4.5 Describe the aids and equipment that may be used for moving and positioning – Care Learning (2025)

This guide will help you answer 4.5 Describe the aids and equipment that may be used for moving and positioning.

In health and social care, safely moving and positioning individuals is a key responsibility. Some people may have limited mobility due to age, illness, or disability. They may rely on aids and equipment to maintain their physical well-being, prevent injury, and promote independence. Workers must know the available aids and understand how to use them correctly. Incorrect use can harm both the individual and the worker.

Each piece of equipment is designed for specific situations. It is important to identify the individual’s unique needs and select the right aid to support their mobility and safety.

Hoists

Hoists are mechanical devices used to lift and transfer individuals who cannot move on their own. These are often used when transferring someone from a bed to a wheelchair, a chair, or a toilet.

There are different types of hoists:

• Mobile Hoists – These are portable and can be moved around. They are ideal for use in various rooms.
• Ceiling Track Hoists – These are fixed to the ceiling and run along a track. They save floor space and are typically used in more permanent care settings.
• Bath Hoists – Designed specifically for helping individuals get in and out of a bath.

The hoist comes with a sling that wraps around or supports the individual’s body. Slings also vary in type to cater to specific needs, such as full-body slings, toileting slings, or amputee slings.

Slide Sheets

Slide sheets are made from low-friction fabric. They are used to reposition individuals in bed or transfer them to another surface, such as a stretcher. Slide sheets reduce the physical effort required and minimise skin damage caused by friction or shearing.

They work by placing the sheet under the individual and gently sliding them into the desired position. Slide sheets are particularly useful for individuals who need to be turned regularly to prevent pressure ulcers.

Stand Aids

Stand aids help individuals who can bear some weight but need assistance getting up from a sitting position. These aids are especially useful during transfers, such as moving from a chair to a toilet or bed.

Stand aids come in two forms:

• Non-powered stand aids – These are lightweight and require the individual to pull themselves up using their strength.
• Powered stand aids – These are motorised and assist individuals who lack sufficient upper body strength.

They often include a platform or footrest, a knee pad, and hand grips for safety and comfort.

Transfer Boards

Transfer boards (or sliding boards) are designed for individuals who can sit but have difficulty standing or taking steps. These boards act as a bridge for short transfers, such as from a wheelchair to a bed, toilet, or car seat.

The individual uses the board to slide across, either independently or with the support of a worker. Transfer boards reduce the need for lifting, making them safer for all involved.

Walking Aids

Walking aids provide extra support and stability for individuals with reduced mobility. They help individuals move independently while maintaining their balance.

Common types of walking aids include:

• Walking Frames – These are sturdy frames with four legs or wheels. Some also have additional features, such as seats or storage.
• Crutches – Used for short-term or partial support, often after an injury or surgery.
• Mobility Rollators – These are similar to walking frames but have wheels, hand brakes, and sometimes a seat.

Walking aids should be tailored to the individual’s height and strength to ensure they are used comfortably and safely.

Wheelchairs

Wheelchairs aid individuals with limited mobility by allowing them to move over greater distances. They can be self-propelled, motorised, or pushed by a carer.

Wheelchairs vary in design, from compact, manual chairs to advanced electric models. Some can tilt, adjust height, or recline to suit the user’s needs. These adjustments also help prevent pressure sores and improve posture.

Specialist Seating

For individuals who spend long periods sitting, specialised chairs provide comfort and support. Specialist chairs have features like adjustable neck, back, and leg support. Some can recline or tilt to help with positioning.

These chairs reduce the risk of pressure ulcers and improve breathing and circulation. They are commonly used for people with severe disabilities or high dependency needs.

Adjustable Beds

Adjustable beds help individuals change position while lying down or getting in and out of bed. These beds can be raised, lowered, or tilted to make transfers easier and more comfortable.

Some adjustable beds also include features like side rails for safety or built-in hoists to assist with positioning. They are an essential tool in care settings, especially for individuals who are bedridden.

Repositioning Belts

Repositioning belts, also known as transfer belts, are placed around an individual’s waist to provide extra support during transfers or walking. Carers use the belt as a handhold to guide or steady the individual.

These belts should be padded and securely fastened to ensure comfort and safety. They are particularly effective for individuals with partial mobility.

Turntables and Rotational Devices

Turntables are circular devices placed under an individual’s feet. They allow carers to rotate the person without excessive pulling or twisting.

These devices are ideal for tasks like pivoting an individual from a wheelchair to a bed. They reduce strain on the carer’s back and improve the individual’s safety during transfers.

Evacuation Aids

In emergencies, evacuation aids help safely transport individuals who cannot move independently. Examples include evacuation chairs, stretchers, and slide mats.

These aids are compact and easy to operate, allowing for quick responses in critical situations. They are vital in care settings like hospitals or residential homes.

Safety Considerations

Using aids and equipment safely is critical. Always follow these steps:

• Training and Competence – Ensure only trained staff use mechanical aids like hoists. Improper use can lead to accidents.
• Assess the Individual’s Needs – Evaluate the person’s mobility, preferences, and health conditions before selecting an aid.
• Check Equipment Before Use – Inspect aids for damage or wear. Faulty equipment increases the risk of injury.
• Use Correct Techniques – Follow manual handling guidelines and maintain good posture to avoid injuries.
• Involve the Individual – Encourage the person to participate in their transfer as much as they can. This promotes dignity and independence.

Legal and Organisational Requirements

Health and social care workers must comply with legal guidelines when using aids or equipment. Relevant standards include:

• The Health and Safety at Work Act 1974 – Ensures safe practices for both workers and individuals.
• The Manual Handling Operations Regulations 1992 (as amended 2002) – Requires risk assessments for manual handling tasks.
• LOLER (Lifting Operations and Lifting Equipment Regulations) 1998 – Applies to lifting equipment like hoists, ensuring routine inspections and safe use.

Organisations will also have their own policies for selecting, maintaining, and using aids. Following these procedures maintains a consistent standard of care.

Final Thoughts

Having the right aids and equipment for moving and positioning individuals is important in health and social care. These tools make daily life easier for both workers and those receiving care. Carers must receive proper training and understand each aid’s purpose to use them effectively and safely.