An older client who is able to stand but not ambulate receives a prescription. What is the proper plan to assist mobility?

• A. Place a transfer belt around the client, assist to stand, and pivot to a chair that is placed at a right angle to the bed
• B. Lift the patient under the arms
• C. Have the patient walk unassisted
• D. Use a ceiling lift or stand-assist

Answer: (D)

When a patient can stand but cannot ambulate, the safest approach is to use equipment that provides mechanical support to transfer them. A ceiling lift or stand-assist helps move the patient from bed to chair or wheelchair with minimal manual lifting, preserving the caregiver’s back and reducing the risk of falls or injury for the patient. It allows the patient to remain upright during the transfer and requires less physical effort from the health team, which is especially important for older adults who may have limited strength or balance.

Lifting under the arms places strain on the caregiver and can injure the patient’s shoulders or arms; having the patient walk unassisted isn’t possible if they can’t ambulate. A transfer belt alone may aid balance but doesn’t provide the full mechanical support needed for a safe, stable transfer when walking isn’t possible. Using a ceiling lift or stand-assist aligns with safe mobility goals for this scenario.