Workbook 15 Transfers

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NHS Training for Physiotherapy Support Workers Workbook 15 | Transfers 15.5 Wheelchairs Backrest; folds down backwards and collapses inwards. Armrest; these are removed by releasing the catch. They can then be pulled up and out. Seat; is pulled upwards which folds the chair inwards for transportation. Foot-plates; these can fold upwards. Foot-plates; Release of this mechanism enables the foot-plates to swing outwards. Evidence Demonstrate to your supervising therapist that you can dismantle the chair for transportation. Workbook 15 Page 8
NHS Training for Physiotherapy Support Workers Workbook 15 | Transfers 15.6 Teaching patients to transfer safely in and out of a bed or chair using appropriate aids Part of your job may be to help the patient to practice transferring from the bed to the chair or wheelchair, so that they can become strong enough to do it by themselves. Activity Assuming that the patient can get themselves up to sitting over the side of the bed, before starting to practice the transfers, what safety factors should you think about? ■■ ■■ ■■ ■■ ■■ ■■ ■■ Correct positioning of chair For a lateral transfer, bed to chair, the chair should be positioned as close to the bed as possible. Application of brakes You must ensure that any brakes are applied prior to moving the patient to or from any chair. Removal of sides of chair The patient may need to practice removing the side of the chair so he can do this himself. You should be familiar with the release mechanism, and know how to remove the side of the chair. Repositioning of footplate Similarly, any footplates should be moved out of the way to enable the patient to come into or out of the chair. Make sure you know how to do this. Application of sliding aid/transfer board You may require to assist the patient to use a sliding aid. The aid may be used to bridge the gap between the chair and bed. A transfer board or slide sheet may be required However the patient should as much as possible use his arms and legs to raise his buttocks to transfer to prevent shearing of the skin. Application and removal of safety belt The patient should use a safety belt when moving around in the wheelchair. Do not forget to remove before the transfer and reapply afterwards. Activity With your supervising therapist, practice performing chair to bed, and chair to chair transfers yourself. Also practise teaching a model the steps to go through to transfer from bed to chair or chair to chair. Workbook 15 Page 9
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