A client in long-term care requires assistance with a standing pivot transfer from their bed to a wheelchair. They are partially weight-bearing on one leg and use a gait belt. What is the MOST appropriate initial action for the HCA to take?

Question: A client in long-term care requires assistance with a standing pivot transfer from their bed to a wheelchair. They are partially weight-bearing on one leg and use a gait belt. What is the MOST appropriate initial action for the HCA to take?

Answer options:

• Position the wheelchair at a 45-degree angle to the bed, close to the client's stronger side.
• Assist the client to a sitting position at the edge of the bed and allow them to dangle their feet.
• Apply the gait belt securely around the client's waist, over their clothing. ✅ Explain the transfer steps to the client and ensure they understand.

Correct answer: Explain the transfer steps to the client and ensure they understand.

Explanation: Before initiating any physical transfer, explaining the steps to the client ensures their understanding, cooperation, and maintains their dignity and autonomy. This is a key principle of person-centred care.