Dependent Transfers

bed mobility

supine

prone

hook-lying

rolling

bridging

then progress to sitting & standing

supine: hook-lying

hips and knees flexed

a component of bridging and rolling

NOT for hip, spinal, or knee injuries

consider WB precautions

supine: bridging

lifts hips and low back

patients assists w UE, not pushing head into bed

may stabilize pt feet

component of scooting and ADLs

can use this position to move L or R

supine: scooting up

pt on elbows, knees flexed

NOT for arm, back/core, neck injuries, consider WB precautions, sometimes hard for geriatric pts, consider adipose tissue

need core strength

rolling: supine to side-lying

typically initiate w trunk rotation

important in preventing pressure injuries

considerations for dependent transfers

person (injury), task (what to do), environment

when transferring, make sure:

wheels are locked, even surfaces, enough people, head control?, communication

vertical lifts: total body lifts and standing lifts

powered ceiling hoists, portable floor-based lifts (Hoyer) manual or battery-operated

hybrid lifts: freestanding w OH frame and tracking system

total body lift

position sling under pt, smooth wrinkles from sling, position leg straps

when is total body lift appropriate?

home use, not so much in clinic bc we focus on recovery

CAN lift bariatric, fresh TBI injuries, stroke, para/quadriplegic, dependent, CP pts

NOT FOR ortho conditions, neck-knee, spinal cord conditions

draw sheet transfer

requires 2 clinicians on side that pt is moving towards

one clinician on opposite side

hold with supinated grip

slide pt, don’t push them

wide BOS

sit-to-stand lift

moving from one seated position to another through standing

useful for toileting and perineal hygiene

sit-to-stand indications

pt CAN bear weight on LE

pt can flex hips, knees, and ankles

pt can maintain sitting balance w/o extensive support

pt can participate in transfer process

lift does not exacerbate any back problems

lateral transfer equipment

air-assisted devices: hover mat

slippery sheets & draw sheets

rigid & semi-rigid transfer boards (used for gaps b/w surfaces)