A nurse is assisting a patient with right-sided hemiplegia to transfer from the bed to a chair. The most appropriate action for the nurse is to do which of the following?

Question

a. Use a transfer belt.
b. Grab the patient under the arms while as-sisting with the transfer.
c. Stand on the unaffected side of the patient to ensure less strain on the nurse's back.
d. Encourage the patient not to use the hand rests because of their restrictions on movement.

Answer 1

A
A patient with neurological deficits sometimes has paresis (muscle weakness) or paralysis unila-terally or bilaterally, which complicates safe transfer. A flaccid arm sustains injury during transfer if unsupported. As a general rule, use a transfer belt and obtain assistance for mobilization of such patients. Use patient-handling equipment and devices, such as height-adjustable beds, ceil-ing-mounted lifts, friction-reducing slide sheets, air-assisted devices, and encourage the patient to help as much as possible. Grasping the patient under his or her arms could cause damage to this delicate area and does not allow for a firm hold, as the arms could lift up. A transfer belt is more secure. Always be aware of the patient's motor deficits, ability to aid in transfer, and body weight. As a rule of thumb, GET HELP to transfer a patient.