Lifting and Transfers

Question 1

Explain the term effective use of body:

Answer 1

Good posture and use of leg muscles

Question 2

How can you effectively use leg muscles

Answer 2

Short resistance/lever arm: keep elbows as near to body as possible

Question 3

True or false:

You don’t have to assess a patient before lifting them

Answer 3

False,

Always assess the person to be lifted before commencing a lift

Question 4

True or False

You should always manually lift

Answer 4

False

Never manually lift unless you have no other options

Question 5

List three things one should remember when lifting: 3

Answer 5

1. Know your own capacity and never exceed it
2. Always select the appropriate lift and/or lifting equipment
3. Wear appropriate clothing and footwear

Question 6

Before lifting a patient, one must: 4

Answer 6

1. Explain the lifting procedure to the person about to be lifted
2. The feet must be far enough apart
3. The knees should be bent, the head and back held as straight as possible with the chine tucked in
4. Use the palm of you hand, not just fingers

Question 7

When lifting: 3

Answer 7

1. Avoid jerky movements
2. Lift by straightening the lefs, giving the inital thrust with the rear foot
3. Never lift and twist at the same time

Question 8

If two or more people lift together, they should: 4

Answer 8

1. Be nearly the same height
2. Carry approximately the same weight
3. One person should give clear signal
4. The stronger person should be at the head side

Question 9

What are the types of transfers? 3

Answer 9

1. Active
2. Assisted
3. Passive (e.g. Shoulder and orthodox lift)

Question 10

List the types of grips: 5

Answer 10

1. Wrist grip
2. Finger grip
3. Through-arm lift grip
4. Palm-to-palm thumb grasp
5. Pelvic hip-hold

Question 11

Describe the wrist grip

Answer 11

Enables the lifters to take a secure grip of each other

Question 12

Describe the through-arm lift grip: 3

Answer 12

1. The patient should have power in at least one arm
2. Physio grips near the wrists
3. Should the patient not be able to grasp well then patient grips closer to elbow

Question 13

Describe the Palm-to-palm thumb grasp 2

Answer 13

1. This can used to help the patient to stand, transfer or walk
2. The patient’s elbow must be kept in extension

Question 14

Describe the pelvic hip-hold

Answer 14

1. Helpers knees can be used to support the patients knee
2. Hands can also be placed palm up under the patients buttocks

Question 15

During sitting transfers, where does the patient take the weight?

Answer 15

Patient takes weight on arms

Question 16

During standing transfers, where does the patient take the weight?

Answer 16

Patient takes weight on one or both legs

Question 17

Describe standing transfer for hemiplegia

Answer 17

1. Physio uses their knee to grip patients weak knee
2. PT hand over pelvis/waistband of hemiplegic side
3. Patients weak arms, tucked under PTs arm
4. Transfer through the strong side
5. Moving to a higher surface: patient stands on stronger leg while PT lifts weaker leg onto the surface

Question 18

Describe the orthodox lift:

Answer 18

1. The physio is able to see the patients face in ths position
2. Applicable for patients with painfu or very weak shoulders

Question 19

Describe the shoulder lift:

Answer 19

1. Physio has 1 hand free, physio is able to see where they are gong
2. Patient needs some power in their shoulder