How to Transfer a Patient From a Bed to a Wheelchair: Physical Therapy Tips

Transferring a Patient from a Bed to a Wheelchair

• The first step in transferring a patient is to position the wheelchair at the correct level, ensuring it is at the same height as the bed or slightly lower, to prevent straining and facilitate a smooth transfer.
• Having the wheelchair at the right level is important to prevent injury and strain to both the patient and the therapist, as it reduces the need for excessive lifting and bending.

Preparing the Patient

• Bend the patient's knees to reduce their center of gravity, making it easier to transfer them and reducing the risk of falls.
• After bending the patient's knees, cue them to lift themselves up, promoting independence and reducing the amount of manual assistance required.

Importance of Proper Setup

• One of the risks associated with transferring a patient without proper setup and foresight is injury to the patient or therapist, highlighting the need for careful planning and preparation.

Using Assistive Devices

• Having a sheet underneath the patient is important during the transfer, as it provides a smooth and frictionless surface, reducing the effort required to move the patient.
• Using a gait belt when lifting the patient helps to provide additional support and control, reducing the risk of falls and injury.

Maneuvering the Patient

• To make things easier, maneuver the patient in a slow and controlled manner, avoiding sudden movements and jerks.
• Cue the patient to use their arms during the maneuvering process, helping to maintain balance and control.
• Place your knees against the patient's knees during the maneuvering process, providing additional support and stability.
• The patient's hands should land on sturdy surfaces, such as the wheelchair armrests or a bed rail, to provide additional support and balance.

Lowering the Patient

• Avoid jerking or bouncing motions when lowering the patient down, as this can cause loss of balance and falls.
• Use a gait belt or other lifting device to lift up the patient, reducing the risk of strain and injury.

Maintaining Control

• Keep the patient's clothing and any straps or belts nice and tight while maneuvering, preventing unnecessary movement and maintaining control.