Hal Robertson. Manual Task Services, WorkforceHealth, SA HealthJo Bills. Physiolink
Person fits two or more of the following criteria: Weighs 120Kg+ BMI 40+ Hip width >20” (51cm)
The Project•Sponsored by Employers Mutual Member Benefit Program, 2010•SA Aged Care Consultative Committee project•Hosted ...
   To reduce the risk of injury to employees    by identifying future risk management    strategies for bariatric care in...
Working Party (4)Literature ReviewWorkshops -December 2010(1 metro- Adelaide; 2 country-Mt Gambier and Kadina )Collation o...
   Determine participants knowledge and    readiness of organisations to manage obese    and bariatric clients   Provide...
Participant inputSmall group discussions to identifythe needs of ◦ The obese client ◦ The worker ◦ The Aged Care industryT...
Does your organisation … Have guidelines on managing bariatric clients? Hire in bariatric equipment? Have bariatric spe...
   Beds SWL>200kg   Pressure care mattresses>150kg   Shower chairs and commodes>150kg   Wheelchairs>100kg   Walking a...
Prompts Access to bariatric resources Improved knowledge about B equipment Improving worker safety with handling larger...
Organisations with bariatric policies or Guidelines                          50%percentage of responses                   ...
Organisations that Hire Bariatric EquipmentPercentage of responces                          50%                          4...
Organisations that provide Bariatric Specific MHT Percentage of responses                           70%                   ...
Organisations that provide additional staff for Bariatric Client                                                 transfers...
Equipment for bariatric patients present in workplace    Percentage of responses                                 80%      ...
Pre workshop expectations and post workshop satisfaction.                              Adelaide.95%90%85%                 ...
Pre workshop expectations and post workshop satifaction.                                                    CountryPercent...
Bariatric Fact Sheets1.    Needs & Considerations of Bariatric People in Aged      Care (definition; stats; BMI; general i...
   ACFI does not adequately fund for additional    workers, specialised equipment and in some cases    increased space re...
Not known Lack of shared weight and BMI dataNeed Influence funding to support safe and dignified  care Industry guideli...
•Felix H C, Bradway C, Miller E, Powell L S. Obese Nursing Homeresidents: a Call to Research Action. JAGS. 2010.58:6. 1196...
Are Aged Care Organisations adequately resourced to safely manage obese and bariatric clients ?Feedback gained from SA Ba...
Are Aged Care Organisations adequately resourced to safely manage obese and bariatric clients ?Feedback gained from SA Ba...
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Are Aged Care Organisations adequately resourced to safely manage obese and bariatric clients ? Feedback gained from SA Bariatric and Obesity workshops

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Hal Robertson Dip Physio (NZ), Dip OHS, MAPA
Ergonomist, Workforce Health, Workforce Division,
South Australia Health
(P01, Thursday, NZI 6 Room, 12-12.30)

Published in: Health & Medicine
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Are Aged Care Organisations adequately resourced to safely manage obese and bariatric clients ? Feedback gained from SA Bariatric and Obesity workshops

  1. 1. Hal Robertson. Manual Task Services, WorkforceHealth, SA HealthJo Bills. Physiolink
  2. 2. Person fits two or more of the following criteria: Weighs 120Kg+ BMI 40+ Hip width >20” (51cm)
  3. 3. The Project•Sponsored by Employers Mutual Member Benefit Program, 2010•SA Aged Care Consultative Committee project•Hosted by Elanora SYP Homes Inc
  4. 4.  To reduce the risk of injury to employees by identifying future risk management strategies for bariatric care in the residential and community aged care sector To develop resources for management of the bariatric resident/client (Fact Sheets)
  5. 5. Working Party (4)Literature ReviewWorkshops -December 2010(1 metro- Adelaide; 2 country-Mt Gambier and Kadina )Collation of feedback (questionnaires)Development of Fact Sheets x 6
  6. 6.  Determine participants knowledge and readiness of organisations to manage obese and bariatric clients Provide basic information on bariatric client management and bariatric issues Identify AC funding model’s limitations with funding care of B clients
  7. 7. Participant inputSmall group discussions to identifythe needs of ◦ The obese client ◦ The worker ◦ The Aged Care industryTo safely manage larger clients and the current barriers in achieving this
  8. 8. Does your organisation … Have guidelines on managing bariatric clients? Hire in bariatric equipment? Have bariatric specific manual handling training? Roster additional staff to manage bariatric client transfers and hygiene care?
  9. 9.  Beds SWL>200kg Pressure care mattresses>150kg Shower chairs and commodes>150kg Wheelchairs>100kg Walking aids>100kg Lifting machines>150kg Weighing scales>150kg
  10. 10. Prompts Access to bariatric resources Improved knowledge about B equipment Improving worker safety with handling larger clients Resources to develop organisational B guidelines Resources to promote sensitivity and dignified care Other reasonsPost workshop questionnaire What they had gained using same prompts
  11. 11. Organisations with bariatric policies or Guidelines 50%percentage of responses 40% 30% Adelaide 20% Country (2) 10% 0% Yes No DK N/A DNR2008 WA Hospital audit-79% of hospital surveyed had BGuidelines. (Paterson)
  12. 12. Organisations that Hire Bariatric EquipmentPercentage of responces 50% 40% 30% Adelaide 20% Country (2) 10% 0% Yes No DK N/A DNR
  13. 13. Organisations that provide Bariatric Specific MHT Percentage of responses 70% 60% 50% 40% Adelaide 30% Country (2) 20% 10% 0% Yes No DK N/A DNRBariatric patients are involved in between 14%, and 21% of bodystressing incidents associated with acute patient care hospitalsacross metropolitan Adelaide, but make up less than 2% of allinpatients.
  14. 14. Organisations that provide additional staff for Bariatric Client transfers/hygiene tasks Percentage of responses 50% 40% 30% Adelaide 20% Country (2) 10% 0% Yes No DK N/A DNRFelix (2010) reported a 42% increase in cost (paid time tocomplete the task) to perform hygiene care on an obese clientcompared to bathing normal sized clients in USA Nursing Homes
  15. 15. Equipment for bariatric patients present in workplace Percentage of responses 80% 70% 60% 50% Adelaide 40% 30% Country 20% 10% 0% 50 0 00 50 00 50 0 0 15 15 20 >1 >1 >1 >1 >1 s> t> L> es ds rs es rs at ne SW ai od ai ai al M hi ch ch sc PC m ng ac ds Sh m w/ ng lki m be Co wa hi g ig in we lift2008 WA Hospital audit-Beds (66% had enough), transfer and hygiene aids(58% had enough). Wheelchairs (57% had enough) (Paterson)
  16. 16. Pre workshop expectations and post workshop satisfaction. Adelaide.95%90%85% Pre Adelaide80% Post Adelaide75%70% Resources B equipment Improve Devt. B Dignified about B care knowledge worker safety Guidelines care
  17. 17. Pre workshop expectations and post workshop satifaction. CountryPercentage of responses 102% 100% 98% 96% Pre country 94% Post country 92% 90% 88% Resources B Improve Devt. B Dignified about B care equipment worker Guidelines care knowledge safety
  18. 18. Bariatric Fact Sheets1. Needs & Considerations of Bariatric People in Aged Care (definition; stats; BMI; general info)2. Designing a Safe Environment (design guidelines)3. Weight Bias4. Needs of Staff (tools, algorithms, wellness)5. Needs of the AC Industry (lobbying for funding, planning)6. Equipment (options, purchasing checklists) All have references and resources. https://www.employersmutual.com.au/south- australia/member_incentives_program/index.htm
  19. 19.  ACFI does not adequately fund for additional workers, specialised equipment and in some cases increased space required to safely manage bariatric clients Few ACFs are resourced to manage dependant clients who weigh over 150kg Community organisations cannot provide more than 2 staff to transfer/provide hygiene care at home, therefore struggle with dependant clients over 100kg Acute hospitals in Adelaide have difficulty D/Cing dependant patients weighing over 120kg to ACFs
  20. 20. Not known Lack of shared weight and BMI dataNeed Influence funding to support safe and dignified care Industry guidelines E-data base of client weights/BMI
  21. 21. •Felix H C, Bradway C, Miller E, Powell L S. Obese Nursing Homeresidents: a Call to Research Action. JAGS. 2010.58:6. 1196-1197•Paterson, C. ASSC Survey results. Safe Steps. National HospitalIntervention and Compliancy campaign. Work SafeWA. March 2009.http://www.commerce.wa.gov.au/WorkSafe/Content/Industries/Health_and_community_services/#Manual%20handling•Link to bariatric fact sheets.https://www.employersmutual.com.au/south-australia/member_incentives_program/index.htm

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