Workbook 15 Transfers

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NHS Training for Physiotherapy Support Workers Workbook 15 | Transfers 15.3 Lying–sitting transfer As therapists, one of the most important parts of our role is to promote physical independence. As a support worker, you may be involved in practicing everyday tasks with a patient to enable them to be independent again. A simple but important task is the ability to move around the bed and get in and out. There are aids to assist with this if required, but our concern here is to assist a patient to get up from lying by re-educating a normal sequence of movement. You would only do these activities with a patient who has been assessed as capable by the therapist. You must not attempt this with a patient who cannot participate. Activity With your supervising therapist, have a look at how you would sit up to sit from lying on your back. Watch a couple of colleagues do the movement. Describe what they do You may notice that the person turns their head to the side, then rolls over bringing the rest of their body with them, whilst pushing up onto the elbow, sitting up and swinging the legs over the side of the bed. There will be variations – some will do it differently, but the components above are common. Workbook 15 Page 4
NHS Training for Physiotherapy Support Workers Workbook 15 | Transfers Activity Watch your supervising therapist teach a patient how to get out of bed to sit on the side in this way. Once you are ready, your supervisor will watch and correct as you teach a patient to get up from lying in this way. Describe the instructions you gave to the patient You may tell them to: ■■ turn their head and reach over the side of the bed to turn onto their side ■■ now to lift their head up and push onto their elbow ■■ now swing their legs over the side and come up to sit The patient may get stuck at any one of these stages; therefore you should know where to place your hands to assist. You may also need someone on the bed behind the patient when they get to sitting, to ensure that the patient does not fall backwards. You must ensure that: your own position is safe that you are working within your base of support your spine is in a line the bed is at the right height to ensure that you are not flexing too much ■■ ■■ ■■ ■■ You may wish to assist the patient by placing your hands at the shoulder girdle and pelvis to assist them to roll over. Workbook 15 Page 5
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Workbook 15 Transfers

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