Mobilisieren - Transfer

Summary

This video demonstrates proper techniques for mobilizing care recipients, focusing on transferring them from a bed to a seating area. It emphasizes the importance of preparing for movement, applying kinesthetic principles, and ensuring safety. Different transfer methods are shown, including high and deep transfers, based on the mobility level of the individual. The care professional provides support, helping the patient to stand, move, and sit with attention to posture, safety, and the patient's physical needs. The video also covers techniques for effective support and guidance in multi-stage transfers.

Takeaways

• 😀 The main task of healthcare professionals is to help recipients mobilize and encourage regular movement.
• 😀 Before any mobilization, always prepare and consider the goals and principles of good mobilization.
• 😀 The concept of kinesiology should be considered for all movements, ensuring proper coordination and strength.
• 😀 For people who have sufficient strength and coordination, a high transfer (from bed to a chair) can be performed.
• 😀 The seat should be positioned at a 90-degree angle to the bed, and any gaps between the bed and wheelchair can be bridged using towels or blankets.
• 😀 Always check for fall prevention by locking brakes on wheelchairs or toilet chairs when applicable.
• 😀 Ensure the recipient's legs are aligned correctly, ideally at a 90-degree angle, during the transfer.
• 😀 In a deep transfer, when the recipient needs more support and cannot hold their weight, the caregiver should assist them by guiding their upper body forward to shift the patient's center of gravity.
• 😀 Another variant of the deep transfer is recommended for similar body conditions, where the caregiver sits beside the patient and uses weight-shifting techniques to move the recipient towards the chair.
• 😀 Utilize the strength of the patient’s arms during the transfer to aid the movement, and ensure weight is shifted to the knees during each phase of the transfer.
• 😀 After the transfer, always consider the post-care phase to ensure the patient's safety and comfort.

Q & A

What is the main goal of the video?

The main goal of the video is to show the transfer process from the bed to a seating position, and to emphasize the importance of regular movement for care recipients, which is a key responsibility of care professionals.

What should be considered before mobilizing a patient?

Before mobilizing a patient, it is essential to prepare the patient properly, set goals for the mobilization, and apply the principles of good mobilization, taking into account the concept of kinesthetics.

What is the 'high transfer' method, and when is it used?

The 'high transfer' method is used when patients have enough strength and coordination to stand and be transferred into a chair. The chair should be positioned at a 90-degree angle to the bed, and gaps between the bed and chair should be bridged using a blanket or towel.

Why is fall prevention important during the transfer process?

Fall prevention is crucial to ensure the safety of the patient during the transfer. This includes securing the brakes if the seating is a wheelchair or toilet chair, as well as properly positioning the patient’s legs.

What is the correct leg positioning during the transfer?

The patient's legs should be aligned at a 90-degree angle during the transfer to ensure proper posture and balance.

What should the caregiver do to support the patient when standing up?

The caregiver should ensure the patient has a good stance and maintain a straight back while assisting the patient in standing up. The caregiver should then guide the patient towards the chair with small steps.

What is the 'low transfer' method and when is it used?

The 'low transfer' method is used for patients who need more support and cannot hold their body weight while standing. In this method, the caregiver faces the patient, asking them to place their arms over the caregiver's shoulders, and then gently moves the patient toward the chair.

How does the caregiver assist the patient during a low transfer?

During a low transfer, the caregiver leans slightly backward, shifting the patient's center of gravity forward. The caregiver moves the patient toward the chair in stages if necessary, while supporting the patient’s hips or buttocks.

What is an alternative variant of the low transfer method?

An alternative variant of the low transfer method involves the caregiver sitting next to the patient on the bed. The caregiver then places both of the patient’s legs over their thigh and supports the patient by moving them toward the chair in stages, using the patient's arm strength as a resource.

What is crucial to remember during each stage of the low transfer?

At each stage of the low transfer, the caregiver should shift their weight onto their knees to enable smooth movement and to ensure the patient is transferred safely to the chair.

What should the caregiver do after completing the transfer?

After the transfer, it is essential to carry out a follow-up process, ensuring the patient is comfortable and properly positioned in the seating position, and to make any necessary adjustments.