{"id":406,"date":"2010-12-01T15:51:36","date_gmt":"2010-12-01T15:51:36","guid":{"rendered":"https:\/\/www.stroke4carers.org\/?p=406"},"modified":"2015-06-12T16:20:02","modified_gmt":"2015-06-12T15:20:02","slug":"moving-and-handling","status":"publish","type":"post","link":"https:\/\/www.stroke4carers.org\/?p=406","title":{"rendered":"Standing from sitting"},"content":{"rendered":"<p><div id=\"jwplayer-1-div\" class=\"STARS\">\n<div id=\"jwplayer-1\"><\/div>\n<script type='text\/javascript'>\n                    function addLoadEvent1(func) {\n                      var oldonload = window.onload;\n                      if (typeof window.onload != 'function') {\n                        window.onload = func\n                      } else {\n                        window.onload = function() {\n                          if (oldonload) {\n                            oldonload()\n                          }\n                          func()\n                        }\n                      }\n                    }\n\n                    function ping1() {\n                      var ping = new Image();\n                      ping.src = 'http:\/\/i.n.jwpltx.com\/v1\/wordpress\/ping.gif?e=features&s=https%3A%2F%2Fwww.stroke4carers.org&controlbar=bottom&dock=false&autostart=false&height=294&width=480&icons=true&item=0&playlist=_&playlistsize=180&repeat=none&shuffle=false&bufferlength=60&smoothing=false&stretching=uniform&mute=false&volume=90&screencolor=990066&provider=video&mediaid=5485&image=%2Fwp-content%2Fuploads%2Fvid_sit_stand.jpg&file=https%3A%2F%2Fwww.stroke4carers.org%2Fwp-content%2Fuploads%2FSTANDING_FROM_SITTING.mp4&title=STANDING_FROM_SITTING&creator=&author=&date=2011-11-01+11%3A39%3A25&description=&modes=_';\n                    }\n\n                    addLoadEvent1(ping1);\n                  <\/script><\/div>\n<script type='text\/javascript'>jwplayer('jwplayer-1').setup({\"flashplayer\":\"https:\/\/www.stroke4carers.org\/wp-content\/uploads\/jw-player-plugin-for-wordpress\/player\/player.swf\",\"width\":\"480\",\"height\":\"294\",\"controlbar\":\"bottom\",\"dock\":\"false\",\"autostart\":\"false\",\"icons\":\"true\",\"item\":\"0\",\"playlist\":\"none\",\"playlistsize\":\"180\",\"repeat\":\"none\",\"shuffle\":\"false\",\"bufferlength\":\"60\",\"smoothing\":\"false\",\"stretching\":\"uniform\",\"mute\":\"false\",\"volume\":\"90\",\"screencolor\":\"990066\",\"provider\":\"video\",\"mediaid\":\"5485\",\"image\":\"\/wp-content\/uploads\/vid_sit_stand.jpg\",\"file\":\"https:\/\/www.stroke4carers.org\/wp-content\/uploads\/STANDING_FROM_SITTING.mp4\",\"title\":\"STANDING_FROM_SITTING\",\"creator\":\"\",\"author\":\"\",\"date\":\"2011-11-01 11:39:25\",\"description\":\"\",\"modes\":[{\"type\":\"flash\",\"src\":\"https:\/\/www.stroke4carers.org\/wp-content\/uploads\/jw-player-plugin-for-wordpress\/player\/player.swf\"},{\"type\":\"html5\",\"config\":{\"streamer\":\"\",\"provider\":\"\"}},{\"type\":\"download\",\"config\":{\"streamer\":\"\",\"provider\":\"\"}}]});<\/script><\/p>\n<p><strong>Video running time:<\/strong> 03.27 minutes. The film may take time to download depending on your broadband speed.<br \/>\nTo enlarge to full screen click on the arrows at the bottom right of the frame.<\/p>\n<p>If you are having problems playing the video, <a href=\"\/wp-content\/uploads\/STANDING_FROM_SITTING.mp4\" onMouseUp=\"_gaq.push(['_trackEvent', 'Videos', 'Download', 'Standing from sitting']);\">download the clip here [.mp4, 13.5 MB]<\/a> (Right click this link, and \u201cSave As\u201d).<\/p>\n<div id=\"accordion\" class=\"textAlt\">\n<p class=\"expand\"><a href=\"#\">View Voice Over Transcript<\/a><\/p>\n<div class=\"expand\">\n<p>If the person you care for can stand for short periods, you should have been shown the safest method to do this. In this film we see John and two people assisting him to stand from sitting in a wheelchair. Notice how he adjusts his balance before sitting again and the position of the carer\u2019s hands when they are assisting him.<\/p>\n<p>Therapist:<\/p>\n<blockquote><p>\u201cJoanne we are going to help John to stand up from his wheelchair.\u201d \u201cSo first of all we just check the brakes are on the wheelchair.\u201d \u201cIs your brake on?\u201d<\/p><\/blockquote>\n<p>Joanne:<\/p>\n<blockquote><p>\u201cYes\u201d<\/p><\/blockquote>\n<p>Therapist:<\/p>\n<blockquote><p>\u201cMine isn\u2019t so I\u2019ll put this one on.\u201d \u201cAnd also John, we need to make sure your feet are in the right position.\u201d \u201cSo get your feet under your knees, around about a shoulder distance apart.\u201d \u201cSo when you stand up you feel balanced on your feet.\u201d \u201cAlso, having your heels down so you can push down through your heels as you\u2019re standing up.\u201d \u201cNow John is going to assist a little bit by pushing away with his good arm.\u201d \u201cAnd we are going to help him get forward so he can get his weight forward over his legs.\u201d \u201cNow we\u2019ve got our arms quite far down his back.\u201d \u201cUp in to standing.\u201d \u201cWe\u2019ll just give John a second or two to get his balance.\u201d \u201cCan you bring your weight forward a little more John if you can?\u201d \u201cTry and bring your tummy forward.\u201d \u201cWhile he\u2019s standing, if we can support him with our hands on his chest at the front and round about his shoulder blade level at the back.\u201d \u201cAvoiding his shoulders, especially his weaker arm.\u201d \u201cWe don\u2019t want to grab his arms at all in case we cause any injury.\u201d \u201cDo you feel reasonably balanced there John?\u201d<\/p><\/blockquote>\n<p>John:<\/p>\n<blockquote><p>\u201cNo.\u201d \u201cI feel like I\u2019m falling backwards.\u201d<\/p><\/blockquote>\n<p>Therapist:<\/p>\n<blockquote><p>\u201cYou\u2019re falling backwards?\u201d \u201cCan you bring your weight forward a wee bit more?\u201d \u201cHow\u2019s that, a little bit better?\u201d<\/p><\/blockquote>\n<p>John:<\/p>\n<blockquote><p>\u201cNot bad, that\u2019s better.\u201d<\/p><\/blockquote>\n<p>Therapist:<\/p>\n<blockquote><p>\u201cOK, so your weight\u2019s well forward over your feet.\u201d \u201cTo get that balanced feeling isn\u2019t it?\u201d<\/p><\/blockquote>\n<p>John:<\/p>\n<blockquote><p>\u201cAye\u201d<\/p><\/blockquote>\n<p>Therapist:<\/p>\n<blockquote><p>\u201cYep\u201d<\/p><\/blockquote>\n<p>Therapist:<\/p>\n<blockquote><p>\u201cSo John we\u2019re going to sit down again nice and slowly.\u201d \u201cSo if you can feel for the arm of the chair with your left hand.\u201d \u201cBend in the middle.\u201d \u201cSlowly, slowly down.\u201d \u201cWell done.\u201d \u201cJust make sure your arm is OK.\u201d \u201cRight and again going down Joanne, we had our hands in the same position.\u201d \u201cOn his chest at the front and his shoulder blade at the back so we could guide that sitting down.\u201d \u201cHe wasn\u2019t falling backwards.\u201d \u201cHe was keeping his weight forward as he sat down.\u201d<\/p><\/blockquote>\n<p>Here are some points to consider when helping someone from sitting to standing.<\/p>\n<ul>\n<li>Check the wheelchair brakes are on.<\/li>\n<li>Check feet position. The person should stand with their feet about a shoulder width apart to help with balance.<\/li>\n<li>Keep weight forward. Leading with the head over the knees will help to keep the person\u2019s weight forward as they move their weight over the feet. Ask the person to use their unaffected hand to push up from the chair.<\/li>\n<li>Avoid pulling the arms. Place your hands on the upper chest and the shoulder blade.<\/li>\n<li>Is the person balanced? If they feel unsafe or unsteady, ask them to make small adjustments aiming to keep their weight evenly over both feet. Some people may push over to one side of the body or like John they may feel they are falling back.<\/li>\n<li>Keep all movements controlled.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<p>Other points to consider when moving and handling at home.<\/p>\n<ul>\n<li>If the person needs support, keep as close as possible. If you are carrying a\u00a0heavy object keep the weight as close to your body as possible with you back straight but not rigid.<\/li>\n<li>Think about how and where you are going to hold the person. If you grab too firmly they may tense up and be more difficult to move. The person needs to feel supported but not restricted.<\/li>\n<li>If you have to bend, start to bend\u00a0from the knees keeping your back as straight as possible but not rigid. This will restrict your ability to move smoothly.<\/li>\n<li>Lead with your head and look towards the direction you are going to move to. If possible get the person to do the same. If they have their head down they may not be in a balanced position when you start to move.<\/li>\n<li>Consider the persons eyesight and sensation. If they cannot see well or cannot\u00a0 feel when objects are close by they will need extra guidance to locate where they are in relation to where they are going.<\/li>\n<li><strong>Never<\/strong> pull the person towards you. This position may put both of you off balance and increase risk of injury.<\/li>\n<li><strong>Never <\/strong>allow the person to hold you around your neck when moving. Instead the person should\u00a0hold on to your waist , shoulders or arm if they require less support.<\/li>\n<li><strong>Do not<\/strong> attempt to lift heavy objects above shoulder height.<\/li>\n<li><strong>Do not<\/strong> over reach for heavy items. This makes your body position top heavy and unstable.<\/li>\n<li>Use the furniture to help you. Push up from the chair arms or if the bed\u00a0 is adjustable raise the height to make it easier to get into a standing position.<\/li>\n<li>If you have been supplied with moving and handling equipment use it. If you are unsure of the technique of how to use it safely or if circumstances have changed and you need advice contact the hospital ( only if still an inpatient ) or local authority social services. You are entitled to a <strong>carer<\/strong> <strong>needs assessment<\/strong>. If your circumstances have changed it may not be safe for you to continue moving and handling on your own. Alternative help or equipment may be needed.<\/li>\n<li>There may be training courses locally run by voluntary organisations such as the <a title=\"Opens new window\" href=\"http:\/\/www.carers.org\/\" target=\"_blank\">The Carers Trust<\/a> specifically for moving and handling. Basic moving and handling courses are also offered by <a title=\"Opens new window\" href=\"http:\/\/www.firstaid.org.uk\/\" target=\"_blank\">St.Andrews\u00a0First Aid\u00a0centers across Scotland<\/a>.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Video running time: 03.27 minutes. The film may take time to download depending on your broadband speed. To enlarge to full screen click on the arrows at the bottom right of the frame. If you are having problems playing the &hellip; <a href=\"https:\/\/www.stroke4carers.org\/?p=406\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":39,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[478],"tags":[496,95,248,493],"class_list":["post-406","post","type-post","status-publish","format-standard","hentry","category-moving-handling","tag-practical-equipment-cat","tag-moving-and-handling","tag-st-andrews-first-aid","tag-the-carers-trust"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/posts\/406","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/users\/39"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=406"}],"version-history":[{"count":19,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/posts\/406\/revisions"}],"predecessor-version":[{"id":6312,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/posts\/406\/revisions\/6312"}],"wp:attachment":[{"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}