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Transfers

Transfers. By Dr. H.EL Sharkawy. Objectives. List type of transfers . Explain type and level of assistant . Explain the purpose of Transfer . Precautions with Transfers. List the Types of Assistance. Equipment related to transfer . . Definition of Transfer.

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Transfers

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  1. Transfers By Dr. H.EL Sharkawy

  2. Objectives List type of transfers . Explain type and level of assistant . Explain the purpose of Transfer . Precautions with Transfers. List the Types of Assistance. Equipment related to transfer .

  3. Definition of Transfer The activity of moving a person of limited function from one location to another. Transfers may be done by the patient alone, with the assistance of another person or by another person.

  4. Patient’s ability to transfer and the amount of assist needed will depend on cardiopulmonary status, joint flexibility, muscle tone and strength, neuromuscular control, balance and coordination, endurance, weight bearing status and cognition.

  5. Considering the patient’s physical mobility, condition, comprehension and motivation the primary goal of transfer training is to assist the patient into becoming as safe and independent as possible.

  6. Patient and therapist safety is of most importance during transfers. Whenever in doubt about the level of assistance needed to transfer a patient safely, ask for additional assistance!

  7. Precautions with Transfers Some conditions will require special precautions with transfer such as a THR or a patient with a wound. Treatment precautions will be discussed in more detail in later intervention courses.

  8. Levels of Transfers in Physical Therapy Activities

  9. Independent Transfers No assistance of any type needed for any aspect of the transfer. Patient can perform set up and transfer safely without any assistance.

  10. Assisted Transfer • Patient actively participates in transfer but requires assistance. • Types of assisted transfers • Two-person lift • Sliding board transfer (SBT) • Squat pivot transfer • Standing pivot transfer

  11. Standing pivot transfer

  12. Dependent Transfer • Patient does not or cannot actively participate in transfer. May be able to assist minimally. • Types of dependent transfers: • Sliding transfer from cart to table (team transfer) • Three person carry • Dependent stand pivot transfer • Hydraulic lift transfer

  13. Levels of Assistance for Transfers

  14. Minimal Assistance (Min A) PTA provides assist for about 25% of total patient’s work. Requires assist for balance, to move an extremity or assistive device.

  15. Moderate Assistance (Mod A) PTA provides assist for about 50% of total patient’s work

  16. Maximum Assistance (Max A) PTA provides assist for about 75% of total patient’s work

  17. Contact Guard (CGA) PTA supervises patient’s work by CONTINUOSLY guiding or guarding with touch/contact for support/balance

  18. Close Guarding Assist PTA supervises patient’s work by INTERMITTENTLY guiding or guarding with touch/contact

  19. Stand – By Assist Patient can perform activities without assist but do not do it consistently.

  20. Independent (I) Transfer PTA supervises the pt. without any assist

  21. Amount of Assistance When more than one person is required to transfer a patient safely the number of people required to complete the transfer is documented. Example – 2 people required to use moderate assistance

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