help plz about best way of transfer fully dependent patient

hallow :eek: ...... wana to ask u about The best way to transport a patient does not have pelvic elevation at all :( (zero) . and fully dependent spastic 4 limbs , cant roll and did nt have trunk control or sitting balance at all .
she's also alzhaimer patient and was fully independent in her previous physical status . .
now this patient with short term memory , disoriented , cant follow commands :(,

what's the best way of transfer the patient from bed to chair coz there is a plane to discharge her in few days and she had only one daughter as home care giver .
since 3 weeks no change in her physical status with physiotherapy , so planing to discharge her frome physio side with home exercise programme for maintaining and prevention further problems . but what best advice for her daughter about transfer and what's your suggestion for home support devices can help in that .

cant keep her at hospital we dont have in patient physiotheray rehab sevice :).

pX 78 kg :(

Hi Pinky PT

You have to consider the manual handling risks for the carer and what is most comfortable for the patient. As the patient has no sitting balance and presumably is unable to weight bear at all through the lower limbs a full hoist is required. Staff and carers shouldn't be trying to lift such a patient manually.

A standard full hoist which can be operated from a supine lying or from a sitting position is best.

If you haven't used one of these have a look at this (NB not recommending the brand, just showing the video as an example there are lots of different companies making this type of hoist).

YouTube - Lexa Lift

As this is the type of design is the most commonly used hoist some of them are quite competitive in price. But the carer really needs to be supplied with one if they are going to manage. at home.

NB the carer needs to be trained in its use. With a patient like this they could behave unpredictably and it is quite easy of for the hard casing such as metal or hard plastic to come into contact with a limb while the lifting motor is operating - potential for injury. For example hands can get mangled between the lowering host bar and there legs.

Thats a worrying question.

Spastic quad, no trunk control and no sitting balance.

HOIST!!!!! I would have a different opinion if it was for rehab but if its for discharge planning then the OT needs to be involved - a fully supportive chair needs to be provided. Care attendants are needed for home as two are recommended to use the hoist and trials of overnights would be needed for the dgt to see if she can manage her mother. This is on a background of alzheimers, disorientation and inability to follow commands.

Hoist, Hoist Hoist