Many of your patients will be dealing with severe illness or injuries, like multiple fractures, an amputation, brain injury, spinal cord injury, or a stroke, just to name a few examples. 0000007237 00000 n 0000740937 00000 n Access Pass Member Exclusive. What would be most helpful for you? If needed, a helper can assist you. xref 0000011130 00000 n Consortium for Spinal Cord Medicine. Everyone needs individualized transfer training to preserve function and avoid injury. 0000003368 00000 n 389 0 obj <> endobj 0000735030 00000 n It can be helpful to kneel down on one knee in front of the person performing the transfer so as to allow them enough space to lean forward when pushing across the board. = NS=;Oj~`7ht ?CF@8L>Cyx0cK)&v{C=':Q~O,Fda]rmhCoR~Ioq`~ A$ DIA {=/W-SZ+$o:S4H|(jQf5Pt>NN;D/"w2.T&ys! endobj 0000017021 00000 n You may want to use it if you have trouble using your legs to help you move. 0000645109 00000 n Since ordering them they always arrive quickly and well packaged., We love Krosstech Surgi Bins as they are much better quality than others on the market and Krosstech have good service. 0000002787 00000 n Have the person shift their weight onto the opposite hip, and gently place the sliding board under the persons upper thigh/bottom. 0000644343 00000 n Lift Transfer: To and From Floor. We also use third-party cookies that help us analyze and understand how you use this website. Brakes are found on beds, wheelchairs, and most shower chairs. Unless transferring to the shower/tub or toilet, lower body clothing should be in place to decrease friction. In time, you may be able to use the slide board by yourself. 0000002961 00000 n It is also helpful to use your own knees and feet to block the patients knees and feet from sliding forward during the transfer. endstream endobj 425 0 obj<>/Size 389/Type/XRef>>stream Keeping your hands flat and putting your weight on your palms is a dangerous position that can lead to wrist problems such as carpal tunnel syndrome down the road. Lock your wheels if transferring from a wheelchair. Diagnosis: Seating and Mobility. X%`SD@3!a)l,4*9eb {,Ym8pJ)l6jj@jIU29[_Lb]d6a4yw$.' kd1/vj]&/eaMdyh^FnXD2+~,L$oVrsn4d.Z}nVOEV(A\2ys|l'mH2MTo&dihf6KTC&L6&Uo6U}|Ijkfg9LNeSq,rs])CC 6+!u&.d r]Q9`R^w~.]I_.3Zw w ne& , f/$Qm+C"AWa:uI|xn Hmh9SJbyYGzh{{Y7@=>^CqnockB=PO{Xxu5z8n2Rw9 XR{kYcy2$F]@W,&>weQECDi, |z?4 ~%?u5xo }%[vUdY> f`y}yU 6FKdbSr6OQ i oJnE ( ;`!+9W(>inO6Cz,!/wy6e47..+O)ky`U;`S5z= -x>`&MZNCLXnY=BW+{V?]z4++%7T~\EU U{@OU== |1:O C?.EU'Q53B!hzoj1T;T{j* @o Pivot transfers can be used if you have enough strength in your intact limb and upper body. In most cases, it is also better to remove the wheelchair arm closest to the surface you are transferring to. Multiple scoots should be used to complete the transfer. x-hzMEh}XMn:Nl4&sZgE/+#WJvi"b!v,Uqva. The bed surface should be raised and additional staff may be needed to ensure safety. This increases the patients risk of skin breakdown. When lifting a box, you should keep the box away from your center of gravity. Its used to bridge two surfaces. 0000494927 00000 n There are several types of sliding boards commercially available and they come in a variety of lengths. <<53BAE902FAF8F44DA36EA1C0D6E61E65>]>> 568 0 obj <> endobj Move the wheelchair footrests out of the way if applicable. Your loved one then slides on the board from one surface to another. 0000008390 00000 n Whether you work in acute care, inpatient rehab, subacute rehab, or home health, transfer training is one of the most physically demanding aspects of occupational therapy. Needless to say we will be dealing with you again soon., Krosstech has been excellent in supplying our state-wide stores with storage containers at short notice and have always managed to meet our requirements., We have recently changed our Hospital supply of Wire Bins to Surgi Bins because of their quality and good price. Be sure to fully clear the wheel or other parts of the wheelchair. Can be used during therapy and client/family/caregiver education to improve safety and carryover. You should consult your health care provider regarding specific medical concerns or treatment. <> DrEH42T_LH $"ERC&F`Lg` 0f 0000001919 00000 n WebPERFORMING A SLIDING BOARD TRANSFER OUT OF A WHEELCHAIR Position the wheelchair at a 30-45 degree angle next to the bed (or other surface). flat on the bed parallel to the bed sheets. 2000-2023 The StayWell Company, LLC. This special support belt lets a helper support you more easily. %hE,aH)F@jRuMw27UlBR; U%V)-zerH.4W1Z!l0 DfdG%P}NCGFz. Lock the wheelchair brakes and move armrest out of the way on the side you will be transferring to. 0000001093 00000 n 0000673003 00000 n Every effort should be made to lift the body so as not to drag skin across the board surface, in order to avoid painful friction with the skin. 0000746031 00000 n Attempts should be made to have surfaces be level or to be moving slightly downhill to decrease the effort needed to move between surfaces. Previous Section: Heterotopic Ossification. Click the triangle below to listen to the podcast brief and access the transcript by clicking here. It is also best to make transfers as easy as possible to/from same height surfaces and using the patients stronger side. endstream endobj 66 0 obj <>/ViewerPreferences<>/Metadata 3 0 R/Pages 2 0 R/StructTreeRoot 5 0 R/Type/Catalog>> endobj 67 0 obj <>/Shading<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>>>/ExtGState<>>>/Type/Page>> endobj 68 0 obj <> endobj 69 0 obj <> endobj 70 0 obj <> endobj 71 0 obj <> endobj 72 0 obj <> endobj 73 0 obj <> endobj 74 0 obj <>stream %%EOF 65 51 If doing a bare bottom transfer, applying lotion to the board or covering the board with a pillowcase can help to decrease friction. Its never worth it to risk an injury by doing an unsafe transfer. ): Get as close as possible to the surface you want to move to. 7. 2. The Best Splinting Guide for Occupational Therapists, 6 of the Best Occupational Therapy Forums, 10 Reasons Why OTs Should Be Using Occupation-Based Interventions. zoQQY[V/ CEGxGGPE(b2 61ptr9\wb8} AZAYq/ixG"01=z])7*f?`N>-Q 3X )3`.@ .J\) of wood or plastic. WebAssisting a Client with a Slide Board Transfer (DOH Procedure Checklist XII-38) Skills Checklist 9. 0000021572 00000 n yo7gxS7b?Th{J($8Ro9V%I0*o mX&&g8=7Fz5k% Click a letter to see a list of medical procedures beginning with that letter. 0000003633 00000 n Whether used in controlled storeroom environments or in busy industrial workshops, you can count on DURABOX to outlast the competition. Use your arms to push up into a standing position. If you are transferring a patient to an adjustable surface, like a bed or a mat, adjust the height of the surface to be at the same level of the wheelchair. Move the persons bottom to the front of the seat so that the feet are in firm contact with the floor. To protect your shoulders, keep your arms as close to your body as possible (about 30-45 degrees away from your body) while you are lifting your weight. T F 8. DURABOX products are oil and moisture proof, which makes them ideal for use in busy workshop environments. It may also be helpful to instruct the patient to lean to their stronger side. WebThis resource includes considerations and procedures for proper setup and completion of sliding board transfers. 0000783797 00000 n Safely roll the patient over to one side. 4@i$f$Ab5>T5M(m1+MkL>G WebFloor Transfer Instructions,Page 2 7. trailer 9. Webyour overall health and strength. 0000000016 00000 n Disclaimer: This information is not meant to replace the advice from a medical professional. 0000038939 00000 n It is also helpful to use your own knees and 0000038571 00000 n Transfers After Leg Amputation - University of California, San Diego %PDF-1.5 You or your helper slide one end of the board beneath your buttocks. WebSliding Board Transfer Handout Pdf. For example, the patient may not have a stronger side, and the patient may not have enough arm strength to assist with a transfer. 0000010595 00000 n 0000745390 00000 n 0000009728 00000 n endstream endobj 390 0 obj<. Air Mattress Transfer 1 Identifies Components of the Air-Pal 0000715587 00000 n 0000177252 00000 n stream Use a pad or towel on the board when bare Placing your hand on the patients shoulder (on the stronger side) and instructing them to push into it may also improve mid-line orientation to allow a safe transfer. jY\Gl~2^x6udMNTMNq6J0w#CO+%@ZSx,eIB= vE Open the car door and unbuckle the individual. Create or modify your custom Access Pass subscription to get instant and easy access to handouts, vo=bLFES*P.Rp6r O$uq*%Uf. hb```)B eaXb p@WXfX*DH2dono.4z:?srr1^s{>= WebJessica Doane Swanston - Homepage | Parkinson's Foundation Dont try to pivot transfer alone until youre told it's safe. Always move your body in the direction in which the transfer is taking place. Learn how your comment data is processed. 1 0 obj Weight limits can apply. 0000002824 00000 n PERFORMING A SLIDING BOARD TRANSFER OUT OF A WHEELCHAIR Position the wheelchair at a 30-45 degree angle next to the bed (or other endstream endobj 573 0 obj <>stream Sign up to receive exclusive deals and announcements, Fantastic service, really appreciate it. Lift Transfer: Wheelchair to Car. *%u!6(Q(9[@N, 0000003370 00000 n HTKo0WhLS%K@Q&[_KPPdK!4ilX$O'Go i!3p;8;kI&h$_~jN- Turn or pivot on your foot so your buttocks are toward the second surface. 0000004434 00000 n The type of transfer you use will depend on your overall health and strength. Transferring in the shower presents multiple challenges for a therapist. It is typically a flat, rigid board made. WebHandout Sliding Board Transfers. From the cambridge english corpus. WebKeep your hands flat on the board to avoid catching your fingers underneath. ]bqi"w8=8YWf8}3aK txg^+v!a{Bhk 5YliFeT?}YV-xBmN(}H)&,# o0 This category only includes cookies that ensures basic functionalities and security features of the website. If transferring from a wheelchair, place the wheelchair as close as you can to the second surface, such as a bed or toilet. Use a pad or towel on the board when bare skin may come in contact with the board during the transfer. % Try this before attempting a harder transfer to/from surfaces of different heights and using the weaker side. Work with your therapist to fine tune them for you. 0000784146 00000 n The process involves the pre-transfer, transfer, and post-transfer. Transferring downhill is easier and, at modest height, safer than transferring uphill. A Guide for People with Spinal Cord Injury, Paralyzed Veterans of America, 2008. 0000784119 00000 n In these cases, it is best to structure the rehab day with scheduled rest breaks so that the patient will have adequate energy to complete the transfers on their own. Box sizes start from 300mm (D) x 100mm (W) x 95mm (H) and range all the way up to 600mm (D) x 300mm (W) x 95mm (H). khNpocbB. Then when the shower has been completed, make sure both the patient and the floor are completely dry prior to attempting a transfer back to the wheelchair. startxref pregnancy) or activities change, go back to your therapist for advice. Keep your hands flat on board. WebBreastfeeding the NICU Patient McLaughlin - BCH Outreach Necessary cookies are absolutely essential for the website to function properly. With double-lined 2.1mm solid fibreboard construction, you can count on the superior quality and lifespan of all our DURABOX products. hbbd```b``.m`,dL`L@0yLg`s9 DURABOX products are designed and manufactured to stand the test of time. 0000001889 00000 n WebThe transfer itself is a simple process of standing the patient up, pivoting, and sitting the patient down. Technical Assistance for Model Systems Grantees. 115 0 obj <>stream Raise onto knees by propping hands on chair. hCPq>m8o3HBu}uW7HCe5P,|oR|A.9Da^c4D A pillowcase can be placed on the sliding board if the patient is sliding on bare skin to prevent skin shearing or tears and to make the transfers easier. 0000004100 00000 n Its done wonders for our storerooms., The sales staff were excellent and the delivery prompt- It was a pleasure doing business with KrossTech., Thank-you for your prompt and efficient service, it was greatly appreciated and will give me confidence in purchasing a product from your company again., TO RECEIVE EXCLUSIVE DEALS AND ANNOUNCEMENTS. Caregivers should use proper body mechanics, including bending at the knees and keeping the low back in neutral alignment. xbbbd`b``) W 0000798827 00000 n [,R=J[l jA*l5!=%.a-)l3`R}9m>}96)P@aQ(AyNT aeJN9JXw_Z\Rt!v[ixa.R~Z. 0000644371 00000 n Use caution with nylon clothing materials as these can cause excessive, even unintentional sliding. Making an Empty Bed (DOH Procedure Checklist XII-15) Handouts Handout 1. All box sizes also offer an optional lid and DURABOX labels. The contents of this site were developed under grant number 90DPKT0009 from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR). 13. Place your foot flat on the floor. If the patients feet continue to slide, nonslip socks or shoes can be donned before the transfer is attempted. This content is only available to members. WebTransferring with a Sliding Board Remove the armrest of the wheelchair at the side facing the resident Place one end of the transfer board under the residents bottom Place the 0000798715 00000 n The other end is placed on the surface you are transferring them to. In this post, you will learn practical transfer training techniques and tips so you can feel confident and safe with your patients every day. Print Resource US Letter 2 pages . What OT topics are you most interested in? Position wheelchair as close as you can to the bed. 0000004558 00000 n 0000010407 00000 n A slide board transfer can be done on your own or with help, if needed. Any assistance required should be provided from in front of the person performing the transfer. NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). 0 In most cases, transfers will initially need to be completed with a sliding board and with the assistance of other staff. PERFORMING A SLIDING BOARD TRANSFER OUT OF A WHEELCHAIR, Specializing in Research on Spinal Cord Injury, Brain Injury and Multiple Sclerosis, Shepherd Center myShepherdConnection.org, Tips for Poor Appetite and Healthful Weight Gain, Body Mechanics During Transfers for Caregivers, Body Mechanics for Bed Mobility for Caregivers, Body Mechanics for Dependent Weight Shifts for Caregivers, Cultivating Resilience After SCI Video Series. WebTransfer Board Communication: o Communicate the plan and steps to be taken by both yourself and the consumer Set the Environment o Place the chair (where the consumer is Need more information or looking for a custom solution? If youre wearing a gait belt, a helper can use it to help you shift your weight. <>>> You also have the option to opt-out of these cookies. 0000002443 00000 n endstream endobj startxref 0000001746 00000 n 426 0 obj<>stream Stand close to the Place the slide sheets together. Remove the leg rests. A sliding board is a piece of equipment that can be used if a person is not able to use their legs to complete a transfer between surfaces or if a standing transfer is not safe to perform. Hold on to your helper for balance and support. This site uses Akismet to reduce spam. Scoot forward in For safety, practice pivot transfers with a helper. Roll the patient back on their back, and repeat on the other side. 0000644966 00000 n If additional staff is not available, a mechanical lift should be used as needed. 0000002618 00000 n <<4C853B362B9AD141929A988B3DEB8C3A>]>> Put your feet on floor (unless your therapist tells you not to). WebThis section focuses on the details and how to's for transfers to and from various surfaces. DURABOX double lined solid fibreboard will protect your goods from dust, humidity and corrosion. If that angle is not possible due to the environment layout, get the wheelchair as close as possible so that sliding board can cover the gap between the surfaces. A patient that has had a spinal cord injury will have special considerations. 4 0 obj These patients will often find it easier to transfer to their weaker side as they are pushing that way anyway. These conditions significantly impair the patients functional mobility, which will require the assistance of one or more therapists to transfer the patient from one surface to another. If possible, provide these patients with a visual cue (like a mirror) to assist them with upright posture and mid-line orientation prior to attempting a transfer. 0000006453 00000 n To perform a client transfer from their bed to their chair, remember to use a gait belt around the clients waist. Lean your trunk forward. If you cannot perform the transfer in one smooth movement while keeping your arms close to your body, move in several small steps and/or use a transfer board. Webunintentional sliding. 0000672640 00000 n Be careful sliding across the transfer board because the motion can damage your skin. 0000012726 00000 n "k"O? 8HKtZ'9K[YYYy6 After your amputation, youll be taught how to transfer safely. 0000019394 00000 n Step 2 - Leg Swing out of the Car To perform this transfer, carry out the following steps: 1. Use your upper body to scoot yourself along the board toward the second surface. From a sitting position on the bed, instruct the consumer to 0000784589 00000 n While there are many special considerations during transfer training with patients, the priority is to keep both the patient and the therapist safe and free from injury. The more you weigh, the more weight you have to transfer and the more stress you put on your shoulders and arms. WebGet your arm rest out of the way on the side next to the surface you are transferring to. 0000002308 00000 n 0000007396 00000 n Two types of transfers you may learn are slide board transfers and pivot transfers. This is where your transfer training expertise will come into play. Smaller box sizes are available with a choice of one, two, three or four dividers, while the larger box sizes come with an option for a fifth divider. Make sure the individual is wearing shoes. This information is not intended as a substitute for professional medical care. 65 0 obj <> endobj These are often higher than a regular bed, and slippery. A good reminder for the patient is nose over toes (to keep their nose above their toes to help with their balance). 0000716084 00000 n It is generally best to transfer the patient to the shower chair with their shoes and some clothing (possibly a shirt) still on. 0 obj < > endobj move the persons bottom to the shower/tub toilet! Type of transfer you use will depend on your shoulders and arms shoulders and.. During the transfer board because the motion can damage your skin a standing position:! A standing position and pivot transfers this transfer, and most shower chairs transfer can donned! Your feet on floor ( unless your therapist tells you not to ) cases it. Of other staff 0000740937 00000 n 426 0 obj these patients will often find easier... Should consult your health care provider regarding specific medical concerns or treatment l0... Move the persons bottom to the surface you want to use the slide board transfers and pivot with... Damage your skin and carryover also better to remove the wheelchair be raised and additional staff not. An unsafe transfer fingers underneath will come into play assistance required should be used during therapy and education... Onto knees by propping hands on chair Community Living ( ACL ), Department sliding board transfer handout pdf health strength. Within the Administration for Community Living ( ACL ), Department of health and strength is easier,... And using the weaker side armrest out of the way on the details and how transfer... Transfers will initially need to be completed with a sliding board and with assistance. Optional lid and DURABOX labels had a Spinal Cord injury will have special.. The persons bottom to the shower/tub or toilet, lower body clothing should be used to complete transfer! Toes to help you move available, a helper can use it to help with their balance )! {. To use the slide board by yourself DURABOX double lined solid fibreboard protect. Not intended as a substitute for professional medical care transfer you use this website materials these... More stress you Put on your own or with help, if needed, including bending at knees. Step 2 - Leg Swing out of the person performing the transfer weight... Ah ) F @ jRuMw27UlBR ; U % v ) -zerH.4W1Z! l0 DfdG % }. Are pushing that way anyway > Put your feet on floor ( unless your to. Fingers underneath intended as a substitute for professional medical care lower body clothing should be provided in! Jy\Gl~2^X6Udmntmnq6J0W # CO+ % @ ZSx, eIB= vE Open the car and. 0000001889 00000 n Two types of transfers you may learn are slide board by.... Txg^+V! a { Bhk 5YliFeT use it if you have to transfer and more... Board transfer ( DOH Procedure Checklist XII-38 ) Skills Checklist 9 0000004558 00000 n 426 0 obj >. W8=8Ywf8 } 3aK txg^+v! a { Bhk 5YliFeT n Safely roll the patient up pivoting! Ensure safety of these cookies learn are slide board transfer can be before. Transfer and the more you weigh, the more stress you Put on overall! Height surfaces and using the patients stronger side help us analyze and understand how you use website! A harder transfer to/from surfaces of different heights and using the patients stronger side surface you want to to... Upper body to scoot yourself along the board during the transfer is taking place the pre-transfer transfer... N < < 53BAE902FAF8F44DA36EA1C0D6E61E65 > ] > > Put your feet on floor ( unless your therapist for.! By doing an unsafe transfer used during therapy and client/family/caregiver education to improve safety carryover! Endobj 390 0 obj these patients will often find it easier to transfer to weaker. Dfdg % P } NCGFz in front of the car to perform this,. Are found on beds, wheelchairs, and slippery and slippery it help... May learn are slide board transfer ( DOH Procedure Checklist XII-15 ) Handouts Handout 1 should be and... Use will depend on your own or with help, if needed their balance ) ) Skills Checklist.. Be sliding board transfer handout pdf sliding across the transfer: 1, lower body clothing should be from... Door and unbuckle the individual XII-15 ) Handouts Handout 1 Spinal Cord Medicine focuses on side. Board to avoid catching your fingers underneath in which the transfer will be transferring the! Shoulders and arms other parts of the wheelchair brakes and move armrest out of the way on the board avoid... Swing out of the person performing the transfer is attempted the board during the transfer # %... Out the following steps: 1, eIB= vE Open the car to perform this,... Endobj these are often higher than a regular bed, and slippery hands on. Needs individualized transfer training to preserve function and avoid injury able to use the slide transfer... N 0000007396 00000 n use caution with nylon clothing materials as these can cause excessive, even unintentional.! Durabox products are oil and moisture proof, which makes them ideal for use busy... Step 2 - Leg Swing out of the way if applicable different heights and using weaker. Box sizes also offer an optional lid and DURABOX labels regarding specific medical or... Pre-Transfer, transfer, and sitting the patient over to one side be completed with a helper in,... Into a standing position move to to another as these can cause excessive, unintentional... One side to use the slide sheets together materials as these can cause,! Other parts of the way if applicable superior quality and lifespan of all our DURABOX products oil... Transfers as easy as possible to the surface you are transferring to the bed your arm rest out the... Car to perform this transfer, carry out the following steps: 1 the feet are in firm with! For People with Spinal Cord injury will have special considerations feet on floor ( unless your therapist tells not! Perform this transfer, and slippery Services ( HHS ) is a within. F @ jRuMw27UlBR ; U % v ) -zerH.4W1Z! l0 DfdG % P } NCGFz the board from surface... Various surfaces use the slide board transfers in for safety, practice pivot transfers with a helper can it. To risk an injury by doing an unsafe transfer are absolutely essential for the website to function.! Pivot transfers with a sliding board and with the board during the transfer in shower..., nonslip socks or shoes can be done on your shoulders and arms knees keeping... Parallel to the surface you are transferring to door and unbuckle the individual to keep their nose above toes. Preserve function and avoid injury use proper body mechanics, including bending at the knees and keeping the back... And arms are often higher than a regular bed, and most chairs... Sliding board and with the board during the transfer n if additional staff may needed! To move to transferring uphill slide board transfers the box away from your center of gravity side next to surface. Away from your center of gravity obj these patients will often find it easier to transfer and more... Regular bed, and sitting the patient back on their back, and repeat on the other side sliding board transfer handout pdf hands... < > endobj these are often higher than a regular bed, and most shower chairs of the... Up into a standing position make transfers as easy as possible to the place the sheets..., rigid board made back in neutral alignment to the podcast brief and Access the transcript by here... Completed with a helper can use it to help you shift your weight process of standing the patient nose. Also best to make transfers as easy as possible to the bed parallel to the podcast and! N be careful sliding across the transfer board because the motion can damage skin... And additional staff is not intended as a substitute for professional medical care @ i $ F Ab5... You more easily caregivers should use proper body mechanics, including bending at the knees and keeping the back! Found on beds, wheelchairs, and most sliding board transfer handout pdf chairs, transfer, carry out the following steps:.... Special considerations the patient back on their back, and most shower chairs performing the transfer board because motion! Instruct the patient to lean to their stronger side a simple process of standing patient... N be careful sliding across the transfer is attempted their back, and.. Cookies that help us analyze and understand how you use will depend your. Of sliding board and with the assistance of other staff on their back, and post-transfer transferring... Surface you want to move to can to the bed sheets clothing should be used to complete the transfer to. Harder transfer to/from surfaces of different heights and using the patients feet continue to slide, socks. N if additional staff is not available, a mechanical Lift should be used during and... Cause excessive, even unintentional sliding will have special considerations second surface n 0000007396 00000 the... Preserve function and avoid injury, it is typically a flat, rigid board made patients feet to. And avoid injury transfer, and post-transfer function properly that has had a Spinal injury. Use will depend on your own or with help, if needed may come in contact with floor. Bottom to the surface you are transferring to can use it to an... You should keep the box away from your center of gravity sitting the up... Patients feet continue to slide, nonslip socks or shoes can be done on your overall health and Human (! You are transferring to and post-transfer Raise onto knees by propping hands on chair sizes also offer an optional and. Surface should be raised and additional staff is not available, a mechanical Lift be. Us analyze and understand how you use will depend on your own or with help, needed!
Art Institute Of Seattle Notable Alumni, Articles S