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LIFTING TECHNIQUES

3 Basic Concepts:
     1. Center of Gravity
     2. Base of Support
     3. Line of Gravity

Transfers
A. Goals
     1. Permits the patient to function in different environments or to use different pieces of
         equipment.
     2. Patient to become independent in ADL.
     3. To go from dependent to assistive to independent transfers.

B. Evaluate for assistance and question person’s knowledge about patient’s abilities. May require
   no assistance, minimal, moderate, and maximal of one or several people.

C. MOST IMPORTANT – Px. and N safety must not be compromised, no injuries; REMEMBER BODY
   MECHANICS
   MAKE SURE ALL EQUIPMENT STABLE AND SECURE

D. Patient Transfers
        Plan & organize transfer BEFORE moving patient
        Instruct patient in technique/procedure
        Demonstrate technique/procedure
        Be alert to safety factors
        Review chart to determine amount of assist., cognitive status, strength, type of transfers
        already performed etc.
        Utilize safety belt
        NEVER leave pt. unattended

E.   Organization ofPatient Transfers cont’d
         Proper shoes on patient
         Appropriate equipment
         Alert to IV lines, catheters, weight bearingstatus etc.
         Use proper body mechanics
         Position yourself to guard, protect and assist
         Break transfer into component parts
         Only assist as needed at each component

F.   Types:
       1. Independent Transfer
       2. Assisted Transfer – some patient participation required
            a. Two-person Lift
            b. Sliding Board Transfer
            c. Push Up Transfer
            d. Squat Pivot Transfer
            e. Standing Pivot Transfer
       3. Dependent Transfer – minimal or no assistance from patient
            a. Sliding Transfer
            b. Three person Carry
            c. Dependent Stand Pivot Transfer
            d. Hydraulic Lift Transfer

G. Major Reasons For Direct Patient Contact
    1. Best possible biochemical posture for caregiver, maintain px. close to N BOS
    2. Provide input to patient for direction of movement
    3. Safety of patient and N


                                                       Randy Ian J. Espinosa, PTRP, MTAP
                                                       Physical Medicine & Rehabilitation Center
                                                       Davao Medical School foundation Hospital

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Lifting techniques hand-out

  • 1. LIFTING TECHNIQUES 3 Basic Concepts: 1. Center of Gravity 2. Base of Support 3. Line of Gravity Transfers A. Goals 1. Permits the patient to function in different environments or to use different pieces of equipment. 2. Patient to become independent in ADL. 3. To go from dependent to assistive to independent transfers. B. Evaluate for assistance and question person’s knowledge about patient’s abilities. May require no assistance, minimal, moderate, and maximal of one or several people. C. MOST IMPORTANT – Px. and N safety must not be compromised, no injuries; REMEMBER BODY MECHANICS MAKE SURE ALL EQUIPMENT STABLE AND SECURE D. Patient Transfers Plan & organize transfer BEFORE moving patient Instruct patient in technique/procedure Demonstrate technique/procedure Be alert to safety factors Review chart to determine amount of assist., cognitive status, strength, type of transfers already performed etc. Utilize safety belt NEVER leave pt. unattended E. Organization ofPatient Transfers cont’d Proper shoes on patient Appropriate equipment Alert to IV lines, catheters, weight bearingstatus etc. Use proper body mechanics Position yourself to guard, protect and assist Break transfer into component parts Only assist as needed at each component F. Types: 1. Independent Transfer 2. Assisted Transfer – some patient participation required a. Two-person Lift b. Sliding Board Transfer c. Push Up Transfer d. Squat Pivot Transfer e. Standing Pivot Transfer 3. Dependent Transfer – minimal or no assistance from patient a. Sliding Transfer b. Three person Carry c. Dependent Stand Pivot Transfer d. Hydraulic Lift Transfer G. Major Reasons For Direct Patient Contact 1. Best possible biochemical posture for caregiver, maintain px. close to N BOS 2. Provide input to patient for direction of movement 3. Safety of patient and N Randy Ian J. Espinosa, PTRP, MTAP Physical Medicine & Rehabilitation Center Davao Medical School foundation Hospital