Hi guys, I'm currently in G66 neurology and what I found really challenging was transfering stroke patients. Whether its performing sit to stand or from w/c to bed, or supine to sitting, applying our handling skills that we learnt at uni to a patient was totally different. Not in terms of hand positions but my body mechanics were all altered.
A patient with a dense L hemi basically slumps into you when you stand them up. We never had this kind of exposure. I mean I did anticipate what will happen when i stood the patient but I never knew it could feel so different. What I suggest is that practicing on peers are great to get the idea of what to do but what also would be great is to get them to actually act out and relax on one side of their body, then we will really get a sense of how much effort is required.
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I agree Le, I am finding it especially strenuous on my lower body, especially having to maintain such a low squat position during some of the transfers. I think even if our peers did act out how they thought a hemi would act it would be no where near what a real hemi is like. I think a neuro prac like this one should be compulsory in either 2nd or 3rd year so that we can train ourselves early for this. I've also learnt so many things about handling that we never learn at unie, like small things you can do to more effectively position the patient in a chair and how to track a patients movement with the borders of your foot. I think it is a big learning opportunity.
treu. I always found that the angel transfer was abit of a winner. If you haven't already been taught it, ask your facility tutors to teach you- they taught us and it works well.
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