Patient Handling Prac - moving across the bed, rolling, slide sheets, supine to sitting, sit to stand, slide boards, wheelchair

Question 1

What is the method for minimum-moderate assistance to move across the bed?

Answer 1

1. raise patients’ knees (crook lying), lumbrical grip
2. place hands on either side of the top of pelvis, ask patients to push hands down and lift bottom
3. move feet in line with pelvis
4. ask patient to move shoulders across; adjust pelvis if necessary

Question 2

What is the method for moderate assistance to move across the bed?

Answer 2

1. place hands under hollows of ankles and knees and use legs (weight shift) to pull patient’s legs towards you
2. place patient’s hands over chest
3. slide hands under small of back and knees (close to bottom)
4. place hands under small of back and shoulders

Question 3

What is the method for rolling?

Answer 3

1. near arm away from bed, far arm across chest
2. put far knee up, ensure knee doesn’t drop
3. place hands on scapula and pelvis and use legs to pull up
   To unroll: straighten lower limbs

Question 4

What is the method for slide sheets?

Answer 4

1. open end to the direction of movement
2. roll patient either side (quarter roll) to allow slide sheet to be put under patient)
3. patient arms crossed over chest
4. interlock arms with other therapist and weight shift

Question 5

Supine to sitting

Answer 5

1. inside knee close to patient’s hip
2. patient to tuck chin in and push with free arm
3. outside therapist arm on plinth for support
4. close hand under scapula
5. one knee on bed
6. support at the end in case of dizziness

Question 6

Shuffling forwards to edge of bed

Answer 6

1. lean patient to one side and take weight off opposite buttock and place hand under ischial tuberosity
2. pull patient forward
3. repeat on other side
4. ensure feet are flat on floor and hands are on bed

Question 7

Sit to stand (unilateral, side on)

Answer 7

1. shuffle patient forward (half thighs supported)
2. ensure bed is at a good height (feet just touching the ground)
3. stand on patient’s weaker side
4. place foot in front of patient’s foot and knee on theirs (maintain contact)
5. inside arm wraps around patient and outside arm on closest clavicle
6. encourage patient to lean forwards (shoulders over knees)
7. ensure patient is stabilised

Question 8

Sit to stand (bilateral front on)

Answer 8

1. shuffle patient forwards
2. patient’s arms crossed
3. squat to lock patient’s knees between therapist’s own
4. one arm on scap, other on iliac crest
5. lean patient forward
6. contact on ischial tuberosity after standing and ensure knees are still in contact with patient’s knees

Question 9

Slideboard

Answer 9

1. shuffle patient forward
2. place transferring to should be lower
3. low lean onto shoulders (ensure you can see slideboard)
4. both therapists knees on either of patient’s knees and maintain
5. don’t lift patient
6. ensure feet are on floor and hands on either side of bed before leaving

Question 10

Wheelchair (unilateral side on)

Answer 10

1. ensure contact is maintained on weak knee for the whole time
2. one hand (closest) on clavicle and other on iliac crest
3. walk patient to bed, ensuring weak knee is supported
4. feet back on bed before lowering

Question 11

Wheelchair (unilateral front on)

Answer 11

1. support weak side with both knees
2. squat low and drive upwards
3. hands on scapula and once up, one hand on ischial tuberosity