Wednesday, March 24, 2010

one-person transfer technique, the hug

Out and about living with Multiple Sclerosis transferring to and from a wheelchair basically comes down to the assistance of one person and the epitome of caring, the hug.

Technically correct or not, this is how we have successfully and safely executed the one-person transfer hug for almost 15 years.

PREPARE

Remove potential transfer obstacles such as wheelchair leg and foot rests.

Optimum positioning is theoretical; we deal in ‘best of possible’. Position chair remembering this is a “pivot’ transfer, at most you will be moving only one foot.

Engage wheelchair brakes and double check.

COMMUNICATE

Talk through your transfer plan including both your role and person in wheelchair’s role. Avoid directional words such as right and left, remember you are facing each other this gets confusing. Pantomime is not only effective but often humorous and a little laughter goes a long way to reduce transfer tension.

POSTIONING

Toe-to-toe knee-to-knee I lean down toward Patti. She hooks her arms around the back of my neck. I put my hands around her lower back.

I use a three count countdown to transfer. On ‘one’ and ‘two’ I rock Patti forward giving her a sense of the momentum and dynamics then release her back to an upright seated position. Additionally this gives MY back and knees two quick stretches before transfer.

On ‘three’ I squat, pull Patti forward toward me, and I begin to stand up to a hug, encouraging her to extend her legs to ‘touch the floor’.

Important: Never hesitate to abort transfer if either you or the person you are transferring is experiencing pain. Simply release them back into wheel chair and seek assistance.

PIVOT

IF Patti has extended her legs then I simply pivot ‘us’ at target and lower her by squatting down and releasing hug. We might even be confused for dancers.

Now if Patti ‘has not’ extended her legs … well then it resembles whatever it takes to end safely.

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Neither life nor life’s challenges come with a how to manual. People sharing their experiences can often be the best of possible windows.

related ‘caregivingly yours’ video
wheelchair transferring Multiple Sclerosis caregiver 

by Patrick Leer
BLOGS:
Caregivingly Yours, MS Caregiver @ http://caregivinglyyours.blogspot.com/


4 comments:

  1. We have used this for years in the hospital although now they strongly advice against it since we having lifting equipment, which are big, bulking and time consuming.

    ReplyDelete
  2. Action Handling Equipment Ltd is one of the most trusted names in the UK when it comes to material handling equipment, lifting equipment, office supplies, industrial weighing equipment, packaging and warehouse equipment.
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  3. Action Handling Equipment Ltd is one of the most trusted names in the UK when it comes to material handling equipment, lifting equipment, office supplies, industrial weighing equipment, packaging and warehouse equipment
    Lifting Equipment

    ReplyDelete
  4. The "bear-hug" pivot transfer is wonderful! You can transfer someone by yourself and not have to wait for another staff member to show up. The "bear-hug" transfer is what got me through a week at work when we were short on volunteers!

    ReplyDelete

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