This document discusses lifting and shifting patients using devices like wheelchairs and stretchers. It describes when lifting and shifting patients is needed, such as for pre-operative, anemic, elderly, gynecological, or critically ill patients. Proper techniques are outlined, including planning the movement, supporting the patient's head, shoulders, hips, thighs and ankles, taking help from others, encouraging patient participation, avoiding twisting or jerking, and preparing the environment, patient, equipment and self before and after the procedure.

1. LIFTING AND SHIFTING

2. Lifting and Shifting of the patients means
shift or transfer the patient from one place
to another place with use of different types
of devices.
For example-: Wheel chair , stretcher .
When the patient is not able to move or lift
own self.

3.  wheel chair or arm chair.
 wheel bed.
 strecher etc.

4. Pre-operative patient.
Anemic patients.
Old-age patients.
 To shift the Gyneac patients.
For shifting the patient from ward to the
investigation area.

5. Critically ill patients.
Spinal injury and fracture patients.
Ceaserian patients.
 Head injury patients.
Semi conscious,unconscious and coma
patients.

6. Critically ill patients.
Post operative patients cardio vascular,
spinal injury and fracture patients.
Ceaserian patients.
Head injury patients.
Semi conscious,unconscious and coma
patients.

7. plan the movement of the patient ahead of
the time and be sure the path is clear.
Face the direction in which the movement
will be made to avoid twisting.
The areas to be supported are.
*head, shoulder and chest.
*hips.
*thighs and
*ankle.

8. *Take the help of the worker and co-ordinate
the movements.
*unless contraindicated, encourage the patient
to use his abilities as much as possible.
*Observe the patient for orthostatic
hypotension.
*Don't support the patient under his armpit.
*Always lock the wheels of the chair and
stretcher.
*Avoid jerking and twisting during the lift

9. PRELIMINARY ASSESSMENT—
1. Check the diagnosis of the patient.
2. Check the level of the consciousness and
ability to follow instructions.
3. Check the ability of the self care.
4. Check the abilities and limitations such as
paralysis,fractures,and splints.
5. Check the presence of the muscle, skin and
bone lesions and attachment e.g. catheters
and I.V.connections.
6. Check numbers of personnel required.

10. Provid the prvicy.
Explain the procedure.
Adjust the bed at working height.
Fanfold the top linen.
Chenge the wet linen.
Offer the bedpan.
Remove all comfort devices.
Clamp the catheter. Attach the i.V pole to
the device.
Position foot stool if needed.

11. 1) Before the procedure.
*preparation of the environment.
* preparation of the patient.
* preparation of the Articles.
* preparation of the own self.
2) During the procedure
3) After the procedure.

12. Thank you