Which of the following can be used as an assistive device to turn and move a client in bed
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Assistive Devices and TechnologyPhysical challenges associated with ageing, illness, or injuries can make moving around and performing daily activities difficult. Assistive devices and assistive technology are products and technologies that can help or improve your loved one’s mobility so that they are able to participate in physical and social activities. This can also give your loved one the confidence and assurance for him/her to move about safely at home. Using them may prevent development of other health conditions such as pressure sores and complications from falls. Commonly Used Assistive DevicesHere are some assistive devices that are commonly used by seniors or people recovering from injuries or illnesses, such as stroke:
Getting the Right DeviceTo find out if your loved one requires an assistive device, speak to his/her doctor, physiotherapist or occupational therapist, who will assess your loved one and recommend the right devices for them. A right fitting will provide the most effective and safe use of the devices. You may also wish to discuss with your loved one if he/she has difficulties doing any of the following activities:
Make sure you are familiar with the instructions and proper use, precautions, and care of the equipment. Do take note of the device’s warranty, maintenance, repair or service dealer too. The Seniors’ Mobility and Enabling Fund (SMF) provides subsidies on selected mobility aids and home healthcare items. Assistive TechnologyThere are also other types of assistive technology devices and software to help
persons with disabilities live independently. An assistive technology assessment can help to evaluate the needs of such persons, and recommend the most suitable assistive technology option. Learn more about it here. Make your home environment safe by rearranging the furniture or declutter spaces
so that your loved one can move about independently and comfortably. In this way, falls can be prevented at home too. Send us your
enquiry AIC Hotline Mon - Fri: 8:30 am - 8:30 pm Sat: 8:30 am - 4.00 pm VISITVisit the AIC Link branch nearest to you We will cover in video each transfer (movement of client from one area/surface to another) scenario with the range of assistive devices that will help you complete your tasks. If you are physically able and it is not against your employer’s policy, consider attempting these transfer methods without devices once or twice so that you are comfortable using good body mechanics for lifts; but, as a rule, assistive devices are preferred when available. Check your facility’s policies on lifts and transfers for more information. In most situations involving transfers from one surface to another, the use of a transfer belt, also called a gait belt, is recommended. The belt gives the client a feeling of security and allows the person assisting the client to have a steady guiding presence in the activity. The belt should be snug but not tight, allowing the person assisting to fit two fingers under the belt on each side. This video shows the placement of the belt. There are a variety of belts used. The kind depicted in the video is the standard type seen in most facilities. Click here for a video transcript in .docx format: Video Transcript Transfers to weight scales from bedWeight scales (used to obtain the weights of clients as part of their care plan) come in two forms for bedridden clients. The first one we will discuss is a flat bed scale. The scale is placed on a stretcher next to the client’s bed. The staff will stand one or two on each side depending on the size and weight of the client. A transfer sheet is placed under the client by completing a log-roll from side to side. The slippery material of the transfer sheet allows the staff on each side to slowly pull the client onto the flat weight scale without injury to either staff or client. The weight is then determined and the process is reversed for the return to the client’s bed. The transfer sheet is removed by log-rolling again to remove the sheet. The client is positioned for comfort, and the call light is left in reach of the client while they rest from the transfer. This video details the transfer to the flat bed scale. What safety measures do they show during this process? Click here for a video transcript in .docx format: Video Transcript The other kind of weight scale for bedridden clients is the sling scale lift. The attachment to the lift to use it as a scale is at the top of the sling arm. The process of use is the same for the operation of using a lift, discussed in the following section. Manual lift / hydraulic lift and battery-operated liftsThe manual lift, or hydraulic lift, is used to lift clients from one surface to another. They have been used in facilities for more than 50 years, and have been a key part of the care delivery in hospitals, long-term care facilities and palliative care centers. The addition of battery-operated or electric mechanical lifts created a less physically demanding option with better control for client and staff operation. The lift is made of heavy steel with an extendable base, which is manually widened to open around chairs and bed frames. The arm that holds the fabric sling, which cradles the client, extends both down and up, allowing the lift to be used for stretcher clients as well as clients who need to be lifted from the floor. Manual lifts use hydraulic power and a hand pump to go up, and a release valve to allow the sling to lower the client. The battery-operated mechanical models have a safety release button to stop the action of the machine for safety. All lifts recommend two active participants in the transfer to maintain safety. Your facility will train you for the specifics using the brand of lift they have available and their lift policies. When lifting, these are the typical guidelines:
Be aware of the following considerations for all lifts:
Use the links provided below to review a number of videos that will demonstrate the different lifts currently used for client care in long-term care facilities. These videos will familiarize you with the looks and uses of the lifts. These videos do not replace personal instruction on the lifts you may be experiencing and individual training for these lifts.
Sit-to-Stand LiftsSit-to-stand lifts assist clients who are able to weight bear on at least one leg. They help clients transfer easily without needing to attempt to pivot. As noted in Chapter 4.2, these lifts have a standing pad for the feet, knee pads to secure the knees during transfer, a handle for the client to hold on to for the transfer, and they usually have a belt to wrap around the client under the arms to secure the client during the transfer as a safety measure. Follow these steps:
Here are two videos which show different types of sit-to-stand models being used to transfer a client:
Each of these lifts can be used to transfer onto a toilet with the proper sling. Transfer to toilet using a slide sheetThe slide sheet is a long sheet of material that produces minimal friction to items sliding over the surface. Because of the low-friction material, it is ideal for helping to slide clients from one surface to another with less strain on the caregiver, and it can be used for most transfers from surface to surface. Watch this video to view how the sheet is used in a toilet transfer. Click here for a video transcript in .docx format: Video Transcript Transfer BoardsAnother device used is a transfer board, also called a slider board. The transfer board is a smooth, shaped board that is used to allow for a transfer via sliding from one surface to another. It is polished or finished to reduce the friction, and some models are shaped with curves to allow for easier transfers around corners or in difficult positions. Many clients can use the transfer board themselves, but it is helpful to have someone assist with placement. You will need to be trained on using the transfer board for each client. The transfer board is placed between the two surfaces: the surface they are sitting on, and the surface they are transferring onto. The end of the board next to the client is wedged under their hip and thigh, making sure the other end has four inches resting on the surface they are transferring onto. Transferring from a higher seating area to a lower seated area works best. If doing so in reverse, make short slides to the goal. It is considered best practice to transfer the client fully clothed so their skin will not be compromised during the transfer by pulling or shearing the surface of their skin. The most challenging slide is onto the commode or toilet, as the client will need to remove their pants and undergarments while sitting on the toilet and replace them prior to moving, in order to reduce shearing of the skin. The client may transfer themselves by placing one hand on the surface they are transferring onto and one hand on the surface they are transferring from, sliding themselves over until completely sitting on the surface, and then removing the board. They are not to curl their fingers under the board, in order to reduce injury. You can assist the client by helping them slide over slowly. These videos demonstrate the slide/transfer board in use.
If you do not have a slide board available, you can improvise! Here is a car transfer using a garbage bag to make the movement more fluid. The bag is only used as a slider surface, not a resource for pulling the client into position. What assistive devices can be used to help patients move about?Mobility devices assist people to walk or move and may include:. wheelchairs.. tricycles.. crutches.. walking sticks/canes.. walking frames/walkers.. Which piece of equipment can you use to help move a client who can assist with moving up in bed?Slide Sheet
Slide sheets facilitate the process of moving and repositioning a patient. It is designed to reduce the effort of moving a person up or across the bed, in a chair or during a car transfer.
What assistive device is used to help a patient move from a sitting to standing position?Standing Lifts, Sit To Stand Lift, Mobility Transfer Systems. Standing lifts are specifically designed to secure patients during transfers from a seated position to a standing position, enabling quicker, easier, and safer patient lifting and transfer for both the patient and the caregiver.
What is a assistive mobility devices?These devices are intended to assist passengers with a disability to hear, see, communicate, maneuver, or perform other functions of daily life. Assistive devices include (but are not limited to): Crutches, Canes, and Walkers. Braces/Prosthetics. Wheelchairs.
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