movingapatient with a degree of mobility

Common Foundation Programme - Moving and Handling

A guide to the Moving and Handling sessions in the Common Foundation Programme (module 2) for both staff and students.

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Mobilising a patient with a degree of mobility

Aims and intended learning outcomes
Patients with a degree of mobility
Handling Aids
Assisted walking - one carer
Assisted Walking with two carers
Falling and recovery from the floor

Using a banana/transfer board
Sitting forward in chair
Repositioning in chair
Sitting in and getting out of a chair
Assisted standing - using the bed
Assisted standing with handling belt - two carers

Aim

This session includes a practical element and workbook activities, giving the student the opportunity to practice moving patients who have a degree of mobility.

Intended learning outcomes

The student will be able to demonstrate the use of a variety of techniques and equipment, including:

handling belt
banana board
turntable

turning frame
slide sheets

The student will be able to demonstrate assisting the patient:

walking
standing
transferring
after a fall
sitting forward in chair

reposition in chair
sitting into and out of chair
out of bed
rolling in bed
inserting a bedpan

Patients with a degree of mobility.

These patients will require a risk assessment, on each occasion before moving and handling:

the patients may progress and be getting stronger or

in chronic neuromuscular disease, gradual loss of strength or function may occur.

Example:

Patients with a cerebro vascular accident (stroke) may be unaware of the position of their affected hands or feet, therefore providing an unstable base to begin the task.

Handling Aids


Handling Belt	Banana Board	Transfer Board


Turning Frame	Turntable	One Way Slide Sheet

Assisted walking - one carer

1: Talking & encouraging mobility

2: Walking with patient with correct hand position,
close to load.

The carer walks beside the patient with the patient's hand resting on top of the carer's closed hand. If the patient falls do not try to stop them but attempt to prevent injury to the head.

Video clip

Assisted Walking with two carers Video clip (BackCare, 1999)

Falling and recovery from the floor

1: Don’t catch ~ let person fall, save head only if safe to do so.
2: Patient must initially be assessed by a Registered Practitioner. If no injury, encourage patient up using chair for support.
(BackCare, 1999)

Using a banana board/transfer board

			Note that the bed is slightly higher than the chair. On returning to bed, the bed would ideally be slightly lower than the chair. A sliding sheet can be used with the transfer board to reduce friction. A turntable can also be used to assist the feet to move. (BackCare, 1999)


alone	with sliding sheet	with turntable

Sitting forward in chair
Close to load,
hand nearest to patient behind scapula.
Care needs to be taken to support in front.

(BackCare & RCN, 1998).

Repositioning in chair
1: Talking, showing and encouraging patient.
2: Assisting with or without slide sheet

(BackCare, 1999)

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Sitting in and getting out of a chair

1: Is height of chair suitable? There are types with elevating seats that can assist with standing & lowering into chair.

2: Talking, showing and
encouraging patient
3: Turning Frame

Back to top of page (BackCare, 1999)

Assisted standing - using the bed

The patient places their feet firmly on the floor. The bed is pumped up to support the patients upward movement. The patient should place hands on the bed for support.

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Rolling a patient in bed

1: Basic turn onto side,
one or two carers

Inserting a bedpan
1: Bridging to insert slipper
type bedpan.

2: Rolling to insert bedpan.

(BackCare & RCN, 1998)

References:
BackCare (1999) Safer handling of people in the community. London: BC.
BackCare and Royal College of Nursing (1998) The guide to the handling of patients:introducing a safer handling policy. Revised 4^th ed. London: BC.

This page updated by Ross Andrew, Praxis Laboratories, April 2002

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Moving and handling home page | FHHS Intranet home page

These pages have been prepared by Colin Baker, Safety Co-ordinator.

Rolling a patient in bed 1: Basic turn onto side, one or two carers			Inserting a bedpan 1: Bridging to insert slipper type bedpan. 2: Rolling to insert bedpan.
(BackCare & RCN, 1998)