Therapeutic Procedures : Bed Mobility

Question 1

If pt. is unable to sit up use:

Answer 1

Mechanical Lift

Question 2

Used to move pt. upward or downward in bed when supine

Answer 2

Draw Sheet

Question 3

Used to move pt. from one flat surface to another remaining supine

Answer 3

Transfer Board

Question 4

Used to move pt. from recumbent to sitting position and back

Answer 4

Hoyer Lift

Question 5

Moving dependent pt. upward in bed while in supine (7 steps)

Answer 5

1. Bring pt close to your side
2. Assist pt. in positioning knees in flexion w/ feet flat on bed (bridging)
3. Encourage to push with elbow and feet when moving
4. Hug pt. under scapula, moving in short distances and repositioning
5. Use draw sheet to move pt. in bed to reduce sheer force
6. When pt. is moved upward: head of bed should be down
7. When pt. is moved downward: head of the bed should be up.

Question 6

Supine to Side Lying (5)

Answer 6

1. Assist pt. in positioning opposite leg in hip and knee flexion (ie. roll to right, bend left leg)
2. Place same side arm in straight ABD
3. Place opposite arm across chest
4. Assist in rolling the pt. toward you encouraging him to push w/ opposite hip and foot (block edge of the bed w/ your body for safety)
5. Guide by supporting and moving opposite shoulder/scapula and hip towards you.

Question 7

Side to Side Movement (4)

Answer 7

1. Place one forearm under pts. neck and upper back and other forearm under the middle of the back
2. Gently slide the upper body and head towards you.
3. DO NOT LIFT
4. Move in short distances and reposition

Question 8

Supine to sitting and back (5)

Answer 8

1. Move pt. close to edge of the bed
2. Flex hips and knees
3. Fold arms over chest
4. Position opposite palm onto bed and encourage to push up to sitting as you sequentially elevate the pts. trunk until a sitting position is attained.
5. Do not allow pt. to sit unattended (monitor for loss of balance, syncope, vertigo)