1 00:00:00,414 --> 00:00:02,997 (gentle music) 2 00:00:06,540 --> 00:00:07,470 [Narrator] Sitting up in a chair 3 00:00:07,470 --> 00:00:09,093 has many important benefits. 4 00:00:09,990 --> 00:00:11,850 Changing positions regularly helps 5 00:00:11,850 --> 00:00:13,200 to prevent pressure sores 6 00:00:13,200 --> 00:00:14,883 and fluid build up in the lungs. 7 00:00:16,260 --> 00:00:19,170 A change in scenery can also lift a person's spirits 8 00:00:19,170 --> 00:00:21,363 and make eating or visiting more enjoyable. 9 00:00:23,670 --> 00:00:25,560 As a caregiver, it's important to know 10 00:00:25,560 --> 00:00:27,690 your body's abilities and limitations 11 00:00:27,690 --> 00:00:31,410 so you can avoid injury when providing care to someone else. 12 00:00:31,410 --> 00:00:33,690 It's also very important to know the ability 13 00:00:33,690 --> 00:00:35,940 and reliability of the person you're helping. 14 00:00:40,545 --> 00:00:42,300 If there are wheels in the bed, 15 00:00:42,300 --> 00:00:45,000 ensure they're in the locked position. 16 00:00:45,000 --> 00:00:47,900 Raise the level of the bed to slightly above chair height. 17 00:00:49,650 --> 00:00:51,720 After explaining what you're going to do, 18 00:00:51,720 --> 00:00:54,063 raise the head of the bed as far as it'll go. 19 00:00:57,678 --> 00:00:59,460 Both you and the patient should be wearing 20 00:00:59,460 --> 00:01:01,233 comfortable, non-slip footwear. 21 00:01:04,140 --> 00:01:05,910 Move the wheelchair into position, 22 00:01:05,910 --> 00:01:07,533 as close to the bed as possible. 23 00:01:08,490 --> 00:01:10,860 Make sure that the path to the chair is clear, 24 00:01:10,860 --> 00:01:14,280 the brakes are on, the foot pedals have been removed, 25 00:01:14,280 --> 00:01:16,980 and any other equipment you need is readily available. 26 00:01:21,270 --> 00:01:23,670 Move the person's legs over the side of the bed. 27 00:01:23,670 --> 00:01:25,620 Then help them sit at the edge of the bed 28 00:01:25,620 --> 00:01:27,453 with both feet planted on the floor. 29 00:01:28,860 --> 00:01:30,090 Be sure to move slowly 30 00:01:30,090 --> 00:01:31,530 and give the person time to adjust 31 00:01:31,530 --> 00:01:32,730 to the position changes. 32 00:01:34,020 --> 00:01:35,940 Moving too quickly can cause the person 33 00:01:35,940 --> 00:01:37,623 to feel dizzy or lightheaded. 34 00:01:39,840 --> 00:01:41,250 Place the person's hands on the edge 35 00:01:41,250 --> 00:01:43,470 of the bed or armrest of the chair, 36 00:01:43,470 --> 00:01:46,070 instructing them to push up when you count to three. 37 00:01:47,250 --> 00:01:50,250 Facing the person, plant your feet shoulder-width apart 38 00:01:50,250 --> 00:01:52,750 with one foot on either side of the person's legs. 39 00:01:53,820 --> 00:01:55,800 Standing as close as you can, 40 00:01:55,800 --> 00:01:58,200 bend your knees and lean towards them, 41 00:01:58,200 --> 00:02:00,180 placing your arms under their arms 42 00:02:00,180 --> 00:02:01,383 and around their back. 43 00:02:03,150 --> 00:02:05,910 On the count of three, stand upright with the person 44 00:02:05,910 --> 00:02:07,863 using your legs, not your back. 45 00:02:08,880 --> 00:02:11,790 Wait a few seconds until any dizziness passes. 46 00:02:11,790 --> 00:02:13,320 Then turn together, 47 00:02:13,320 --> 00:02:16,170 moving your feet to pivot so you don't damage your knees. 48 00:02:17,460 --> 00:02:21,030 Shuffle backwards until the patient can feel the chair. 49 00:02:21,030 --> 00:02:22,530 Encourage the person to place their hands 50 00:02:22,530 --> 00:02:23,853 on the arms of the chair. 51 00:02:24,870 --> 00:02:26,640 Then the two of you will sit together 52 00:02:26,640 --> 00:02:28,383 until a patient is in the chair. 53 00:02:31,830 --> 00:02:33,390 Sitting can take quite a bit of energy 54 00:02:33,390 --> 00:02:34,990 for people who are feeling weak. 55 00:02:35,880 --> 00:02:37,650 It's important to notice the signs that a person 56 00:02:37,650 --> 00:02:40,350 may be getting tired or feeling uncomfortable 57 00:02:40,350 --> 00:02:42,300 so that they can be helped back to bed. 58 00:02:43,170 --> 00:02:44,910 Remember, it's easier and safer 59 00:02:44,910 --> 00:02:46,260 to help a person back to bed 60 00:02:46,260 --> 00:02:48,000 when they still have some strength 61 00:02:48,000 --> 00:02:49,500 than when they feel exhausted. 62 00:02:50,400 --> 00:02:53,160 The technique involved in returning a patient to bed 63 00:02:53,160 --> 00:02:55,983 is the exact reverse of what's just been demonstrated. 64 00:02:57,570 --> 00:02:59,700 If a person can't stand on their own, 65 00:02:59,700 --> 00:03:02,100 it's not safe to move them using this technique. 66 00:03:02,970 --> 00:03:05,730 In such cases, two people must assist 67 00:03:05,730 --> 00:03:07,443 or a mechanical lift is used. 68 00:03:08,610 --> 00:03:10,950 In this case, talk to your home care office 69 00:03:10,950 --> 00:03:13,680 about the equipment options available. 70 00:03:13,680 --> 00:03:16,470 These may include transfer or gate belts, 71 00:03:16,470 --> 00:03:18,750 assistive devices such as trapeze bars, 72 00:03:18,750 --> 00:03:20,910 and floor-to-ceiling poles, 73 00:03:20,910 --> 00:03:22,683 and mechanical lift devices. 74 00:03:24,730 --> 00:03:27,313 (gentle music)