transfers-wheelchair
Patient / caregiver were instructed on important measures during transfers to wheelchair: Stand as close to the user as possible. Be sure footing is as stable as possible. Proper shoes is also recommended as sandals or flats do not provide support for a safe wheelchair transfer . Patient / caregiver verbalized understanding of instruction given.
Wheel char Fall precautions Avoid leaning forward and tipping yourself out of the wheelchair, Move footrests out of the way to avoid tripping on them during transfer, Lock the brakes before getting out of the wheelchair, Don’t over reach for an object, Avoid sliding or positioning yourself too far forward on the seat. Keeping your wheelchair in top condition is essential to its dependability and longevity.
Instructed in safe transfers, using proper body mechanics to avoid injury.
Instructed patient in measures to prevent falls using a cane support during ambulation and transfers.
SN educated patient and caregiver on the importance of always using assistive device with ambulation and transfers to avoid falls or injuries. Nurse instructed patient and caregiver on the importance of home safety such as proper lighting, and to keep walkways free of debris and clutter. Patient was instructed to contact PCP or home health agency if they fall or if current health status declines. Patient was instructed to not walk unassisted when not feeling steady . Patient verbalized understanding
Patient instructed on fall safety precautions to include: locking w/c before transfers, use assistive device for mobility at all times, make sure walkways are free of clutter, & well lit, do not walk around barefoot or in socks, avoid using rugs, use non slip rug in bath tub & use shower chair for bathing.
Patient was instructed on passive exercises (ROM exercises), that are very important if patient is in bed or in wheelchair. ROM exercises help keep the joints and muscles as healthy as possible. Without this exercises, blood flow and flexibility (moving and bending) of the joints can decrease. Joints, such as the knees and elbows, could become stiff and locked without ROM exercises. Passive Rom helps keep joint areas flexible, but do not built muscles or make them stronger.
Patient was instructed on factors that contribute in chronic wounds as repeated trauma. Repeated physical trauma plays a role in chronic wound formation by continually initiating the inflammatory cascade. The trauma occurs by accident, for example when a leg is repeatedly bumped against a wheelchair rest, or it may be due to intentional acts.
The patient was instructed in muscular dystrophy in locating correct devices like aids for ambulation and self-care activities. The patient was advised to recognize variations in the home location like bed trapezes, handrails, railed toilet seats, and ramps for wheelchairs. The patient was taught in the good skin care and placing using a bed or a wheelchair. The patient was reviewed in pain controlling methods to deal with chronic pain.
Why is it important to do active ROM exercises? ROM exercises are very important if you have been ill, injured, or must stay in bed or in a wheelchair. Active ROM exercises help build up or keep your muscles as strong as possible. They help keep your joints flexible ( bending and moving in the right way ). Doing ROM exercises will help keep good blood flow going to the joint area that is being exercised. They may help prevent blood clots. Exercising is natural and needed for the body to stay well. Your heart pumps stronger and easier when you exercise regularly. You also breathe quicker and more often while exercising. This helps prevent infections that happen if you do not breathe or cough deeply enough. With your heart and lungs working stronger, more blood gets to the muscles, bones, and skin. Increasing blood flow brings more oxygen and other good things to your body tissues and organs. Walking and other exercises help make your BMs and urine more regular. Exercising can also make you feel better, more relaxed, and happier.