Question

A 35 year old woman with a diagnosis of Guillian Barre Syndrome and resulting severe weakness in bilateral upper and lower extremities needs transferred from the bed to a wheelchair. Describe the procedures/techniques you will use, the preparatory actions you will take, the instructions you will give to the person, and how you will assist with the transfer a) Place her in the wheelchair and let her attempt the transfer independently.

b) Use a mechanical lift to transfer her from the bed to the wheelchair.
c) Encourage her to stand up and move to the wheelchair with minimal assistance.
d) Call for additional help and wait for medical professionals to assist.

Answer 1

For a safe transfer of a 35 year old woman with Guillain-Barré Syndrome from bed to wheelchair, a mechanical lift should be used ensuring the patient's comfort and security throughout the process, with clear instructions provided.

Step-by-step explanation:

When transferring a 35 year old woman with Guillain-Barré Syndrome (GBS) and severe weakness in all extremities from the bed to a wheelchair, it is essential to consider the severity of her symptoms and provide appropriate assistance to ensure her safety. Option b, using a mechanical lift, would be the most appropriate method. This procedure minimizes the risk of injury to both the patient and the caregiver. Here are the steps for using a mechanical lift:

1. Ensure that the lift and its slings are appropriate for the patient's weight and condition.
2. Explain the process to the patient to assure her and gain her cooperation.
3. Position the sling under the patient following the manufacturer's instructions.
4. Attach the sling to the lift and adjust to keep the patient secure.
5. Use the lift controls to slowly lift the patient off the bed.
6. Maneuver the patient over the wheelchair and then slowly lower her into the chair.
7. Ensure the patient is comfortably seated with proper support and restraints if necessary.
8. Disconnect the sling from the lift and remove it from under the patient.

Preparatory actions include checking the lift for safety, charging the lift's battery, adjusting the wheelchair to receive the patient, and clearing a path for the transfer. The instructions to the person should be clear, calm, and supportive, describing each step before it happens.