An older adult client with generalized weakness is prescribed to sit in a wheelchair for meals. The nurse is preparing to perform a stand-and-pivot transfer using a gait belt. Place the following steps in the correct chronological order.
- 1Position the wheelchair at a 45-degree angle to the bed on the client's stronger side and lock the wheels.
- 2Assist the client to a sitting position on the edge of the bed and ensure their feet rest flat on the floor.
- 3Apply the gait belt securely around the client's waist, over their clothing.
- 4Face the client, assume a wide base of support, bend at the knees, and grasp the gait belt on both sides.
- 5Instruct the client to push up from the bed, come to a standing position, and pivot toward the wheelchair.
Cevap
The correct sequence ensures environmental safety first, prepares the client physically, secures the safety equipment, utilizes proper body mechanics, and then executes the movement.
Safe transfer protocols require a systematic approach that prioritizes environmental safety (locking wheels), patient readiness (dangling, feet flat), application of safety devices (gait belt), nurse ergonomics (wide base, bent knees), and finally the execution of the physical movement.
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Anahtar Kavram
Safe patient handling and proper body mechanics during a stand-and-pivot transfer