January 2005

For Therapists

Two-Person Transfer
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You can use this method when transferring a stroke survivor from a wheelchair to bed, treatment table or sofa. No one lifts. It protects the backs of both people helping and protects your patient's shoulders.

The responsibility of the person in front is to shift (not lift!) the patient's base of support from the chair to their feet. The responsibility of the person in back is to pivot the patient from the chair to the bed. Neither person is lifting the patient.

Starting Position
Patient is sitting. One person is standing in front, on the side to which the patient is transferring. The second person is standing behind the patient and next to the bed, sofa or treatment table. Sometimes it is helpful to have one knee up on the bed. Be careful of your back and use good body mechanics and back discipline.

Handling

1. Stand in front of the patient.
    
2. Place both feet flat on the floor.
    
3. With your knees together, position yourself in front of the patient's weak side.
    
4. Your feet should be staggered, one in front and one in back. This way you'll be able to shift your weight from your front foot to your back foot as the patient shifts their weight from the hips to the feet. Your back foot should be on the weak side, toward the bed.
    
5. The "V" space between your knees will be positioned on each side of the patella at the condyles. This correct position is extremely important and plays a key role in the method working. Your point of contact should not be on the patella nor should it be along the femur. These are very common mistakes and should be avoided.
    
6. Help the patient to lean forward.
    
7. Reach over the patient's back and place your hands securely along the scapula and onto the ribcage. Do not grab under the patients arms, this can cause injury to the patient's shoulders.
    
8. Do not lift the patient into standing. Instead, rock their weight forward, from their hips onto their feet. At the same time, rock your weight onto your back foot.
    
9. Approximate the knees by giving input with your legs into their condyles, just on each side of their patella. Your input should help bring their hips up and off the surface of the chair. The larger the patient, the more approximation you will need to give and the further your hands will come around the ribcage.
    
10. As their hips clear the chair, your partner will now prepare to help pivot the patient's hips to the bed.
     
11. As the 'helper', position yourself to protect your back. You'll be behind the patient and next to the bed. Sometimes it is helpful to have one knee up on the bed.
     
12. Hold each hip firmly.
     
13. Pivot the patients' hips onto the bed.

For more information on transfers see
Teaching Independence: A Therapeutic Approach

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January 2005

For Families & Caregivers

Concerns for Safety
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"What if they need me and I can't hear them?" This is the biggest fear of many family members and caregivers of stroke survivors. A baby monitor can solve that problem. It is inexpensive and easily available.

One monitor can be placed next to the stroke survivor in their bedroom or any other room they are in.

The second monitor stays with the caregiver, allowing them to hear them from anywhere in the house or yard. Most monitors are very sensitive and can be a perfect solution to a common concern.

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