Moving patient in bed: One person assist

• Clients who have slide down in bed from Fowler’s position or being pulled down by traction often need assistance to move in the bed.
• •Turning Sheet • Pillow or Wedges for positioning • Trapeze


  Equipment
• Rationale of: Assess client’s need and ability to participate

  It provides a baseline to determine ability to assist caregiver and to assess the client’s progress toward improved activity tolerance and muscle endurance
• Rationale: Identify the client


  This is done to make sure that you are performing the procedure to the right client
• Rationale of: Explain to the patient the rationale

  It decreases anxiety and increases client cooperation
• Rationale of: Raise the bed at the height of the center of gravity

  It provides greater stability for the nurse during working
• Rationale of: Put bed in flat position

  Repositioning from a flat position decreases friction and possible shear on client’s skin
• Rationale of: Remove the pillow and place it at the head of the bed

  It reduces interference from bedding during positioning procedure
• Rationale of: Move the patient to one side of the bed 


  It ensures proper body mechanics and prevents muscle and back strain to the nurse
• Rationale of: Have the client bend the knees

  Position client to exert effort when moving up in bed.
• Rationale of: Have the client bend the knees

  Position client to exert effort when moving up in bed.
• Rationale of: Have the client grasp the over head trapeze with both hands and pull during the move, if one is in place or the rails at shoulder level and push with the hands and forearm during the move. Some clients may be able grasp the headboard and pull themselves up. 


  Client assistance provides additional power to overcome inertia and friction during the move. This action also keeps the client’s arm partially off the bed surface, reducing friction during movement
• Rationale of: Have the client grasp the over head trapeze with both hands and pull during the move, if one is in place or the rails at shoulder level and push with the hands and forearm during the move. Some clients may be able grasp the headboard and pull themselves up. 


  Client assistance provides additional power to overcome inertia and friction during the move. This action also keeps the client’s arm partially off the bed surface, reducing friction during movement
• Rationale of: Slide your hands and arms under the client’s hips. Turn slightly toward the foot of the bed, with outside foot ahead of inside foot. Keep your back straight, bend at the knees and hips, and keep your

  elbows bent

  Facing the direction of movement ensures proper balance. Diagonal motion permits to pull towards the direction of force. Flexing the knees lowers your center of gravity and uses thigh muscles rather than back muscles
• Rationale of: Ask the client to move with you at the count

  It prepares the client for movement. It reinforces assistance in moving up in bed. It increases client cooperation
• Rationale of: On the count, clients pull with the arms and pushes

  with the feet as you pull the

  patient up in the bed. In

  pulling, you use your strong

  muscles effectively.

  Client’s assistance reduces friction and work load
• Rationale of: Position client comfortably 


  It maintains client’s comfort and body alignment
• Rationale of: Make sure safety devices

  It protects client from falling out of bed
• Rationale of: Make sure safety devices

  It protects client from falling out of bed
• Rationale of: Wash your hands

  It reduces transmission of microorganisms
• Rationale of: Evaluate the client for alignment and comfort 


  Prompt identification of poor alignment reduces risk to client’s skin and musculoskeletal system
• Rationale of: Evaluate the client for alignment and comfort 


  Prompt identification of poor alignment reduces risk to client’s skin and musculoskeletal system