Care recipient (cr) has trouble putting on shoes

Try: Consider wearing slip-on shoes or use elastic or velcro shoelaces so cr doesn’t have to bend sit on a chair put foot into the shoe use a reacher or long-handled shoehorn to pull the shoe on

Materials: Reacher long-handled shoehorn elastic or velcro shoelaces

Categories: Sage, Topic, Medical Physical, Personal

Information: n/a

References: transfer, wheelchair to toilet by krames staywell 2003 available at

Keywords: Dressing shoes trouble bending reaching

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has trouble getting out of bed

Try: Turn onto side with knees bent move feet off the edge of the bed using arms to help sit up sit at the edge of the bed with feet on the floor and knees apart push down with hands and rock forward to stand up

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: transfer, wheelchair to toilet by krames staywell 2003 available at

Keywords: Mobility sitting standing stiff bed

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) freezes up at doorways

Try: Consider placing lines of tape on the floor between rooms stepping over the tape may prompt cr to keep moving

Materials: Bright colored masking tape

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance

Information: n/a

References: transfer, wheelchair to toilet by krames staywell 2003 available at

Keywords: Mobility freezes up walking stepping

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has trouble bending over

Try: Keep feet shoulder-width apart move entire body as one unit bend at the hips and knees not at the waist flatten stomach and tighten leg muscles to keep the spine straight let buttocks move out behind the rest of the body don’t try to tuck them under if needed place one hand on a sturdy object for support

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Mobile, Needs Some Assistance

Information: n/a

References: transfer, wheelchair to toilet by krames staywell 2003 available at

Keywords: Mobility bending stiff back

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has trouble bending over to the floor to pick up things

Try: Lower body to one knee if possible rest one hand on a sturdy object to help lower body down rest one arm on raised knee don’t bend at the waist do not hunch the back or neck to reach to the floor instead bend more at the hips and knees to get closer to the floor

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Mobile, Needs Some Assistance

Information: n/a

References: transfer, wheelchair to toilet by krames staywell 2003 available at

Keywords: Mobility bending stiff back

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has trouble pushing light objects like doors

Try: Bend knees slightly keep ears shoulders and hips in line tighten stomach muscles lean in slightly toward the object to be pushed use legs and the weight of the body to move the object take small steps

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Mobile, Needs Some Assistance

Information: n/a

References: transfer, wheelchair to toilet by krames staywell 2003 available at

Keywords: Mobility pushing arms

*This information is listed as a Tip and is not explicitly medically licensed

caregiver (cg) has back strains due to transferring Care recipient (cr)

Try: Try to organize the transfer steps in your head before performing the transfer task keep the cr close to you while transferring keep knees bent and back straight ask for help from others when needed

Materials: n/a

Categories: Medical Physical, Needs Some Assistance, Needs Much Assistance, Immobile, Some Supervision, Maximum Supervision

Information: n/a

References: Adapted from the www yorkhospital kramesonline com internet website transfer-wheelchair to toilet

Keywords: Transferring back strain back pain

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) needs help walking correctly

Try: Raise legs from the knee and take high long steps let heel fall first with each step swing arms as if marching imagine stepping over a series of lines on the floor this can be especially helpful if cr feels frozen to turn walk in a semicircle instead of trying to stop and turn in place

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: Transfer, wheelchair to toilet by krames staywell 2003 available at

Keywords: Walking mobility stiffness gait problem

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has trouble getting up from a sitting position

Try: Scoot hips to the edge of the chair keep feet flat on the floor with knees apart put hands on the armrests rock forward and push down on the armrests to stand it may help to rock back and forth to build momentum

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: Transfer, wheelchair to toilet by krames staywell 2003 available at

Keywords: Mobility sitting standing stiff chair couch

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) has trouble sitting down

Try: Back up to the chair as close as possible lean forward and bend knees use the armrests to lower body onto the chair

Materials: n/a

Categories: Sage, Topic, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance

Information: n/a

References: Transfer, wheelchair to toilet by krames staywell 2003 available at

Keywords: Mobility sitting standing stiff chair couch

*This information is listed as a Tip and is not explicitly medically licensed