Easy Does It: AT for Safe and Effective Transfers

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Assistive technology plays a crucial role in making patient transfers safer and more independent for people with disabilities. Transferring patients, such as moving from a bed to a wheelchair, is more than just physical support; it’s about enhancing safety and fostering independence. Let’s explore the various assistive technologies that make this possible and see how they’re changing lives in both clinical and home environments.

A person assisting an older adult transfer from their wheelchair to a vehicle. Beneath the Where it's AT logo, text reads "Easy Does It: AT for Safe and Effective Transfers www.AbilityTools.org"

Understanding Different Types of Transfers

Bed-to-Chair Transfers:

Bed-to-chair transfers involve caregivers assisting individuals from their beds to wheelchairs, particularly those who cannot bear weight on their legs. Transfer boards like the Beasy Glyder Transfer Board, and patient lifts like the Hoyer Advance E-Portable Patient Lift, Prism P-440 Portable Ceiling Lift, and gait belts, are essential for those with limited mobility. Sliding sheets, bed rails, and adjustable-height beds can be additional worthwhile investments to consider.

Adaptive Equipment Corner review and on how to use Beasy Boards

Chair to Toilet Transfers:

An individual with limited mobility may use a transfer bench like the DMI Tub Transfer Bench or the padded transfer bench with commode opening to safely move from a wheelchair to a toilet. The process involves sliding across the bench and minimizing physical strain. It’s a good idea to look for models that include a removable commode or cut-out seat for added convenience. Toilet lift chairs, like the EZ-TILT Toilet Incline Lift, and grab bars can also be installed near the toilet. Other great options that do not require permanent modifications to a bathroom can also include Drive Elevated Raised Toilet Seat with Removable Padded Arms, and toilet safety rails.

Bath Transfers:

Transferring into a bathtub can be challenging due to the slippery surface. Non-slip mats can be used for a safer transition, along with a transfer bench like the Drive Medical Splash Defense Transfer Bench with Curtain Guard Protection which is designed to allow the shower curtain to properly close while in use for added privacy. Specialty shower chairs, like the TubBuddy Tilt Bathtub Transfer System, are equipped with a tilt option that allows the caregiver to relieve pressure on the patient while simultaneously making it easier to bathe the patient. EZ-BATHE Inflatable Bathtub allows individuals to enjoy a bath without leaving their bed. The individual rolls onto a vinyl tub, which is then inflated around them using the included wet-dry vacuum. A portable shower system photographed below, like the S2000 Standard Shower Bundle with SB7E Shower Chair may offer some portability and convenience to be set up anywhere you have access to a faucet.

S200 Portable Wheelchair Shower System, SB7E Shower Wheelchair with cutout seat.

Vehicle Transfers:

Moving from a wheelchair into a car can often involve a transfer board or a swivel seat cushion to reduce friction and make the transfer smoother. Car transfer aids like the HandyBar Car Transfer Handle, or the car safety grab handle can be used to accomplish this. Additionally, individuals with disabilities have many options to modify their vehicles, like installing power transfer seats. Check out Mobility Works for additional options for both passengers and drivers.

Factors influencing the choice of transfer methods and devices

Several factors play a crucial role in determining the most suitable transfer methods and devices.

Physical Ability of the User:

Assessing the user’s strength, balance, endurance, and range of motion is crucial. For example, a Hoyer lift and sling might be necessary for those with very limited mobility, whereas a wooden transfer board could suffice for someone with greater upper-body strength.

Size and Weight of the User:

The physical dimensions and weight of the person being transferred affect the choice of device. Heavier individuals may require a more robust lift system with a higher weight capacity.

Caregiver availability and strength:

The physical ability of the caregiver to assist with transfers is important. Devices that reduce physical strain, like Sit to Stand, can be crucial in preventing caregiver injuries.

Open RN Project demonstrates how to transfer from bed to chair with a Sit to Stand

Environment:

Space constraints, the presence of stairs, and bathroom layout can influence the choice of devices. For instance, a compact and foldable transfer bench might be chosen for small bathrooms. In a living room, a power lift recliner and transfer pole might be ideal for individuals who have the space to accommodate as well as the physical ability to move with some independence.

Frequency of transfer:

The frequency of transfers throughout the day can dictate the need for more efficient or easy-to-use devices. Frequent transfers might justify the investment in a split seat adjustable transfer lift chair for ease and speed.

Cost and Funding:

Financial considerations often influence the choice of transfer aids. More expensive devices, like overhead lifts, stair lifts, and powered stair climbers may require funding assistance.

User preference and comfort:

Personal comfort and preference should not be overlooked. Some individuals might prefer certain types of equipment based on past experiences or comfort level.

Safety Concerns:

The primary concern is always safety! The chosen method and device must ensure a secure and injury-free transfer.

Assistive Technology (AT)Physical Ability of the UserSize and Weight of the UserCaregiver Availability and StrengthEnvironmentFrequency of TransferCost and Funding
Adjustable-Height BedModerate to goodAll sizesNot requiredModerateHighHigh
Bath LiftLimitedFrom small to largeNot requiredSmallMediumMedium to High
Bed RailModerateAll sizesNot requiredAnyHighLow to Medium
Ceiling LiftVery limitedAll sizesOptionalAny (with installation)HighHigh
Floor-to-Ceiling PoleModerate to goodAll sizesNot requiredModerateHighMedium
Gait BeltModerateAll sizesRequiredAnyHighLow
Hoyer Lift (Electric)Very limitedAll sizesRequiredSpaciousHighHigh
Hoyer Lift (Manual)Very limitedAll sizesRequiredSpaciousMedium to HighMedium
Leg LifterModerate upper bodyAll sizesNot requiredAnyMediumLow
Mobility Scooter with LiftModerate to goodFrom small to largeNot requiredOutdoor/Indoor with spaceMedium to HighHigh
Patient Lift SlingVery limitedAll sizesRequiredSpaciousHighMedium
Pool LiftLimitedAll sizesOptionalOutdoor/Swimming AreaLow to MediumHigh
Portable Floor LiftVery limitedAll sizesRequiredSpaciousMediumHigh
Powered Transfer Seat (Vehicle)Moderate to goodFrom small to largeNot requiredVehicleMediumHigh
Reclining Shower ChairLimitedFrom small to largeOptional (depending on style)SmallMediumMedium to High
Sit-to-Stand LiftLimitedAll sizesRequiredModerateHighHigh
Sliding SheetsLimited to moderateAll sizesRequiredAnyHighLow to Medium
Stair LiftLimited to moderateFrom small to largeNot requiredAny with stairsMedium to HighHigh
Swivel CushionModerateSmall to mediumNot requiredAnyLow to MediumLow
Toilet Incline LiftModerateFrom small to largeOptionalAnyMedium to HighHigh
Transfer BenchModerateAll sizesNot requiredSmallMediumMedium
Transfer BoardModerate to good upper bodySmall to mediumNot requiredAnyMediumLow
Transfer PoleModerate to goodAll sizesNot requiredAnyHighMedium
Turntable (Rotating Disk)ModerateSmall to mediumOptionalAnyMediumLow
Walking Frame with Seat (Rollator)ModerateSmall to mediumNot requiredModerateHighLow to Medium
This table provides a comprehensive comparison of various assistive technologies for patient transfers, considering multiple factors such as physical ability, size and weight of the user, caregiver availability, environmental constraints, frequency of transfer, and cost. It serves as a guide for selecting the most suitable AT based on individual needs and circumstances.

From simple aids to sophisticated devices, each tool is a step towards more independence and dignity for individuals with disabilities. Here at Ability Tools, we know the right tool doesn’t just assist with a single transfer; it positively impacts lives daily.