Workbook 15 Transfers

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NHS Training for Physiotherapy Support Workers Workbook 15 | Transfers Activity Practice this with a model, try assisting them to roll over. You will notice that by placing your hands on their pelvis and shoulder, you can bring them on to their side more easily. You may need to assist to bring the legs over the side also. From your manual handling training, what handling aids might you use to assist a patient to come out of bed independently? ■■ A fabric turntable or a slide sheet under the patient’s hips may assist them to sit round over the side. ■■ A slide sheet under the legs may assist the patient to bring them over the side of the bed. Evidence Provide an example of having practiced lying to sitting or sitting to lying with a patient in the gym or on the ward. Describe what you told the patient to do and what aids you used and why What went well, what went not so well, what would you do differently next time? Workbook 15 Page 6
NHS Training for Physiotherapy Support Workers Workbook 15 | Transfers 15.4 Teaching a patient to move up and down the bed One difficult movement for patients can be moving up the bed in a seated position. You may be required to assist the patient to do this prior to carrying out some therapy. Again this can be done with one or two members of staff depending on the outcome of your risk assessment. Remember to speak to the patient and the nurse caring for the patient, and to observe the patient carefully before making a decision about how to move the patient. It is important for the rehabilitation of the patient to encourage him or her to be as independent as possible. If the patient can come to a sitting position independently, encourage him to do so. If not, you may have to use your body weight or a towel behind the patient’s back, to assist the patient to come to sitting. To move the seated patient up or down the bed, it may be necessary to: ■■ ■■ ■■ instruct the patient in use of handling blocks assist with the patient placing his hands on the bed either side of his body, his knees bent and feet flat on the bed, hold the patient’s feet to provide him with purchase as he moves himself up the bed by straightening his knees use a slide sheet under the patient’s buttocks to assist the manoeuvre with the assistance of two staff. Evidence With your supervising therapist, conduct a risk assessment and assist a suitable patient to move up or down the bed. ■■ ■■ ■■ ■■ ■■ ■■ Assess the risk in moving individual patients in bed. Assist the patient to sitting with one. Assist the patient to sitting with two. Assist the patient to move up or down the bed independently. Assist the patient to move up or down the bed with one. Assist the patient to move up or down the bed with two. ■■ Use appropriate handling aids safely. Workbook 15 Page 7
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Workbook 15 Transfers

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