Transfers: Difference between revisions
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== Introduction== | == Introduction== | ||
A transfer can be viewed as the safe movement of a person from one place or surface to another and an opportunity to train an individual to enhance independent function. In both cases, the clinici | |||
[[Category:Understanding Basic Rehabilitation Techniques Content Development Project]] | |||
[[Category:Rehabilitation]] | |||
[[Category:MOOCs]] | |||
an must choose the most efficient and safest method. | |||
Controlling a patient’s movement while moving them from one position or surface to another or preventing a patient from falling requires that the clinician be close to the patient’s center of motion (COM), which is typically located between the shoulders and the pelvis. When these control points are used, patient transfers are more efficient, and patient safety is enhanced. The most efficient way to enhance the patient’s movement (unless they are completely dependent) is to encourage movement of the body’s distal component—the part of the body farthest from the trunk. For example, when assisting a patient to stand from a seated position, a common verbal cue is to ask the patient to lean their trunk forward. It is also important to have the patient look in the direction of the transfer’s destination to encourage correct head-turning. | |||
== | == Factors Affecting Transfers == | ||
=== Patient Factors === | |||
{| width="800" border="1" cellpadding="1" cellspacing="1" | |||
|- | |||
!'''Physical Status''' | |||
! scope="col" |'''Communication''' | |||
!'''Cognition''' | |||
!'''Medical Status''' | |||
!'''Emotional Status''' | |||
|- | |||
|Weight | |||
|Speech | |||
|Memory | |||
|Diagnosis | |||
|Resistive | |||
|- | |||
|Height | |||
|Hearing | |||
|Judgement | |||
|Devices | |||
|Unpredicible | |||
|- | |||
|ROM | |||
|Vision | |||
|Concentration | |||
|Pain | |||
|Unco-operative | |||
|- | |||
|Strength | |||
|Understanding | |||
|Decision Making | |||
|Medicaion | |||
|Depression | |||
|- | |||
|Balance | |||
|Language | |||
|Impulsivity | |||
|Fatigue | |||
|Agression | |||
|- | |||
|Coordination | |||
|Culture | |||
|Ability Follow Instructions | |||
|Time of Day | |||
|Confused | |||
|- | |||
|Tone | |||
| | |||
| | |||
| | |||
|Agitated | |||
|- | |||
|Sensation | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Skin Integrity | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Body Awareness | |||
| | |||
| | |||
| | |||
| | |||
|- | |||
|Depth Perception | |||
| | |||
| | |||
| | |||
| | |||
|} | |||
=== Level of Support === | |||
==== Dependant ==== | |||
Patient unable to assist and does not actively participate in the transfer. The clinician performs all aspects of the transfer. | |||
==== Assisted ==== | |||
Patient actively participates but requires assistance. | |||
==== Independent ==== | |||
Performs all aspects of the transfer including set up in a safe manner and without assistance. | |||
== Level of Assistance == | |||
Stand By Assistance | |||
Close Guard Assistance | |||
Contact Guard Assistance | |||
Minimal Assist | |||
Moderate Assist | |||
Maximum Assist | |||
== Equipment == | |||
=== Sliding Sheets === | |||
=== Transfer Belts === | |||
=== Transfer Boards === | |||
=== Hoist === | |||
== Principles of Transfers == | |||
== Clinical Significance == | |||
== Resources == | == Resources == | ||
== References == | == References == | ||
<references /> | <references /> | ||
Revision as of 13:08, 1 April 2023
Original Editors - Naomi O'Reilly
Top Contributors - Naomi O'Reilly and Jess Bell
Introduction[edit | edit source]
A transfer can be viewed as the safe movement of a person from one place or surface to another and an opportunity to train an individual to enhance independent function. In both cases, the clinici an must choose the most efficient and safest method.
Controlling a patient’s movement while moving them from one position or surface to another or preventing a patient from falling requires that the clinician be close to the patient’s center of motion (COM), which is typically located between the shoulders and the pelvis. When these control points are used, patient transfers are more efficient, and patient safety is enhanced. The most efficient way to enhance the patient’s movement (unless they are completely dependent) is to encourage movement of the body’s distal component—the part of the body farthest from the trunk. For example, when assisting a patient to stand from a seated position, a common verbal cue is to ask the patient to lean their trunk forward. It is also important to have the patient look in the direction of the transfer’s destination to encourage correct head-turning.
Factors Affecting Transfers[edit | edit source]
Patient Factors[edit | edit source]
Physical Status | Communication | Cognition | Medical Status | Emotional Status |
---|---|---|---|---|
Weight | Speech | Memory | Diagnosis | Resistive |
Height | Hearing | Judgement | Devices | Unpredicible |
ROM | Vision | Concentration | Pain | Unco-operative |
Strength | Understanding | Decision Making | Medicaion | Depression |
Balance | Language | Impulsivity | Fatigue | Agression |
Coordination | Culture | Ability Follow Instructions | Time of Day | Confused |
Tone | Agitated | |||
Sensation | ||||
Skin Integrity | ||||
Body Awareness | ||||
Depth Perception |
Level of Support[edit | edit source]
Dependant[edit | edit source]
Patient unable to assist and does not actively participate in the transfer. The clinician performs all aspects of the transfer.
Assisted[edit | edit source]
Patient actively participates but requires assistance.
Independent[edit | edit source]
Performs all aspects of the transfer including set up in a safe manner and without assistance.
Level of Assistance[edit | edit source]
Stand By Assistance
Close Guard Assistance
Contact Guard Assistance
Minimal Assist
Moderate Assist
Maximum Assist
Equipment[edit | edit source]
Sliding Sheets[edit | edit source]
Transfer Belts[edit | edit source]
Transfer Boards[edit | edit source]
Hoist[edit | edit source]
Principles of Transfers[edit | edit source]
Clinical Significance[edit | edit source]
Resources[edit | edit source]
References [edit | edit source]