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The pivot transfer.

The patient has a paralyzed leg, weakness on one side, or has had one leg amputated. He is alert and mobile, but needs some help transferring in and out of bed. The pivot transfer is one effective way to assist him. Transfer techniques developed in rehabilitation centers emphasize patient independence. The assisted transfer is a basic first step toward that goal. It requires an assessment of the patient's strengths and limitations, a knowledge of body mechanics, and skill in the pivot technique. First, the nurse assesses the patient's capacity to understand what is expected of him and his physical ability to make the transfer. Has he any specific concerns about the transfer? Is he willing to attempt it? Can he follow simple directions?