Natcep day 13
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Natcep day 13 Presentation Transcript

  • 1. Mobility and Ambulation Techniques NATCEP Day Thirteen
  • 2. Objectives • Identify safety precautions in the use of wheelchairs and geriatric chairs • Identify/describe types and purposes of lifts • Identify safety precautions involved in the use of portable lifts to move residents • Identify safe and proper use of walkers, canes and crutches • Demonstrate the safe way to assist a resident to walk – SKILL: Ambulation using a Gait Belt – SKILL: Ambulation with a Walker
  • 3. Safety Precautions: Wheelchairs or Geriatric Chairs (Geri-chair) • Start with a Safety check! – Check the brakes! Make sure you can lock and unlock – Check for flat or loose tires which will prevent locking – Check wheel spokes – are they intact? – Do casters point forward? (balance and stability) – Blankets and tubing away from the wheels?
  • 4. Safety Precautions: Wheelchairs or Geriatric Chairs (Geri-chair) • Position the person’s feet on the footrests before moving. • Do not let the resident stand on the footplates • Do not let the footplates fall back onto the resident’s legs • Push the chair forward - do not pull it backward. • Lock both the brakes before you transfer a person to or from the wheelchair. – Remind the resident to do the same if independent
  • 5. Safety Precautions: Wheelchairs or Geriatric Chairs (Geri-chair) • Make sure the resident has needed wheelchair accessories per care plan • Remove the armrests (if removable) – when the resident transfers to the bed, commode, tub or car – when lifting the resident from the chair • Swing front rigging out of the way for transfers to and from the wheelchair. – Some front riggings detach for transfers
  • 6. Safety Precautions: Wheelchairs or Geriatric Chairs (Geri-chair) • Clean the wheelchair according to agency policy. • When using an elevator, the wheelchair should be pulled backward into and out of the elevator. • When moving a resident down a steep ramp, you should take the wheelchair or geriatric chair down backwards. – Glance over your shoulder to be sure of your direction and prevent collisions and possible falls • Slow down at corners and look before moving the wheelchair to prevent collisions with other residents, staff, etc. • Use the wheelchair that has been designated as appropriate for the resident. • Use caution to prevent injuries to hands and arms when pushing wheelchairs
  • 7. Mechanical Lifts • Types – Manual or hydraulic – Electric • Purpose – Lifts are used to move residents • who cannot assist in their own transfer • and/or residents who are too heavy to lift safely
  • 8. Mechanical Lifts • Make sure you are trained in its use. • Make sure the lift works. • Make sure the sling, straps, hooks and chains are in good repair. • Never operate the lift without the assistance of other staff. • Lock all brakes after positioning the lift. • Securely fasten all locks and straps before operating the lift • Lift and lower the resident slowly.
  • 9. Ambulation Devices • Walker – Skid-proof tips – Skid proof shoes – Stand still – Place walker forward with all four legs solidly on the floor – Step forward to the walker – Repeat
  • 10. Ambulation Devices • Crutches – Should have some space between top of crutch and axilla (arm pit). – Elbows flexed slightly – Weight supported on palms of hands
  • 11. Ambulation Devices • Cane – Regular – Quad (four legs): most stable – Weak side – Move forward, walk toward
  • 12. Safety Techniques When Walking the Resident • • • • • • • • • Non skid shoes Change positions slowly to avoid dizziness Assist on the weak side Strong side toward hand rails Assisting visually impaired, walk slightly ahead Use gait/transfer belt Stand straight with head up and back straight Walk to the side and slightly behind Encourage normal walking – Not shuffling – Not sliding – Not on toes
  • 13. Effects of Immobility • • • • • • • Skin: increases breakdown Bowel: decreased motility Lungs: shallow breathing Muscles: atrophy Circulation: slows, clots Kidneys: decreased function Bladder: distension, infection