Postural awareness extends along the length of their body, from their heels to the top of their head. Shifting body parts and rolling also brings more awareness to changes in position while being transferred. When unprepared for changes in position, fears of falling and startle reactions are inevitable.
Engaging the person's ability to roll with gravity, with the caregivers initiating the movement, allows the person to assist where they can. Even if they are being hoisted, a rolling motion can be used to assist with positioning the sling.
Holding still and hooking their arm over the bed rail also requires an awareness of the position of their body and what another person is doing to their body.