TRANSFER: Pivot Transfer 1- Front Wheeled Walker

In this video the caregiver will learn how to instruct an individual while performing a Stand Pivot Transfer with a Walker. This instruction can be used no matter what surface the individuial is coming from or going to, although when transferring to/from a wheelchair and/or hospital bed, always make sure the brakes are locked before starting the transfer.

When assisting with a transfer, always stand on the individuals weak side with them transferring/moving toward their strong side if possible.

Apply a gait belt for safety

Verbal Cues Standing Up

  1. Lock your wheelchair brakes
  2. Put your hands on the armrests (assist with hand placement as needed)
  3. Scoot your bottom forward
  4. Pull your feet back slightly underneath your knees
  5. Lean forward, bringing your head forward/ "nose out over your toes"
  6. Push up with both hands evenly as you stand
  7. (Assist with gait belt to help them up as needed)
  8. Bring one hand up to the walker at a time  

Verbal Cues Sitting Down

  1. Turn with your walker, taking steps, backing up until you feel the bed (or other sitting surface) at the back of your legs
  2. Reach back one hand at a time (assist with hand placement as needed) 
  3. Bend your knees, stick your bottom out, lower yourself down to the bed 
https://aecorner.video/video/HELPdurham/pivot-transfer1