Moving a Patient from Seated to Standing Position

Introduction

• Demonstration by Elise on moving a patient from seated to standing.
• Chris is assisting in the demonstration.
• Technique applicable from bed edge, chair, or toilet.

Preparation

• Gait Aid Positioning:
  • Position the gait aid in front of the patient if needed.
• Correct Positioning of Patient:
  • Ensure the patient is ready for standing by shuffling forward.
  • Feet should be hip-width apart, toes aligned with knees.
  • Prevent foot from slipping by placing your foot in front of theirs.

Positioning for Assistance

• Stand on the patient’s side, especially on the weaker side if applicable.
• Patient Instructions:
  • Lean forward so head is over toes.
  • Push up with hands.

Assisting the Patient

• Using a Walking Aid:
  • One hand on bed, one on walking frame.
  • Helps with a forward lean.
• Assistance Technique:
  • Front hand on chest or collar bone.
  • Back hand over hip or issue tuberosity.
• Stand Up Cue:
  • Lean forward and upward on count (e.g., 1, 2, 3).

Troubleshooting

• If Assistance Needed:
  • Reassess technique if patient has difficulties.
  • Adjust patient’s position or nose forward.
  • Consider bed height adjustment.
• Persistent Issues:
  • Sit patient back down if difficulties persist.
  • Seek advice or assistance from another clinician.
  • Consider different equipment or referral to physio/occupational therapy.