For many caregivers, one of the most physically demanding tasks is helping a loved one move from one place to another—such as from a chair to a wheelchair, a wheelchair to a bed, or on and off the toilet. Safe transfers protect both you and your loved one from falls, injuries and frustration, but can be difficult for beginners to master. If your caregiving role involves transferring your loved one, here are some tips to help you do so carefully and gently, and with dignity and respect.
Give Notice and Involve Them
Whenever possible, let your loved one know before you begin a transfer. Even with limited mobility, most people can help a little by shifting their weight, pushing off an armrest or guiding their legs— but only if they know a transfer is about to happen.
Explain what you’re about to do in simple steps, offer encouragement and give gentle instructions along the way. This preserves a sense of independence and can reduce resistance.
Plan Ahead to Limit Transfers
While movement is important to prevent muscle loss, pressure sores and stiffness, too many transfers in a day can be stressful on your loved one’s body. Take a few minutes to map out the day’s activities and identify which transfers are truly necessary. Can some tasks be combined or done in one location instead of several? Fewer transfers may mean less fatigue and greater safety for both you and your loved one.
Protect Your Own Body
Caregivers can be at high risk for back and shoulder injuries when executing transfers, so it’s important to use proper body mechanics. Practice the following stance:
- Plant your feet shoulder-width apart.
- Keep your back straight and bend at the knees.
- Hold your loved one close to your body rather than pulling from a distance.
- Avoid lifting by their arms, and instead them support under the shoulders or hips instead.
If there are armrest or grab bars nearby, having your loved lightly push off of these can also take some of the pressure off your body, but only if it’s safe for your loved one to do so.
Move Slowly and Give Breaks
Each stage of a transfer, whether rolling to the side, sitting up, standing or pivoting, can cause dizziness or imbalance. Pause between steps to let your loved one catch their breath and steady themselves. Once they’re upright, give a moment for their blood pressure to adjust before walking or sitting again.
Make the Environment Transfer-Friendly
A supportive environment can make transfers far easier. Choose chairs with firm seats and sturdy armrests for better leverage. Clear space around beds and chairs so you can move safely. Remove throw rugs and clutter to reduce tripping hazards. Install grab bars near the toilet, shower or bed, and consider transfer benches for bathtubs. Hallway handrails can also provide support during short walks between rooms.
Safe transfers take preparation, patience and good communication. By involving your loved one, pacing each step, protecting your own body and creating a supportive home environment, you can reduce stress and injury while helping them stay as mobile and independent as possible.