{"id":5493,"date":"2011-11-01T11:54:40","date_gmt":"2011-11-01T11:54:40","guid":{"rendered":"https:\/\/www.stroke4carers.org\/?p=5493"},"modified":"2015-06-12T16:20:31","modified_gmt":"2015-06-12T15:20:31","slug":"using-a-turner","status":"publish","type":"post","link":"https:\/\/www.stroke4carers.org\/?p=5493","title":{"rendered":"Getting in and out of bed using a turner"},"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=5486&image=%2Fwp-content%2Fuploads%2Fvid_turner.jpg&file=https%3A%2F%2Fwww.stroke4carers.org%2Fwp-content%2Fuploads%2FUSING_A_TURNER.mp4&title=USING_A_TURNER&creator=&author=&date=2011-11-01+11%3A39%3A57&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\":\"5486\",\"image\":\"\/wp-content\/uploads\/vid_turner.jpg\",\"file\":\"https:\/\/www.stroke4carers.org\/wp-content\/uploads\/USING_A_TURNER.mp4\",\"title\":\"USING_A_TURNER\",\"creator\":\"\",\"author\":\"\",\"date\":\"2011-11-01 11:39:57\",\"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> 08.42 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\/USING_A_TURNER.mp4\" onMouseUp=\"_gaq.push(['_trackEvent', 'Videos', 'Download', 'Getting in and out of bed using a turner']);\">download the clip here [.mp4, 35.1 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>In this film we will give guidelines for some basic moving and handling for carers.<\/p>\n<p>Each person is an individual and they may have different moving and handling needs. Sometimes the person may be able to assist more than at other times, such as when they are tired. How you are feeling as the carer is just as important when you are moving and handling someone. If you have any individual concerns about moving and handling the person you care for or your own ability to do this safely, please ask to see a physiotherapist, occupational therapist or stroke nurse for individual advice.<\/p>\n<p>John is a stroke patient; he is working with his physiotherapist and his carer.<\/p>\n<p>Therapist:<\/p>\n<blockquote><p>\u201cOK Joanne we are going to be transferring John on to the bed.\u201d \u201cIt\u2019s just worth remembering that the bed should be as good a height as possible for transferring somebody.\u201d \u201cIdeally we are looking at a bed height for transferring a patient on it should be about 19 inches from the floor.\u201d \u201cIn this situation the bed is a bit higher because we\u2019ve got a special bed with a special mattress which is making it slightly higher.\u201d \u201cSo really all we can do is get it as low as possible and just take extra care when we are transferring John on to the bed.\u201d \u201cSo I\u2019m just going to alter the bed to go as low as we can first of all.\u201d \u201cJust get that out of the way.\u201d \u201cWe\u2019ve got the pillows organised.\u201d \u201cWe put the last pillow so we get an armchair of pillows to give John a little bit of support there.\u201d \u201cBearing in mind that it\u2019s his right side we need to give more support than his left side.\u201d \u201cSo if you can position the wheelchair almost at right angles to the bed as far up the bed as you can.\u201d \u201cSo that when John is transferred in to the bed, or on to the bed, his bottom is as high up the bed as possible.\u201d \u201c So when we turn him round, and assist him to get into bed, he\u2019s not coming too far down the bed because normally what you find is when somebody transfers on to the bed, they slip down a little bit.\u201d \u201cSo you really need to go as high up as you possibly can.\u201d \u201cNow John\u2019s transferring with a patient turner.\u201d \u201cSo what we need to do is get his feet off the footplates to begin with.\u201d \u201cJust actually remove these.\u201d \u201cJust give him a little bit of help with his right leg.\u201d \u201cClear these out of the way so they are not in the way.\u201d \u201cMake sure the brakes are both on.\u201d \u201cOK and we\u2019ll just position the patient turner in front of John.\u201d \u201cNow John, are you going to manage to help a little bit?\u201d \u201cWith these turners it is important that you don\u2019t lift them because they are very heavy pieces of equipment.\u201d \u201cSo although you can push them on their wheels to a certain extent, when you come to position it underneath somebody\u2019s feet, you have to actually just walk them in underneath the person\u2019s feet.\u201d \u201cYou must not lift them.\u201d \u201cNow if you can come and stand in front to counter balance the turner.\u201d \u201cJohn, just make sure your right foot is properly on.\u201d \u201cJohn is going to pull himself up and I\u2019m just going to guide him forward from behind and give him a little but of position, a bit of stability in his leg as well.\u201d \u201cGot to make sure he\u2019s nice and steady in standing.\u201d \u201cWhich I think you are.\u201d \u201cOK, so we are going to turn the turner round.\u201d \u201cMaybe just move the wheelchair out of the way there actually.\u201d<\/p><\/blockquote>\n<p>Joanne:<\/p>\n<blockquote><p>\u201cDo you want me to move it?\u201d<\/p><\/blockquote>\n<p>Therapist:<\/p>\n<blockquote><p>\u201cOK that\u2019s fine.\u201d \u201cIf you can stand with John, I\u2019m just going to move the bed in a little bit.\u201d \u201cJust going to move this bed a little bit closer to John.\u201d \u201cTo make sure that he sits exactly where we want him.\u201d \u201cAlways remembering to put brakes on before you move someone on to something that\u2019s got brakes.\u201d \u201cNow will I go in front and counter balance the front of the turner again.\u201d \u201cIf you can assist John with your hands on his upper trunk.\u201d \u201cAnd just sit down nice and slowly John.\u201d \u201cOK \u201c\u201cNow Joanne if you stay with John there to make sure he is nice and steady.\u201d \u201cI\u2019ll gently remove this from under his feet.\u201d \u201cAgain, just sliding it out.\u201d \u201cJust get that foot back there.\u201d \u201cThen we can roll it away.\u201d \u201cNow because John has got quite long legs, the height is not an issue with this bed at all.\u201d \u201cOK if you were a shorter person you might find that your feet were dangling a wee bit.\u201d \u201cSo we would just have to take more care for getting him into bed.\u201d \u201cSo what we are going to do is we\u2019re going to help you in to bed OK.\u201d \u201cJoanne is going to help you down with your top half OK.\u201d \u201cMaking sure this arm is looked after as you transfer as well and I am going to help you get your legs up on to the bed John.\u201d \u201cOK. \u201c \u201cSo we are going to do it nice and gently.\u201d \u201cIf you can start to lean towards your left side and I\u2019ll help you lift your legs up.\u201d \u201cJust bring his shoulders over Joanne.\u201d \u201cOK now if I help you bend this knee up John, just one second.\u201d \u201cOk have you got your hand?\u201d \u201cNow first of all I think what we\u2019ll do.\u201d \u201cCan you manage to hold on to your hand for me?\u201d \u201cCan you manage to lift your bottom over in to the centre of the bed?\u201d \u201cOK\u201d \u201cNow stay there for just a second while we put the height of the bed up a little bit.\u201d \u201cJust so we can actually reach you easier.\u201d \u201cOK\u201d \u201cI\u2019ll be round this side.\u201d \u201cSo you are assisting someone to move their bottom it\u2019s really important that both knees are bent up.\u201d \u201cFrom a rehab point of view and from a functional point of view so he is managing to get a better effort to move his bottom across the bed.\u201d \u201cSo now you\u2019ve got your knees bent up, can you manage to lift your bottom over?\u201d \u201cOK hold on.\u201d \u201cJust let this leg come down.\u201d \u201cThis one down as well.\u201d \u201cSo Joanne if we just gently help John bring his shoulder across in to the centre.\u201d \u201cJust get that pillow there.\u201d \u201cNow can you manage to let go of your hand now?\u201d \u201cYou should be reasonably comfortable there John.\u201d<\/p><\/blockquote>\n<p>John:<\/p>\n<blockquote><p>\u201dAye that\u2019s alright\u201d<\/p><\/blockquote>\n<p>Therapist:<\/p>\n<blockquote><p>\u201cIs that alright there?\u201d<\/p><\/blockquote>\n<p>John:<\/p>\n<blockquote><p>\u201cAye\u201d<\/p><\/blockquote>\n<p>Here are some points to consider<\/p>\n<ul>\n<li>Check the height of the bed. (Is it adjustable? Is it at the correct height for the person? If it is not adjustable could it be raised or lowered to a more suitable height by using bed raise blocks or removing castors.)<\/li>\n<li>Correctly position the wheelchair. (Apply the brakes, allow enough room for each person to move, you may have to try to make more space.)<\/li>\n<li>Correctly position the turner. (Do not lift the turner, use the wheels until you are close to the person and then walk or shuffle the turner into position.)<\/li>\n<li>Remember to apply brakes. (the bed may also be on wheels and these brakes should also be applied before moving.)<\/li>\n<li>Sit near the pillows. ( By sitting near the top of the bed the person will be in the correct position when lying down.)<\/li>\n<li>Ask the person to help you. (Some people will be able to help themselves and you if the movements can be coordinated and smooth. Even holding on to their affected arm can help.)<\/li>\n<li>Take your time. (Make sure you are not rushed. Think and plan what you are going to do before you attempt the move.)<\/li>\n<li>Is everyone ready? (One person usually takes the lead so that everyone knows exactly what they are going to do and when to start the movement. The lead person could sometimes be the person themselves giving the carer instructions.)<\/li>\n<\/ul>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Video running time: 08.42 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=5493\">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":[95,482],"class_list":["post-5493","post","type-post","status-publish","format-standard","hentry","category-moving-handling","tag-moving-and-handling","tag-patient-turner"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/posts\/5493","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=5493"}],"version-history":[{"count":9,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/posts\/5493\/revisions"}],"predecessor-version":[{"id":6340,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=\/wp\/v2\/posts\/5493\/revisions\/6340"}],"wp:attachment":[{"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5493"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5493"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.stroke4carers.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}