What should a physical therapist assistant do FIRST before transferring a patient with anorexia nervosa?

In the context of transferring a patient with anorexia nervosa, monitoring blood pressure is a critical first step. Individuals with anorexia nervosa often experience significant physiological changes, including alterations in blood pressure, due to malnutrition and potential dehydration. These patients can be at risk for orthostatic hypotension, where blood pressure may drop significantly upon standing or during movement.

By checking the blood pressure first, the physical therapist assistant can assess the patient’s stability and readiness for transfer. If the blood pressure is significantly low, this can serve as an indication for further caution or modifications to the transfer process, ensuring the safety of the patient.

While checking respiratory rate, lower extremity sensation, and monitoring body temperature are also important assessments, they do not provide as immediate a gauge of the patient's cardiovascular stability during a transfer as blood pressure does. Addressing blood pressure first can help to prevent any adverse events, making it a priority in the context of preparing for the transfer.