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Communication During Transfers: A Guide for Home Health Aides
Effective communication is the foundation of safe, dignified transfers. Learn how your words and actions can transform this critical daily task.
Understanding Client Transfers
Client transfers are any movements that help clients change positions, whether from bed to wheelchair, wheelchair to toilet, or chair to standing. These routine activities present both physical and emotional challenges for patients.
When handled properly, transfers promote client dignity, independence, and safety. When mismanaged, they can lead to anxiety, resistance, and even physical injury for both you and your client.
Different types of transfers require specific techniques, but all benefit from strong communication practices.
Why Communication Makes or Breaks a Transfer
1
Reduces Anxiety
Clear communication helps clients understand what to expect, reducing fear and resistance during transfers. When clients know what's happening next, they're more likely to cooperate and less likely to become agitated.
2
Prevents Injuries
Properly communicated instructions ensure clients move correctly, preventing falls and strain injuries. This protects both you and your client from potentially serious harm.
3
Promotes Dignity
Thoughtful communication acknowledges clients as active participants rather than passive objects, preserving their sense of control and self-worth during vulnerable moments.

Studies show that transfer-related injuries decrease by up to 40% when aides use proper communication techniques alongside physical transfer skills.
Verbal Communication Techniques
Use Clear, Simple Language
Avoid medical jargon and complex instructions. Instead of saying "We're going to perform a pivot transfer now," say "I'm going to help you move from your bed to your chair."
Speak at Eye Level
Always position yourself at the client's eye level before giving instructions. This shows respect and ensures they can hear and understand you clearly.
Give Step-by-Step Instructions
Break down the transfer into small, manageable steps: "First, I'll help you sit up. Then, we'll swing your legs to the side of the bed. Next, you'll place your hands on the armrests."
Non-Verbal Communication Skills
Your Body Speaks Volumes
Research shows that over 65% of communication is non-verbal. During transfers, your body language, facial expressions, and touch convey confidence, care, and respect—or their opposites.
  • Maintain a calm, confident posture to reassure clients
  • Use gentle, deliberate touch to guide movement
  • Demonstrate movements before asking client's to perform them
  • Offer reassuring smiles and eye contact throughout the process

Active Listening Matters
Pay close attention to your client's non-verbal cues. Grimaces, tensing muscles, or hesitation may indicate pain or fear that they're not expressing verbally.
Transfer Communication in Action
Prepare
"Mrs. Johnson, I need to help you move to your wheelchair now. I've placed it right next to your bed with the brakes locked."
Explain
"I'll count to three, then help you sit up. You'll place your hands here on the mattress to push yourself up."
Listen
"How does that sound? Do you have any concerns or pain I should know about before we begin?"
Execute
"Great. One, two, three – now push with your hands as I support your back. Perfect! Let's rest a moment before the next step."
This step-by-step approach keeps clients informed and engaged throughout the transfer process, reducing anxiety and increasing cooperation.
Common Communication Challenges

Remember that adapting your communication approach to each patient's unique needs is essential for successful transfers. What works for one person may not work for another.
Take Your Transfer Skills to the Next Level
80%
Success Rate
Of transfer injuries can be prevented with proper communication techniques combined with physical transfer skills.
3-5
Practice Sessions
Weekly with colleagues can significantly improve your transfer communication skills within one month.
100%
Patient Satisfaction
Should be your goal. Effective communication during transfers is consistently rated as a top factor in patient care satisfaction.
Continue your professional development with our additional resources and hands-on training opportunities. Your communication skills make a profound difference in your patients' quality of care.