New symptoms during transfer practice

A rehabilitation client is practising a transfer that was tolerated during the previous session. Today the client develops chest tightness, marked breathlessness and dizziness after standing. The planned exercise sheet says that two more repetitions would complete the daily goal. A student suggests finishing quickly because the client is anxious about discharge. The therapist has access to the local emergency response procedure and trained colleagues. The current symptoms represent a meaningful change from the documented baseline and cannot be dismissed solely because a previous session was uncomplicated. The client also has a healing wound, so any assisted repositioning must protect the site and avoid an improvised unsafe lift. The team must prioritize immediate safety and communicate the event accurately.