precautions during transfers and give 1 reason why
When would you use a transfer belt
- Patient has balance problems
- Caregiver cannot place hands around patient
When would you use a transfer disc
Patient can weight bear through their legs but has difficulty shifting feet
When would you use a transfer board
Transferring a patient with lower extremity weakness from bed to wheelchair
When would you use a slide sheet
Repositioning a patient on the same surface (eg. in bed)
When would you use a mechanical lift
- When a patient is dependent for getting from bed to chair or wheelchair
- When a patient is unable to follow instructions to complete a safe transfer
What is the rule of 2
Use of a mechanical lift requires 2 or more people (in addition to patient)
As a clinician you assess what in regards to transfers
- Patients mobility to safely transfer
- Caregivers ability to safely transfer patient
To assess patient safety to transfer what physical abilities do you need to assess
What does the 4 +1 Assessment look at to assess patients physical abilities
- Bridging: Does patient have hip extension and gluteal strength (eg. lying in bed = can they bridge; sitting in chair = can they lift pelvis off chair)
- Quadricep Strength: Does patient have quadricep strength ( eg. lying in bed = can they extend leg off bed; sitting in chair = can patient extend leg at the knee)
- Bed Edge Sitting: Does patient have trunk control (eg. Can patient sit at edge of bed without assistance)
- Upper Body Strength: Does patient have upper extremity strength and ROM (eg. assess patients upper extremity strength, grip strength, and ROM)
- Cognitive: Patients level of understanding (eg. do they understand what is being asked and can they follow instructions)
How to decide on transfer for a person who is unable to physically assist in maintaining sitting balance
How to decide on transfer for a person who requires hand-on steadying to maintain sitting position at edge of bed
How to decide on transfer for a person who is able to maintain sitting position on edge of bed but requires supervision for safety
6 steps to prepare for a transfer
What are 8 things to keep in mind during the transfer
What should you do after the transfer
What 8 things should you document from a transfer (2 important ones vs. 6 things you chart if it was out of the ordinary)
What are some different devices for transfer
1 transferbelt
2 transfer disc
3 transfer board
4 slide sheet
5 mechanical lift
what are some of the risks to you or the patient during lifts/transfers
you: MSK injuries, disease spreading, liability, accidental trauma/getting hit
patient: injuries, falls/slipping, fractures
what are the 4 types of transfer and the # of people assisting?
