Hi,
I'm David Lawrence and in this video I'm going to talk about and show you how to
perform a transfer between surfaces such as a wheelchair to a bed with bilateral
prosthetic limbs.
So when transferring from a bed or a surface onto a wheelchair using a transfer
board, the most important aspect from the very beginning is set up.
So you don't want this chair on a 90 degree angle to the bed.
You want the front end tipped in as tight as possible and you want to check to
make sure that both wheels are fully locked.
That way that chair is solid and not going to move.
As far as the transfer board is concerned, if they have a handy hole on them,
this is great. If they don't,
you just grab the very end and I'm going to come in to the patient having put
his hands out on both sides and the first thing I want him to do is just give me
a little bit of a scoot to turn his hips a little bit towards the chair.
In other words, if I can get him on more of an angle this direction,
he has to make a less of a turn on the board.
At this point I'm going to grab the side of his shorts.
This is really important.
I want to lift these shorts up so they don't get caught under the board.
Having lean away slightly slide the board into position.
Now you notice a couple of things. The board is more under his thigh,
up under his buttocks, not underneath of this close side hip.
That's because if we have it that far back,
he's likely to slide off the front of the board.
You'll also notice that a portion of the board is on the chair but not
completely enough spaces in the chair that he can get out from under the board
or out from on top of the board as soon as he gets there.
So if I'm going to help him, being on a stool is helpful,
but if you don't have a stool, you can always be on one knee,
come in and grab the patient right on the belt, top of the pants.
If there is a transfer belt that's fine.
I prefer to grab onto the belt or the loops of the pants because I get the best
control of the patient.
So all I want him to do is lean towards me slightly and give a press down and
scoot slightly. We don't need a big scoot. Just a little bit of scoot at a time.
Do that again. Lean and scoot. Good. Lean and scoot.
Good. Now we're this far. We're almost off the board.
I have him bring his hand up on the arm of the chair to get a little more height
cause this last scoot we want to kind of really lift up and sit way back into
the chair. So lift up and way back into the chair. Once he's there,
if he leans away slightly, the board comes out easily.
If our patient is a little bit higher level and can do a lot of this themselves,
you want them to take this chair and set it up, check the brakes themselves,
so lean over and see that that chair,
that wheel is put your hand on it and make sure that that's locked in place and
you come over to this side.
You can also reach and make sure that's locked in just to make sure it's solid
and not going anywhere.
From there takes the transfer board in his same side hand and can slide under.
Now notice, there you go.
Notice how he grabbed onto his shorts or pants to pick them up a little bit and
his,
the transfer board is on an angle onto the chair but not fully on the seat and
fully under his thigh and under just the beginning of his backside.
From that position, all he's going to do is one hand out to each side,
lean slightly forward and make a small scoot. Remember,
really important to make small scoots because if he doesn't get stuck,
the board transfer board is slippery and he can slide right off it.
If he does get stuck and it doesn't move,
you can topple because the the shorts get him caught underneath, so same thing.
Small little scoots. There you go.
Small scoots once he feels like he's half on the chair. Hand up.
Big scoot in the back of the chair. Lean away.
Board comes out.
Now we're going to look at a stand pivot transfer with a lower level below the
knee, bilateral below the knee patient. The first thing is always set up,
get the wheelchair in the right position.
Both wheels locked the front of the wheelchair tight into the bed or as close as
possible. Check to make sure the wheelchair is not moving. From that position,
we want our patient to kind of scoot her hips closer to the chair,
but kind of angle herself away from the chair. Exactly in that position.
From here, she's going to tuck her feet back under her a little bit,
but they're faced, again partially away from the chair.
I want her to then take her same side hand and put it on top of the armrest so
she's got a stable position. This hand is going to push up from the bed surface.
Now she doesn't go anywhere yet. If she had a transfer belt on,
I could grab that.
I much prefer just to grab the belt and grab her belt or belt loops and get into
a position where I have stability from here.
All I want her to do is lean forward towards me and press up to a standing
position. I'm just staying really close to her.
She puts her hands on me for stability. That's great.
I'm really close to her at this point in time.
I just want her to take a step with her left foot slightly forward.
Bring her right foot back. Perfect, and she is right. Ready to sit down.
Sit back all the way into the chair, before I let go.
Thanks for watching and we hope that you found this helpful.
This video is part of a series on prosthetic interventions ranging from managing
the residual limb after amputation to running with a prosthesis.
We encourage you to view our other videos in this series and to share them as
well.
You can find them on our YouTube channel at YouTube.com/MissionGait.
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