An older adult client recovering from a stroke has residual left-sided weakness. The licensed practical nurse is preparing to help the client move from the bed into a wheelchair. Arrange the following actions in the correct chronological sequence to ensure a safe transfer.
- 1Position the wheelchair parallel or at a slight angle on the client's right side.
- 2Engage the locking mechanisms on both the bed and the wheelchair.
- 3Assist the client to an upright sitting position on the edge of the bed to dangle their legs.
- 4Apply a transfer belt securely around the client's waist over their clothing.
- 5Instruct the client to use their right arm to grasp the far wheelchair armrest while pivoting.
Answer
The correct sequence is to first position the wheelchair on the strong side, lock all brakes, assist the client to a dangling position, apply the transfer belt, and finally have the client pivot using their strong arm.
Safe transfer of a client with hemiplegia requires systematic preparation and execution. First, the environment must be prepared by placing the wheelchair on the client's strong side and locking all wheels. Next, the client's physiological readiness is ensured by allowing them to dangle and stabilize their blood pressure. Then, safety equipment (a transfer belt) is applied before any weight-bearing begins. Finally, the client uses their strong side to pivot and safely lower themselves into the chair.
Step-by-Step Solution
Key Concept
Safe client transfer techniques for unilateral weakness