Oh wow. In UK this is totally unacceptable. We have to have equipment to transfer people. I for one would not do this. The strain on the carers back is dreadful.
@@moredatesmorefiber3526 This is one reason a standing quad pivot transfer is used. If a hoyer or sit-to-stand device is unavailable this is an accepted means of helping a client from bed to chair or vice-versa. Another good reason to employ this type of transfer is if you lack the staff avaliable to perform the transfer with a piece of equipment. In my municipality, and many others around the world, it is required for two persons to be present in the opporation of these devices. If it's just me I can't very well just use the hoyer the transfer while remaining within the law. I have to use a standing quad pivot transfer in order to help my client from one place to another or I risk unnecessary injury to my client, which I will be at fault for because I failed to work within the scope of legality. I would then be at risk of losing my license and facing time in corrections for my actions while in care of a vulnerable citizen. Not a good thing. It is important to know as many transfers and how to use as many transfer devices as you can. You want to protect the client and yourself at all times.
💯 I trained in the UK now living in the Caribbean and was appalled at staff and carers doing this. There is equipment available for use or can be ordered. I would never max assist pivot transfer anyone.
this is exactly how it's supposed to be done and how i learnt it as well. If the patient is incapable of helping with the transfer, I think it's totally wrong. blocking the patient's knees with the therapist's knees reduces the lever and results in more stress in the therapist's lower back. if one knows about the inability of the patient, i would recommend to not block the patient's knees and just get your hip as close to the patient as possible and do a more vertical lift. especially for tall (long legs) people the knee-to-knee block is disc-death sentence.
I agree, depending upon the body biomechanics, a tall person with short arms, small person with long arms etc, with a heavy patient like this you better get up real close with a more vertical lift or you could even risk serious injury if they start to fall forward.
Your assumption about the knee-to-knee block is interesting. Do you have any literature reference to support it? I always recommend to block the patient's knee in order to provide the latter with more stability and an easier activation of his/her lower limbs. You might find some other useful video on my you tube channel "Piero Luigi Valentini"
I’m literally dealing with this as a new cna. I’m 5’11 and I’m not sure how they think I’m supposed to be able to transfer a person who can’t even bear weight without a 2 person assist. Half these people aren’t even in adjustable beds. My back has ached ALLL day and I refuse to even attempt that again
I would be on workman's comp if I did this even once. That is why you use a Hoyer lift. It's usually women that work in nursing and personal care facilities. Unless that home employees Olympic powerlifters this technique dangerous.
What I do is more akin to dancing you place your foot in between the patients feet with your knee as far forwards as you can. I then ask for a big hug and get in very close to the patient to minimize movement. Then all you do is just stand. This is better with a partner at their back and is done when the patient crumples to the extent where a 2 person assist isn't quite enough, but this does the trick. This method works better when you can quickly move whatever their getting up from out of the way and then position what their going into right behind, gets rid of the pivot. I do patient transport so we don't usually have all the fancy tools available to us.
Why in all these videos do they not remove the chair hand support? My husband has just had a stroke and I'm concerned about how I'll be able to see to his care needs. He's 6' 4'' and medium build. Can't move left side. I'm 5' 6'' and light build. Don't think I would be able to do this so will have to look for some sort of motorized aid equipment.
This is a fallacy. If your legs are bent and your back is straight throughout the process, a patient's arms around your neck will never hurt you. I have been performing total dependence standing quad pivot transfers since late 2017 and have never seen an injury to any part of my body. I am and have been 50 lbs over weight for the entirety of my career with a history of back problems. What you have stated could not be further from the truth.
This will not work for a patient who cannot support himself at all. Back is weak, patient can't hold himself up. Uses his neck to sit upright. Paralysis of legs. We have to lift him from his arm pits to transfer him.
The therapist will end up hurting his neck if the patient pulls up hard and doesn't put effort in the transfer manoeuvre. By doing this you are encouraging bad motor patterns.
We have been taught to never have the patient holding onto to the neck and shoulder
This is an UNSAFE transfer. 1st of all a gait belt is essential and placement of arms around neck isn’t safe either, especially for a Max Transfer.
Oh wow. In UK this is totally unacceptable. We have to have equipment to transfer people. I for one would not do this. The strain on the carers back is dreadful.
you're right. but what if you dont have equipment?
@@moredatesmorefiber3526 This is one reason a standing quad pivot transfer is used. If a hoyer or sit-to-stand device is unavailable this is an accepted means of helping a client from bed to chair or vice-versa. Another good reason to employ this type of transfer is if you lack the staff avaliable to perform the transfer with a piece of equipment. In my municipality, and many others around the world, it is required for two persons to be present in the opporation of these devices. If it's just me I can't very well just use the hoyer the transfer while remaining within the law. I have to use a standing quad pivot transfer in order to help my client from one place to another or I risk unnecessary injury to my client, which I will be at fault for because I failed to work within the scope of legality. I would then be at risk of losing my license and facing time in corrections for my actions while in care of a vulnerable citizen. Not a good thing. It is important to know as many transfers and how to use as many transfer devices as you can. You want to protect the client and yourself at all times.
That’s true , this is so bad for caregivers
💯 I trained in the UK now living in the Caribbean and was appalled at staff and carers doing this. There is equipment available for use or can be ordered. I would never max assist pivot transfer anyone.
This is so wrong and will mess up the neck and back.
this is exactly how it's supposed to be done and how i learnt it as well. If the patient is incapable of helping with the transfer, I think it's totally wrong. blocking the patient's knees with the therapist's knees reduces the lever and results in more stress in the therapist's lower back. if one knows about the inability of the patient, i would recommend to not block the patient's knees and just get your hip as close to the patient as possible and do a more vertical lift. especially for tall (long legs) people the knee-to-knee block is disc-death sentence.
I agree, depending upon the body biomechanics, a tall person with short arms, small person with long arms etc, with a heavy patient like this you better get up real close with a more vertical lift or you could even risk serious injury if they start to fall forward.
Your assumption about the knee-to-knee block is interesting. Do you have any literature reference to support it?
I always recommend to block the patient's knee in order to provide the latter with more stability and an easier activation of his/her lower limbs.
You might find some other useful video on my you tube channel "Piero Luigi Valentini"
You are to NEVER have hands around your neck great way to get hurt.
I’m literally dealing with this as a new cna. I’m 5’11 and I’m not sure how they think I’m supposed to be able to transfer a person who can’t even bear weight without a 2 person assist. Half these people aren’t even in adjustable beds. My back has ached ALLL day and I refuse to even attempt that again
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I would be on workman's comp if I did this even once. That is why you use a Hoyer lift. It's usually women that work in nursing and personal care facilities. Unless that home employees Olympic powerlifters this technique dangerous.
What I do is more akin to dancing you place your foot in between the patients feet with your knee as far forwards as you can. I then ask for a big hug and get in very close to the patient to minimize movement. Then all you do is just stand. This is better with a partner at their back and is done when the patient crumples to the extent where a 2 person assist isn't quite enough, but this does the trick. This method works better when you can quickly move whatever their getting up from out of the way and then position what their going into right behind, gets rid of the pivot.
I do patient transport so we don't usually have all the fancy tools available to us.
Why in all these videos do they not remove the chair hand support? My husband has just had a stroke and I'm concerned about how I'll be able to see to his care needs. He's 6' 4'' and medium build. Can't move left side. I'm 5' 6'' and light build. Don't think I would be able to do this so will have to look for some sort of motorized aid equipment.
Get a gait belt. Also you will be surprised how much weight you can support and move.
It's wrong for the patient to wrap his hands around the patients neck this is very wrong
That's hard work! The career easy get hurt in the back!!!!!
you should never have the patient grab around the neck like this. the therapist will get injured.
Omg I am seeing sooooo many videos with the patients hands around the neck!!!!! no no no!!!
Exactly shouldn’t be that way but the therapist is so gemma hot lol
This is a fallacy. If your legs are bent and your back is straight throughout the process, a patient's arms around your neck will never hurt you. I have been performing total dependence standing quad pivot transfers since late 2017 and have never seen an injury to any part of my body. I am and have been 50 lbs over weight for the entirety of my career with a history of back problems. What you have stated could not be further from the truth.
@@timothydodson8396 tnx for sharing we need as many experienced opinions as we can get💯
This will not work for a patient who cannot support himself at all. Back is weak, patient can't hold himself up. Uses his neck to sit upright. Paralysis of legs. We have to lift him from his arm pits to transfer him.
This is true. In Japan, we lift from the arm pits to transfer patients with paralysis.
The therapist will end up hurting his neck if the patient pulls up hard and doesn't put effort in the transfer manoeuvre. By doing this you are encouraging bad motor patterns.
WELL IF a person is on a wheelchair maybe he don't have legs/knees ???
If the patient is heavy weight then we need 3-4 persons to lift.
Sir g if a new way came for paralyze' then show from a video. I have also a paralyze from Pakistan
. Please.
A strong man by himself may be able to do this successfully but this seems dangerous for an average weight woman to do
Video has been reported. Unsafe misinformation.
that patient in the video helped lol
Why don't you use Gait belt Instead of grabing ang holding his butt.. that was too heavy in that part. UNSAFE
I doubt this training very much!!
Wtf no
Exactly! The strain on the carer is too much. Where’s the equipment?
Grab a butt like that and someone may get slapped. This video is incorrect information and should be fact checked and removed. 😆 🤣
What about the carers back, what a load of shit
Hell no