Makindo Medical Notes

🌟 Transfers are all about moving safely from one surface to another (e.g. bed → chair, wheelchair → toilet). For frail or disabled patients, this everyday task can be a major challenge. Proper technique, equipment, and communication protect both the patient and caregiver.

🧾 Key Considerations

• Gentle Handling 🤲: Frail patients have brittle bones, sarcopenia, and poor balance ➝ high fracture risk. Handle with care.
• Assessment 🔍: Evaluate mobility, weight-bearing ability, cognition, and cooperation before transfer planning.
• Safety First ⚠️: Clear clutter, lock brakes, adjust bed/chair heights, and use correct body mechanics.
• Communication 🗣️: Explain each step, give simple cues (“lean forward”, “hold here”), and ensure consent.
• Teamwork 👥: Use two carers when needed. Never compromise safety by attempting a risky solo transfer.

🛠️ Transfer Devices

Device	Indication	Use / Example
Transfer Belt (Gait Belt) 🌀	Patients who can stand with support but are unsteady (e.g. frail elderly, post-stroke).	Placed around waist; caregiver holds belt to stabilise during walking/bed ↔ chair transfer.
Slide Board (Transfer Board) 🪵	Patients who can sit but cannot stand (e.g. paraplegia, lower-limb weakness).	Placed between surfaces (bed ↔ wheelchair). Patient slides across with assistance, avoiding heavy lifting.
Mechanical Lift (Hoist) 🏗️	Non-ambulatory patients, bedbound, very frail, or bariatric transfers.	Sling placed under patient → hoist lifts + transfers safely. Minimal strain on carers.
Wheelchairs ♿	Patients unable to walk or limited to very short distances.	Used for transport within hospital/home. Important: brakes locked before transfer; footplates adjusted.
Walker with Seat 🚶‍♂️🪑	Patients with limited endurance or balance (e.g. COPD, frailty).	Provides walking support + rest option. Encourages mobility but reduces falls risk.
Sit-to-Stand Lift ↗️	Patients who can bear some weight but need help rising.	Assists with sit → stand transfers (e.g. toilet or chair). Encourages independence while ensuring safety.

💡 Teaching Pearl: Always choose the least restrictive aid that ensures safety. Encourage independence where possible, but never at the cost of falls or fractures. A poor transfer = one of the most common causes of inpatient harm in frail elderly patients.