Patient Transfer Technologies In the Home

Transcription

1 Patient Transfer Technologies In the Home Lori Peculis, PT, ATP Molly Boland, MS, ATP, RET Assistive Technology Unit University of Illinois at Chicago S

2 Transfer Assistance in the Home: Who? Where? Why? S Who needs transfer assistance? S Impaired motor function S Weakness S Paralysis S Decreased Balance S Where do transfers take place? S Wheelchair to/from bed S Wheelchair to/from toilet or bath chair S Why is assistance needed? S Participation in activities of daily living S Safety for client and care giver

3 Home Safety Concerns S Client S Appropriate and safe positioning of client S Decrease injuries (i.e. shoulder injuries) and falls associated with independent transfers S Provide position changes to prevent pressure sores and contracture S Caregiver S Proper body mechanics not enough to prevent injury S Transfer assistance increases ability to work longer S Improved retention and access to care givers

4 Transfer Aid Selection Process Solutions According to Assistance Level of Need No Assistance Needed Independent Transfers possible Assistance Needed Low and High Tech devices Dependent Patient Powered/Manual Lift with sling Selection of Transfer aid is a team process for the home setting.

5 Challenges in the Home Environment: S Home Modifications may be needed: S Widening doors or pocket doors S Removing carpeting S Ceiling lifts may involve relocating ceiling fans, lights, modifying door frames for room-to-room transfers

6 Home Modifications S Widen doorways S Shower stall S Ramps S Platform lifts S Independent transfers may require S Grab bars S Transfer board

7 Financial Implications of Transfer Aids S Costs: S Transfer aids and home modifications typically not covered by insurance S The cost of transfer aids are minimal compared to: S residential program fees S medical treatment for a fall or pressure sore S job loss or time off of work S Full time caregiver assistance

8 Home Setting Summary Special difficulties exist for individuals living in their home settings. The following issues are identified: S Workers in the home sector face unique challenges in that the home is not often designed for ease of client assisted transfers. S Home sector workers often work alone and must transfer clients by themselves. S Insurance rarely covers transfer devices. These might be the very thing that allow clients to remain in their home and not be moved to long-term care facility. S From SHARP (Safety and Health Assessment and research for Prevention)

9 Independent Transfers S Independent Transfers S Clients who can perform transfers without physical assistance and with good safety awareness consistently throughout the day S Low-tech or high-tech transfer aids may be used

10 Independent Transfer Aids Low Tech S Transfer Board S Satin Sheets S Pole or grab bars S Over-bed Trapeze

11 Independent Transfer Aids High Tech S Electric Hospital Bed S Ceiling Lift Systems (may provide independent transfers) S Client may be able to independently access up/down controls and lateral movement. S One type of sling Sure Hands Grab Bar System, allows for client to independently position themselves in lifting system.

12 Independent Ceiling Lift System: Sure Hands S Sure Hands Ceiling Lift Features: S No sling needed S Sure Hands Grab Bars lifts client underneath arms and thighs S Clients with good upper extremity and head control can position themselves in grab bar system S Remote control used to lift client up and then move horizontally to transfer

13 Assisted Transfer Aids Low and High Tech S Assisted Transfers S Clients who cannot perform transfers without physical assistance and with good safety awareness consistently throughout the day S Low-tech aids- sliding board, gait belt (for standing pivot transfer) S High-tech aids- electric beds, standing aid transfer devices, passive lift transfer devices

14 Case Studies