A client with right-sided hemiparesis requires assistance moving from the bed to a sitting position in a wheelchair. In which order should the nurse perform the following actions to safely complete this transfer?
- 1Position the wheelchair on the client's left side at a 45-degree angle to the bed.
- 2Lock the brakes on both the hospital bed and the wheelchair.
- 3Assist the client to a sitting position on the side of the bed and allow their legs to dangle.
- 4Apply a transfer (gait) belt securely around the client's waist.
- 5Instruct the client to bear weight on their left leg and pivot toward the wheelchair.
Answer
The correct sequence is to first position the wheelchair on the strong side, lock all brakes, assist the client to sit and dangle, apply the gait belt, and finally have the client pivot on their strong leg.
Safe client transfers require sequential preparation to minimize fall risk. The environment must first be set up correctly by placing the wheelchair on the client's unaffected (strong) side and locking all brakes. Once the environment is secure, the client is brought to a seated position to stabilize blood pressure (dangling). A gait belt is then applied for physical support before the actual physical movement occurs. Finally, the client uses their strong side to bear weight and pivot into the wheelchair.
Step-by-Step Solution
Key Concept
Safe client transfer techniques and mobility assistance for hemiparesis.