"Pivot Transfer With Walker" for CVA/TBI patient with paralysis?

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    I guess this is something requiring two strong arms and can be used for someone with ability to bear weight on one leg, but what is "Pivot Transfer With Walker"? Can anyone describe step-by-step how to do a 1 person "Pivot Transfer With Walker"?

    Now would you do a "Pivot Transfer With Walker" by yourself alone for a 265 lb male with right side arm and leg paralysis who has just returned home from rehab after surgery to repair a fractured right hip? History is brain injury 12 years ago, stroke 1 year ago, hip fracture 6 weeks ago.

    OTOH, as a nurse would you order a 5' 2" 124 lb female to solo assist a "Pivot Transfer With Walker" for the same male?
  2. 4 Comments so far...

  3. 0
    Quote from CabanaDay
    "Pivot Transfer With Walker"?
    Pivot means that you stand them up and turn them quickly to the bed. The person doesn't always do this well and you end up holding them up. If the person can stand and lean on the walker he will pivot himself.
  4. 0
    I probably would prefer to use a mechanical lift or a 2 person transfer with anyone with bilateral paralysis; they tend to lean or fall over very easily, no matter how strong the unaffected side is.
  5. 0
    Quote from Carolinathe3rd
    If the person can stand and lean on the walker he will pivot himself.
    Quote from LaterAlligator
    I probably would prefer to use a mechanical lift or a 2 person transfer with anyone with bilateral paralysis; they tend to lean or fall over very easily, no matter how strong the unaffected side is.
    Not sure how one can have bilateral paralysis *and* an unaffected side but am reasonably certain such a patient would be at risk for falls.

    Patient is hemiparesic and as it turns out is very motivated to lean on the walker and pivot herself. It is going well.

    Now I just need to find a place to work where I can ask the nurse what she means when she uses terms none of us have read before in a care plan. Glad I have allnurses.com to ask in the meantime.
  6. 0
    Ha, oops, goes to show that I shouldn't post when I'm tired like that!


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