transfers Flashcards
preparing patient to get out of bed
-first make sure to:
think about where you are going from A to B to C back to A and consider:
-prevent / because:
-this gives patient more _____ in you
https://www.youtube.com/watch?v=wV6VkRJkaOs
-plan ahead, don’t rush, walk through, think through
everything you need is ready, move obstacles out of way
Consider is that room ready, the best chair available, is each step thought out
Are they getting dressed then have those ready first - energy conservation
-prevent getting them up and then finding you forgot something
because / patient may have pain fatigue anxiety
-this gives them more confidence in you
preparing patient to get out of bed
Checking the bed to make sure it is locked and not going to move - nudge against it
lines and cables - hey, would like to do this but first can i check what’s under the covers to make sure there is nothing blocking us - head to toe check
catheter with foley-bag sometimes hooked on bed side, or in bed
catheter move as level to the patient in bed as possible attach it to the walker or w/c if that’s where they are moving to, or if walking attach to person once up? keep lower than groin
preparing patient to get out of bed
oxygen, nasal canula, or face mask
what are your options: can you disconnect them to go to the washroom
Hey, you have an o2 tube, can this be disconnected for the washroom?
what if cant? portable system tank, long tubing but trip hazard in home
How to sit up in bed
first steps:
important to always have the patient:
Cue patient by saying:
Prepare area by:
Give the steps for moving patient to edge of bed and sitting up
https://www.youtube.com/watch?v=OhG30E52hss
first steps: you move as close as possible to edge of the bed, unless you get onto the bed, easier to work with them. can raise hospital bed so you don’t have to bend down so much but patient may not reach the floor.
do as much as they can on their own
“lets have you move closer to the edge of the bed”
prepare area: move the covers out of the way, checking for things around the person head to toe or the clock 12 3 6 9 12
1 bridging - bend the knees (can help them) if pain don’t go that far - use torso and muscles and legs to move the middle of the body towards you and the edge of bed
2 - then the legs move towards you and edge of bed (can help them if need)
3 - then upper body moves using one hand to grasp edge of bed or rail to pull and other hand / arm to push (can move the upper body yourself if unable by a hugging grasp under shoulder blades) - repeat as much as needed to get to edge of bed
4– then they roll towards you, if strength use the furthest arm to reach over with knees bent, therapist places hands under shoulder blade touching bed and on top hip to encourage the roll
5- then legs swing over bed edge
6-then count to 3 and patient pushes up with arms to sitting therapist blocks legs with their legs and has his hands under shoulder blade and on knees to pivot the patient upright while patient moves upright.
Gait belt contraindications
abdominal wounds, surgeries
feeding tubes, colostomy bags
physical pain harm
active hernia sites
hysterectomies, liver kidney issues… note patient chart for hidden issues like internal bleeding
alternative gait belt placement
under arms
to avoid abdominal issues
also not pull up on it causes injury
gait belt contraindications group of ppl
suggestions
sensory, behaviour and sensory disorders
sensory sensitivies
brain injuries
autistic
dementia - agitation, behaviour issues = problematic
different belt that is wider
gait vest / support vest
an actual wearable belt in the loops
decorate it and make it fancy, they may be less aprehensive more likely to wear
agitation is high safety issue
gait belts are _____ tools not ____ tool
it’s purpose is? it can be combined with: (2)
never do what?
stabilizing
lifting
used as a support and balance with a place for you to add input to prevent falls
combined with a slide board, sit to stand system
lift with belt, causes harm, bruising, skin damage
