What side of the resident should the wheelchair be placed when transferring if the resident has an affected side?
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In this video on stroke care, we look at various safe handling and transfer techniques for stroke patients. Show
Stroke is the fourth leading cause of death in Singapore. Stroke survivors may continue to have some form of physical disability after they are discharged from hospital, thus requiring assistance to roll in bed, get out of bed and to sit out on a chair. Here is an example of a patient transfer technique that reduces risk of injury to the patient and caregiver. If you have not been taught by a healthcare professional on these techniques, please speak to a neurological physiotherapist before attempting them yourself. Moderate Assistance Transfer: Position a chair in line with the bed. Ensure there is sufficient space at the edge of the bed before rolling the patient over. First, ask the patient to hold onto the weaker arm. Bend the opposite knee. With one hand on the pelvis and the other hand on the shoulder blade, ask the patient to roll towards you with you guiding as necessary. Next, ask the patient to use her stronger leg to bring her weaker leg over the edge of the bed. Stabilise the patient's hip and ask the patient to push up to sitting. If the patient is sitting too far in the bed, shuffle the patient's bottom forward. Lean the patient on the right and guide the left buttock forward. Then. lean the patient to the left and guide the right buttock forward. Ensure that both the patient's feet are placed flat on the floor. Place the chair near the patien't strong arm. If it is a wheelchair, ensure the brakes are applied. Stabilise the patient's knees between yours. Lower yourself to the patient's eye level by bending your knees but keeping your back straight. Commuicate to the patient what you are about to do. Place her strong hand on the armrest of the wheelchair. Ask her to participate by leaning forward and turning towards the bed to bring the buttocks across to the wheel chair seat. Make sure your path of view is not blocked by the patient's head. Cue the patient by saying, "1, 2, 3, Up". To transfer, lean the patient forward, pivot at the patient's knees, then bring the buttocks over to the chair. Assist the patient to sit well. Make sure the patient is seated up straight at the centre of the chair. Secure the footplates. If you have difficulty in transferring your loved one affected by stroke, ask a doctor to refer you to a neurological physiotherapist. Check out our other patient transfer videos using the minimal assistance technique and maximum assistance technique. How do you transfer a patient on wheelchair safely into and out of a car? Ms Lee Shu Hui, Senior Occupational Therapist from SingHealth Community Hospitals (SCH), demonstrates how. As a dutiful child, you accompany your mom for her medical appointment. Wheeling your mom to the car was easy but the greatest hurdle is how do you transfer her safely into the car? Should you start with her left or right leg first? How do you carry her into the car? Caregivers are often required to help patients with transportation to and from medical appointments. While some are able to transfer their loved ones easily, others might require ssistance. Without the proper techniques, making a wheelchar transfer can be difficult and may even result in injury. “A common mistake that caregivers make while transferring patients (into and out of a car) is parking the wheelchair far away or too near to the vehicle,” shared Ms Lee Shu Hui, Senior Occupational Therapist from SingHealth Community Hospitals (SCH), a member of the SingHealth group. Having enough space between the wheelchair and the vehicle is essential to allow caregivers to transfer patients safely. What is the right distance between the patient on wheelchair and the car?Distance is too far: If the distance requires the caregiver to carry the patient through a longer distance for car transfer, this can lead to an increased risk in falling for patients who are less mobile. Distance is too near: If there is not enough space for the patient and caregiver to stand and pivot during transfer, the patient and caregiver may injure themselves during car transfer. While performing wheelchair transfers, caregivers should take note of the following to prevent patients from getting injured. Safety precautions when transferring a patient on wheelchair to and from a carNow that you know some safety pointers, here are the steps to transfer a loved one on wheelchair into and out of a car safely. How to transfer a patient from a wheelchair into a car (passenger side of the vehicle)
How to transfer a patient from a car onto a wheelchair (passenger side of the vehicle)
Watch the instructional video below! Ref: K21 Check out other articles on healthy ageing: Best Foods for the Elderly Best Exercises for Seniors 7 Common Ageing Problems Faced by Seniors Must-Know Nutrition and Diet Tips for Seniors Why Seniors Need to Be Vaccinated How to Prevent Falls in the Elderly Depression in Seniors Which side should the patient be transferred on when performing wheelchair transfer?Have the patient pivot toward the chair, as you continue to hold on. Always transfer toward the person's stronger side. As the patient bends toward you, bend your knees and lower the patient into the back of the chair.
Do you place the wheelchair on the affected side?Step 2. Place the wheelchair or chair the person is going to sit in parallel to the bed so that it is touching the bed and faces either the head or foot of the bed. The chair should be positioned so that it is on the person's unaffected side.
Where should the chair be placed when transferring a resident with an affected right side from the bed to a chair?Transfer process:
Move the chair to the side of the bed near the feet, on the strong side if the person has a weakened side; the chair should be parallel to the bed, but angled slightly out with the front wheel snug against the bed. If it is a wheelchair lock it; be sure to lock both wheels.
Where should you place the chair when transferring a patient with left sided weakness?The person can assist with the transfer. rules as bed to chair transfers. If the person is weak on one side: • Transfer the person so the strong side moves first. The chair or wheelchair is positioned so the person's strong side is near the bed.
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