Many residents in an assistive living facility have some sore of functional mobility limitations. Some have difficulty moving around in bed, and others may have trouble transferring from sitting to standing or walking without assistance.
One of the challenges of working with and caring for assistive living facility residents is ensuring that safety is maintained at all times. Helping a resident transfer from a sitting position to a standing position can be very difficult. The act of moving from a seated position seems simple enough; just raise your body up from the chair. But there are some things that caregivers at assistive living facilities can do to assist residents when rising from a chair.
Here are a few tips to help a resident safely move to a standing position from sitting.
Once you have effectively assisted the resident in rising from sitting, make sure the assistive device that they typically use is within reach, and be certain the person is standing with good balance before removing your hands and the gait belt from the person.
The act of rising from a chair seems like a simple task, but when a person has a limitation with functional mobility, it can be a real challenge. By following some simple tips when helping a resident of an assistive living facility rise to stand from sitting, you can be sure to maintain a safety for both you and the resident.
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If the person you care for can stand for short periods, you should have been shown the safest method to do this. In this film we see John and two people assisting him to stand from sitting in a wheelchair. Notice how he adjusts his balance before sitting again and the position of the carer’s hands when they are assisting him.
Here are some points to consider when helping someone from sitting to standing.
Other points to consider when moving and handling at home.
Chapter 3. Safe Patient Handling, Positioning, and Transfers
Immobility in hospitalized patients is known to cause functional decline and complications affecting the respiratory, cardiovascular, gastrointestinal, integumentary, musculoskeletal, and renal systems (Kalisch, Lee, & Dabney, 2013). For surgical patients, early ambulation is the most significant factor in preventing complications (Sanguinetti, Wild, & Fain, 2014). Lack of mobility and ambulation can be especially devastating to the older adult when the aging process causes a more rapid decline in function (Graf, 2006). Ambulation provides not only improved physical function, but also improved emotional and social well-being (Kalisch et al., 2013).
Prior to assisting a patient to ambulate, it is important to perform a patient risk assessment to determine how much assistance will be required. An assessment can evaluate a patient’s muscle strength, activity tolerance, and ability to move, as well as the need to use assistive devices or find additional help. The amount of assistance will depend on the patient’s condition, length of stay and procedure, and any previous mobility restrictions.
Assisting Patient to the Sitting Position
Patients who have been immobile for a long period of time may experience vertigo, a sensation of dizziness, and orthostatic hypotension, a form of low blood pressure that occurs when changing position from lying down to sitting, making the patient feel dizzy, faint, or lightheaded (Potter, Perry, Ross-Kerr, & Wood, 2010). For this reason, always begin the ambulation process by sitting the patient on the side of the bed for a few minutes with legs dangling. Checklist 27 outlines the steps to positioning the patient on the side of a bed prior to ambulation (Perry, et al., 2014).
Ambulating a Patient
Ambulation is defined as moving a patient from one place to another (Potter et al., 2010). Once a patient is assessed as safe to ambulate, determine if assistance from additional health care providers or assistive devices is required. Checklist 28 reviews the steps to ambulating a patient with and without a gait belt.
Watch the video How to Ambulate with a Cane by Kim Morris of Thompson Rivers University.
Watch a video How to Ambulate With Crutches by Kim Morris, Thompson Rivers University.