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An 80-year-old patient with hemiplegia was transferred by the nurse aide from a sitting position on the bed to the wheelchair. Which of the following interventions needs correction by the home health nurse who was observing the aide?

Explanation

• Hemiplegia, a total paralysis of one side of the body, results from injury to the brain cells in the cerebral motor cortex

• This question asked you to identify the incorrect transfer technique

• Shoulder subluxation and pain can result from pulling the patient's paralyzed arm. The patient's unaffected arm or hand must be allowed to reach for the wheelchair's arm and to brace themselves that way. The unaffected arm should be supported, but not pulled

• The other options are correct and indicate proper technique that promote safety and comfort

• Allowing the patient to lean forward shifts his center of gravity and enables him to rise from the bed properly 

• Moving the patient toward the unaffected side permits the strong arm and leg to accomplish the transfer safely. Bracing the knee and foot assists in balance during the transfer

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