When completing a seating evaluation with a client who requires maximum assistance or has poor endurance, what are some strategies for minimizing the number of transfers the client has to perform?
Answer
If you have a client who is performing transfers in a fairly labor-intensive way, such as someone who requires maximum assist for transfers, you can perform the entire evaluation in as few as three transfers using the following progression suggested in the figure below.
Editor’s note: This Ask the Expert was adapted from the course, ‘Performing a Successful Seating and Mobility Evaluation’ that is available in text, video and audio course formats.
Kirsten Davin, OTD, OTR/L, ATP, SMS
Dr. Kirsten Davin is a veteran Occupational Therapist of nearly 20 years, with extensive experience in a variety of practice settings including inpatient rehabilitation, acute care, intensive care, and the Central Illinois Regional Burn Center. Since initially obtaining her bachelor’s in occupational therapy in 2001, followed by her post-professional OT Doctorate (OTD) in 2007, Kirsten has served not only as a clinician but also in the role of a clinical consultant specializing in product design and development. Kirsten has fabricated hundreds of splints within her acute care and clinical consulting career, many of which were custom fabricated and individually designed on a case-by-case basis. Her splinting experience ranges from a standard safe position and resting hand splints to highly intricate dynamic splints for the hand, wrist, lower extremities, and cervical spine, incorporating all varieties of materials and splinting medium.
For more than a decade, she has been best known for her live, national speaking tours, which to date have reached over 20,000 therapists in 46 states. She has conducted thousands of educational events on the topics of seating/positioning, assistive technology, work-life balance, acute care/ICU rehabilitation, splint fabrication, orthotic application, and more. Dr. Davin is an engaging speaker who strives to make learning fun.
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