Published Jul 17, 2007
Nuieve
262 Posts
How to transfer a patient with one weak/paralysed side from a bed to a chair? None of my books tells about specific chair position, and I can't find anything on the internet either.
My idea is:
1. Put chair parallel to the bed on patient's weak side facing him.
2. Make him sit, dangle legs.
3. Help him balance on his healthy leg and pivot his back towards a chair.
4. Sit into a chair.
I stumbled upon Kaplan test question, it said put chair 90 degree to the bed, stand on affected side. Mosby says stand on strong side.
What the heck? Is there a commonly agreed way to do it?
LaceyRN
633 Posts
How to transfer a patient with one weak/paralysed side from a bed to a chair? None of my books tells about specific chair position, and I can't find anything on the internet either. My idea is:1. Put chair parallel to the bed on patient's weak side facing him.2. Make him sit, dangle legs. 3. Help him balance on his healthy leg and pivot his back towards a chair.4. Sit into a chair. I stumbled upon Kaplan test question, it said put chair 90 degree to the bed, stand on affected side. Mosby says stand on strong side. What the heck? Is there a commonly agreed way to do it?
We were taught to position the chair on patient's strong side at 45 degree angle, then stand on pt's weak side. The rationale is that the pt can bear weight on strongest side to pivot, and then reach with their strong arm to grasp the armrest of the chair.
Not sure if everyone is taught this way.
Daytonite, BSN, RN
1 Article; 14,604 Posts
the concept you have to keep in mind (and picture in your mind) when you are reading these questions is this:
the patient's weak extremity or weak side is always sandwiched and protected between their stronger or undamaged side and the healthcare assistant--always. this is how you support their movement. know the concept and you'll get the right answer every time.
the concept you have to keep in mind (and picture in your mind) when you are reading these questions is this:patient's strong side--patient's weak side--healthcare workerthe patient's weak extremity or weak side is always sandwiched and protected between their stronger or undamaged side and the healthcare assistant--always. this is how you support their movement. know the concept and you'll get the right answer every time.
that sounds the most logical to me. thanks! :)