Transfer Hierarchy
The order for restoring confidence in mobility will always depend on what activity the client is trying to be able to perform. This hierarchy of mobility skills starts at the most basic and progresses into more complex mobility patterns. The first skill which is the most basic is bed mobility. This is when a client can move around in the bed to relive pressure or switch positions when they want to while laying down. I agree that this skill should be learned first since it is the most basic skill and one of the most important. The next 4 skills are mat transfer, wheelchair transfer, bed transfer, and functional ambulation for ADL. I agree with this order because a client needs to learn how to perform a basic mat transfer so that they know how to move their bodies before moving to more complex transfers. I also agree that the client should learn these basic transfers before learning to complete ADLs so that they can be able to gain more independence. The last four transfers include toilet and tub transfer, car transfer, functional ambulation for community mobility, and community mobility and driving. These are the more complex skills because they allow the client to be out and about in the community. That is why they are some of the last to be taught to the client. From my past experiences at a pediatric therapy clinic, I have only witnessed and aided in a wheelchair to mat transfer. After reading the required material and viewing the PowerPoints from our biomechanics class, I agree with the order of the hierarchy. This order is best when it comes to teaching the client the necessary skills for restoring competence in mobility.
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