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Transfers

The term “mobility” is defined as having controlled instability. The order in which we are able to restore confidence in mobility based on increasing activity demands is as follows: Bed mobility, mat transfers, wheelchair transfers, bed transfers, functional ambulation for ADL’s, toilet and tub transfers, car transfer, functional ambulation, and community mobility and driving.

I do believe this is a logical order once you begin to examine what an individual must do, and is able to do, in order to perform certain tasks. For example, we wouldn’t want to begin working with a patient getting out of their car when they cannot even get out of their bed safely. I do believe I have seen this approach used in much of my job shadowing experience, specifically when the therapist is working on getting the client out of the bed and then safely to the bathroom. Many times, the therapist would work consistently on getting the patient out of bed safely, and if they were able to do so, move on to the bathroom. In nursing homes especially, being able to go home was a big goal for many, therefore, car transfers would begin when the client was close to discharge in order for them to return home safely. I do believe this approach is appropriate, and designed with the patients safety in mind.

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