Preparing for a Safe Car Transfer
Before attempting to assist an elderly person out of a car, preparation is key to ensuring a smooth and safe process for both parties. A little foresight can prevent strain and injury.
Parking in the right spot
- Level ground is essential: Park on a flat, even surface to prevent the car from rolling or the senior from losing balance.
- Maximize space: Position the car with plenty of room between the vehicle and any curbs or obstacles. Handicap spots are ideal as they offer more side-clearance.
- Clear the way: Remove any clutter from the car's interior that could hinder movement, and slide the passenger seat back as far as possible to create more legroom.
Communicating with your loved one
- Explain the plan: Clearly and calmly walk the person through each step before you begin. This reduces anxiety and helps them know what to expect.
- Ask for their help: Encourage them to use their own strength as much as possible. This maintains their independence and reduces the physical burden on you.
- Be patient: Never rush the process. Rushing increases the risk of falls and can be stressful for the elderly person.
The “Sit, Swivel, and Stand” Technique
This widely recommended technique minimizes twisting and strain, making it one of the safest methods for car transfers.
- Bring legs out first: With the car door fully open, guide the elderly person to move their feet out of the car and onto the ground, one leg at a time. A leg lifter strap can be used if they struggle with leg mobility.
- Swivel to the edge of the seat: A swivel seat cushion can be placed on the car seat to help the senior turn their body easily so they are facing out of the vehicle.
- Position for standing: Have them move to the very edge of the seat, with their feet flat on the ground and shoulders forward over their knees. This forward motion uses momentum to help them stand.
- Use stable supports: Instruct the person to place their hands on a stable point, like their own knees, the dashboard, or a specialized car assist handle. Caution: Do not let them pull on the car door, as it is unstable.
- Stand slowly and steadily: On a count of three, they should push up with their legs and arms while you provide gentle, supportive assistance at their waist with a gait belt or a firm grip. Never pull on their arms.
- Steady before moving: Once they are standing, give them a moment to regain their balance before moving toward their walker, cane, or wheelchair.
Assistive Devices for Car Transfers
Several tools can make the process easier and safer for both the caregiver and the senior. Consider these options based on the individual's needs.
Comparison of car transfer aids
| Feature | Car Assist Handle/Cane | Swivel Seat Cushion | Leg Lifter Strap | Gait Belt |
|---|---|---|---|---|
| Mechanism | Inserts into the door striker to provide a sturdy grab bar. | A rotating disc that helps the senior pivot their body. | A strap with loops for the foot, used to lift legs. | A fabric belt worn by the senior for a caregiver to grip. |
| Best for | Seniors who need extra grip and leverage to stand up. | Individuals with limited hip or back mobility who struggle with twisting. | Those with limited leg strength who cannot lift their own legs. | Caregivers needing a secure, non-slip grip when assisting with a stand-and-pivot. |
| Benefit | Adds a strong, stationary support point right where it's needed. | Eliminates awkward body twisting, reducing strain and fall risk. | Promotes independence by allowing the senior to use upper body strength. | Distributes lifting force safely, protecting both caregiver and senior. |
| Cost | Low ($10-$20). | Moderate ($20-$50). | Low ($10-$20). | Moderate ($20-$40). |
Special Considerations for Specific Situations
Different health conditions or mobility challenges may require variations of the standard technique.
After surgery
If assisting someone recovering from surgery, such as a hip or knee replacement, specific precautions are necessary. Always follow the surgeon's post-operative instructions. The "sit, swivel, and stand" method is often the safest, as it minimizes strain on the affected joints. Using a gait belt can provide extra stability without pulling on sensitive areas. Be extra slow and communicative, and use cushions for comfort.
Caregiver safety
Your own safety is paramount. Protect your back by bending your knees and keeping your back straight, using your legs to lift, not your back. A gait belt is invaluable for providing a secure grip without straining your own arms or back. If the senior is non-weight-bearing, do not attempt to lift them alone unless you have received proper training and equipment. Consider consulting a physical therapist or home health professional.
Conclusion
Effectively learning how to get an elderly person out of a car involves patience, preparation, and the right techniques. By ensuring the area is safe, communicating clearly, and employing methods like the "sit, swivel, and stand," you can significantly reduce the risk of falls and injury. For those with greater needs, assistive devices like a car assist handle, swivel cushion, or gait belt are inexpensive and highly effective tools. Prioritizing both your loved one's dignity and your own physical well-being makes for a safer and more positive caregiving experience. For more information on safe mobility, consider resources from the National Institute on Aging.
