A nurse is preparing to transfer a client who has left-sided hemiparesis from the hospital bed to a wheelchair. In what order should the nurse perform the following actions to ensure a safe transfer? Arrange the steps in the correct chronological sequence.
- 1Position the wheelchair on the client's unaffected (right) side at a 45-degree angle to the bed.
- 2Engage the wheel locks on both the hospital bed and the wheelchair.
- 3Assist the client to a sitting position on the edge of the mattress and securely apply a transfer belt.
- 4Stand directly in front of the client and brace their affected (left) knee and foot with your own.
- 5Instruct the client to push off the mattress with their right arm, stand, and pivot into the wheelchair.
Cevap
The correct sequence begins with positioning the wheelchair on the client's strong side, followed by locking the brakes on both the bed and wheelchair. Next, the nurse assists the client to sit on the edge of the bed and applies a transfer belt. The nurse then braces the client's weak knee and foot, and finally instructs the client to push up with their strong arm to stand and pivot into the chair.
Safe mobility practices dictate a specific sequence to protect both the client and the nurse. The environment must be prepared first by placing the wheelchair on the client's unaffected side, which capitalizes on their functional strength. Locking the brakes immediately after positioning ensures the equipment will not slide. The client is then brought to a dangling position to establish balance, and a transfer belt is applied for a secure grip. Before the client attempts to bear weight, the nurse must brace the hemiparetic (weak) leg to prevent it from collapsing. Finally, the client is instructed to use their strong arm to push off the bed, utilizing their intact motor function to complete the pivot.
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Safe Client Transfer Principles for Hemiparesis