Transfers

Question 1

CVA (Stroke)

Answer 1

Introduction: greeting, OT explanation, transfer overview

Assess room spacing and equipment

Check wheelchair:

• Take footboards off
• Remove arm closest to bed
• position chair to bed
• lock wheels
• rotate casters so they point backward

Bed Mobility :

• patient moves affected arm up and out of the way
• bend knees
• rotate to side lying
• bring legs down off bed (support/guide as necessary)
• Raise trunk up while client pushes into bed(support as necessary under scapula and on hip)
• adjust feet
• check for dizziness

Transfer to wheelchair:

• turn heels toward wheelchair
• patient clasps hands and leans toward unaffected side
• OT straddles affected leg, supports affected hip and under unaffected scapula
• patient leans forward, rotate to chair
• adjust chair if necessary